Prevalence of alcohol use disorders, psychiatric co-morbidity and associated factors among the Thai Population

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Paritat Silpakit
Wanida Pumpaisalchai
Chidchanok Ruengorn


          Objectives To determine the prevalence of alcohol use disorder (AUD), psychiatric co-morbidity and their possible associated risk factors.
          Materials and methods The Thai National Mental Health Survey 2013’s (TNMHS2013) data were used. TNMHS2013 is a cross-sectional community survey of Thai aged 18 and above. Respondents were directly interviewed using the Thai version of World Mental Health-Composite International Diagnostic Interview version 3.0 (WMH-CIDI 3.0). The data of respondents were analyzed for weighted prevalence in percentage and standard errors. The association between independence factors, psychiatric disorders and AUD, a combination of alcohol abuse and dependence, was determined using weighted multivariable logistic regression at the 95% level of confidence.
           Results In all 4,727 participants (response rate 74.3%) completed the WMH-CIDI. About 30% of them were abstainers. The overall adjusted 12-month and lifetime prevalence rates of AUD were 5.3% and 18.0%, respectively. The rate of lifetime AUD was signifi cantly higher in male, secondary education, getting separated or divorced marital status, with income more than 30,000 baht/month, start drinking at younger than 13 years old, had a close relative with alcohol use disorder. Lifetime AUD was the highest prevalent among those who ever experienced any drug use disorder (61.4%). The most of common psychiatric disorders seen among lifetime AUD were panic  disorder with agoraphobia (78.9%). The association between AUD was strongest with a history of panic disorder with agoraphobia [adjusted odds ratio = 54.2, 95%CI:10.7-274.2].
           Conclusion The prevalence of AUD and psychiatric co-morbidity remain high in population. Some associated factors may be useful for excessive alcohol use prevention programs.


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