The parameters for calculating the burden of alcohol and drug use disorders in Thailand

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Athip Tanaree
Sawitree Assanangkornchai
Jiraluck Nontarak


          Objective To identify the appropriate parameters for calculating disease burden of alcohol use disorders (AUD) and drug use disorders (DUD).
          Material and method The literatures were searched through MEDLINE database and Google Scholar, using relevant keywords. Literatures published after the 1997 were identified and subsequently screened for relevancy to the study. Finally, full-text publications were systematically reviewed and
synthesized according to each subtopic.
          Results One-year prevalence of AUD and DUD were between 0.2%-4.6% and 0.0%-2.0% respectively. Individuals with AUD were mostly in moderate categories while persons with DUD were largely in moderate and severe categories. The age of onset of AUD and DUD were between 14.0-30.5
years and 15.0-24.7 years, with duration of each episode between 1.8-3.7 years and 1.6-4.3 years, and remission rate at one year after onset between 34%-89% and 5%-45% respectively. Relative risk of mortality among individuals with AUD was 1.8-4.6, compared to those without disorders, while mortality
rate among those with DUD was 3.2-18.6 folds of general population.
          Conclusion Prevalence and age of onset of AUD and DUD are available in Thailand and comparable to international studies, thus should be used for disease burden estimation. The future research should be focused on other parameters that are not yet available in Thailand.


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