Prevalence of alcohol use disorders, psychiatric co-morbidity and associated factors among the Thai Population
Keywords:
prevalence, alcohol, drinking behavior, CIDI, national surveyAbstract
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.
Downloads
References
2. Thamarangsi T. (Eds) The situation of alcohol consumption and its’ impacts in Thailand in B.E. 2556. The Graphico Sysytem, Nonthaburi, Thailand; 2013. Retrieved from https://www.m-society.go.th/article_attach/11295/15613.pdf.
[17 Jul 2017]
3. Lekfuangfu N, Tharnpanich N, Tacharoen K, Wongwaisiriwatand S, Witvorapong N. (2016). “Facts about Alcohol”:
Status Report on Alcoholic Beverages in Thailand B.E. 2558. Duen Tula Publishing House. Bangkok, Thailand.
4. News of Royal Thai Goverment. Prime Minister concerned about drinking behaviour of Thai people. 9 Jul 2017. The Secretariat of the Prime Minister Government House. Retrieved from http://www.thaigov.go.th/news/contents/details/5117. [18 Oct 2017]
5. Sornpaisal B, (Eds) Development of Thailand's alcohol problem control policy. (report) Center for Alcohol Studies. 2005. Retrieved from http://www.sem100library.in.th/medias/b3983.pdf. [17 Jul 2017]
6. Witvorapong N, (Eds) A decade of the Center for Alcohol Studies: Current State of knowledge on alcohol policy advocacy. Duen Tula Publishing House. Bangkok, Thailand; 2014. Retrieved from http://resource.thaihealth.or.th/library/musthave/15614. [17 Jul 2017]
7. Assanangkornchai S. Alcohol use disorders and related problems: signifi cance and management in Thailand. Sahamitpattana, Faculty of Medicine, Songkla; 2014.
8. Intasit S. The process and relation of alcohol use and substance use in adolescence. (report) Center for Alcohol
Studies; 2011. Retrieved from http://cas.or.th/wp-content/uploads/2015/11/52-k-008.pdf. [17 Jul 2017]
9. The National Institute on Alcohol Abuse and Alcoholism (NIAAA). Alcohol use disorder. Retrieved from
https://www.niaaa.nih.gov/alcohol-health/overview-alcoholconsumption/alcohol-use-disorders. [18 Oct 2017]
10. WHO, Global status report on noncommunicable diseases 2014 [Internet]. Retrieved from http://www.who.int/nmh/
publications/ncdstatus-report-2014/en/. [12 Aug 2017]
11. Kessler RC, Nelson CB, McGonagle KA, Edlund MJ, Frank RG, Leaf PJ. Epidemiology of co–occurring addictive and
mental disorders: implications for prevention and service utilization. Am J Orthopsychiatry 1996; 66:17–31.
12. Petrakis IL, Gonzalez G, Rosenheck R, Krystal JH. Comorbidity of alcoholism and psychiatric disorders. National Institutes
of Health. Nov 2002. Retrieved from https://www.niaaa.nih.gov/[12 Jul 2017]
13. Jansirimongkol B, Kittirattanapaiboon P, Khamwongpin M, Chutha W, Kongsuk T, Leejongpermpoon J. The prevalence
of alcohol use disorders and psychiatric comorbidity in Thailand: National epidemiological survey 2008. J Ment
Health Thai 2011;19:88-102.
14. Kittirattanapaiboon P, Tantirangsee N, Chutha W, Assanangkornchai S, Supanya S. Thai national mental
health survey 2013: methodology and procedure. J Ment Health Thai 2016;24:1-14.
15. Haro JM, Arbabzadeh-Bouchez S, Brugha TS, de Girolamo G, Guyer ME, Jin R et al. Concordance of the Composite
International Diagnostic Interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO world mental health surveys. Int J Methods Psychiatr Res 2006;15:167-80.
16. Eaton WW, Martins SS, Nestadt G, Bienvenu OJ, Clarke D, Alexandre P. The burden of mental disorders. Epidemiol Rev 2008;30:1-14. Retrieved from http://www.jhsph.edu/departments/mental-health/_docs/epidemiology/
alcohol-abuse-dependence.pdf. [20 Jul 2017]
17. Hahm BJ, Cho MJ. Prevalence of alcohol use disorder in a South Korean community. Soc Poychiatry Psychiatr
Epidemiol 2005;40:114–9.
18. Rehm J, Room R, Graham K, Monteiro M, Gmel G, Sempos CT. The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview. Addict Abingdon Engl 2003;98:1209–28.
19. National Statistical Offi ce. The smoking and drinking behaviour survey 2014. Text and Journal Publication,
Thailand; 2014. Retrieved from http://service.nso.go.th/nso/nsopublish/themes/fi les/smokeFullReport57-1.pdf. [20
Jul 2017]
20. Substance Abuse and Mental Health Services Administration, Results from the 2010 National Survey on Drug Use and
Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD: Substance Abuse and Mental Health Services Administration;2011. Retrieved from https://www.samhsa.gov/
data/sites/default/fi les/NSDUHNational FindingsResults2010-web/2k10ResultsRev/NSDUHresultsRev2010.pdf. [20 Jul
2017]
Downloads
Published
How to Cite
Issue
Section
License
- Authorization to photocopy items for internal or personal use of specific clients, is granted. The consent does not extend to other kinds of copying, such as for general distribution, for advertising, or for resale.
- Unless otherwise states, the views and opinion expressed in Journal of Mental Health of Thailand are those of authors of the papers, and do not represent those of the editorial board or the Department of Mental Health.
