The burden of mental and alcohol/substance use disorders in Thailand 2014

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Khanitta Kusreesakul
Phunnapa Kittirattanapaiboon
Nuttapat Makka
Kanitta Bundhamcharoen

Abstract

          Objective  To present the Thai burden of disease due to mental and alcohol/substance use disorders measured by disability adjusted life years (DALYs) for prioritization mental health issues in national health policy.
          Material and method  The DALYs was calculated from the sum of years of life lost due to premature mortality (YLLs) and years lived with disability (YLDs) by following the WHO's approach with a modification for Thai context in the national burden of diseases and injuries study 2014. The focus of non-medical disorders were depressive disorders, bipolar disorders, schizophrenia, anxiety disorders, alcohol use disorders, substance use disorders and other mental disorders.
          Results  In Thailand, mental and alcohol/substance use disorders accounted for 1,020.5 thousand DALYs or 6.8% of all causes DALYs. Such disorders accounted for 91.4 thousand YLLs (0.9% of all YLLs) and 929.1 thousand YLDs (19.3% of all YLDs). Mental and alcohol/substance use disorders were the first rank among total YLDs. Alcohol use disorders were the leading cause of YLDs lost in men while depressive disorders were the leading cause among women (13.1% and 5.2% of all YLDs, respectively). The highest proportion of YLDs occurred in male aged 30-44 years and female age 15-29 years.
          Conclusion  Mental and alcohol/substance use disorders contribute to a significant proportion of disease burden in Thailand. Mental disorders should be highly prioritized in national health policy to reduce this burden.

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