Prevalence of alcohol use disorders in primary health-care facilities in Russia in 2019

TY - JOUR

T1 - Prevalence of alcohol use disorders in primary health-care facilities in Russia in 2019

AU - Rehm, Jürgen

AU - Shield, Kevin D

AU - Bunova, Anna

AU - Ferreira-Borges, Carina

AU - Franklin, Ari

AU - Gornyi, Boris

AU - Rovira, Pol

AU - Neufeld, Maria

N1 - © 2022 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

PY - 2022/6

Y1 - 2022/6

N2 - AIMS: To estimate prevalence of alcohol use disorders (AUD) and alcohol dependence (AD) for Russia in 2019, based on clients in primary health-care facilities.DESIGN: Cross-sectional assessment of AUD and AD. Prevalence estimates were cross-validated using a treatment multiplier methodology.SETTING: A total of 21 primary health-care facilities, including dispanserization units (population health preventive care settings).PARTICIPANTS: A total of 2022 participants (986 women and 1036 men) 18 years of age and older.MEASUREMENTS: Composite International Diagnostic Interview.FINDINGS: The prevalence of AD and AUD was 7.0% [95% confidence interval (CI) = 5.9-8.1%] and 12.2% (95% CI = 10.8-13.6%), respectively. Marked sex differences were observed for the prevalence of AD (women: 2.8%; 95% CI = 1.7-3.8%; men: 12.2%; 95% CI = 10.3-14.1%) and AUD (women: 6.1%; 95% CI = 4.6-7.7%; men: 19.5%; 95% CI = 17.2-21.8%). Age patterns of AD and AUD prevalence were sex-specific. Among women, the prevalence of AUD and AD was highest in the youngest age group and decreased with age. Among men, the prevalence of AUD and AD was highest among men aged 45-59 years. Sensitivity analyses indicated that the prevalence of AD as estimated using a treatment multiplier (6.5%; 95% CI = 5.0-8.9%) was similar to the estimates of the main analysis.CONCLUSIONS: Even though alcohol use has declined since 2003 in Russia, the prevalence of alcohol use disorders and alcohol dependence remains high at approximately 12 and 7%, respectively.

AB - AIMS: To estimate prevalence of alcohol use disorders (AUD) and alcohol dependence (AD) for Russia in 2019, based on clients in primary health-care facilities.DESIGN: Cross-sectional assessment of AUD and AD. Prevalence estimates were cross-validated using a treatment multiplier methodology.SETTING: A total of 21 primary health-care facilities, including dispanserization units (population health preventive care settings).PARTICIPANTS: A total of 2022 participants (986 women and 1036 men) 18 years of age and older.MEASUREMENTS: Composite International Diagnostic Interview.FINDINGS: The prevalence of AD and AUD was 7.0% [95% confidence interval (CI) = 5.9-8.1%] and 12.2% (95% CI = 10.8-13.6%), respectively. Marked sex differences were observed for the prevalence of AD (women: 2.8%; 95% CI = 1.7-3.8%; men: 12.2%; 95% CI = 10.3-14.1%) and AUD (women: 6.1%; 95% CI = 4.6-7.7%; men: 19.5%; 95% CI = 17.2-21.8%). Age patterns of AD and AUD prevalence were sex-specific. Among women, the prevalence of AUD and AD was highest in the youngest age group and decreased with age. Among men, the prevalence of AUD and AD was highest among men aged 45-59 years. Sensitivity analyses indicated that the prevalence of AD as estimated using a treatment multiplier (6.5%; 95% CI = 5.0-8.9%) was similar to the estimates of the main analysis.CONCLUSIONS: Even though alcohol use has declined since 2003 in Russia, the prevalence of alcohol use disorders and alcohol dependence remains high at approximately 12 and 7%, respectively.

KW - Adolescent

KW - Adult

KW - Alcohol Drinking/epidemiology

KW - Alcoholism/epidemiology

KW - Cross-Sectional Studies

KW - Female

KW - Humans

KW - Male

KW - Prevalence

KW - Russia/epidemiology

U2 - 10.1111/add.15816

DO - 10.1111/add.15816

M3 - SCORING: Journal article

C2 - 35072306

VL - 117

SP - 1640

EP - 1646

JO - ADDICTION

JF - ADDICTION

SN - 0965-2140

IS - 6

ER -