The epidemiology of drug use disorders cross-nationally: Findings from the WHO's World Mental Health Surveys

Louisa Degenhardt, Chrianna Bharat, Meyer D. Glantz, Nancy A. Sampson, Kate Scott, Carmen C.W. Lim, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Laura H. Andrade, Evelyn J. Bromet, Ronny Bruffaerts, Brendan Bunting, Giovanni de Girolamo, Oye Gureje, Josep Maria Haro, Meredith G. Harris, Yanling He, Peter de Jonge, Elie G. KaramGeorges E. Karam, Andrzej Kiejna, Sing Lee, Jean Pierre Lepine, Daphna Levinson, Victor Makanjuola, Maria Elena Medina-Mora, Zeina Mneimneh, Fernando Navarro-Mateu, José Posada-Villa, Dan J. Stein, Hisateru Tachimori, Yolanda Torres, Zahari Zarkov, Somnath Chatterji, Ronald C. Kessler

Research output: Contribution to journalArticle

Abstract

Background: Illicit drug use and associated disease burden are estimated to have increased over the past few decades, but large gaps remain in our knowledge of the extent of use of these drugs, and especially the extent of problem or dependent use, hampering confident cross-national comparisons. The World Mental Health (WMH) Surveys Initiative involves a standardised method for assessing mental and substance use disorders via structured diagnostic interviews in representative community samples of adults. We conducted cross-national comparisons of the prevalence and correlates of drug use disorders (DUDs) in countries of varied economic, social and cultural nature. Methods and findings: DSM-IV DUDs were assessed in 27 WMH surveys in 25 countries. Across surveys, the prevalence of lifetime DUD was 3.5%, 0.7% in the past year. Lifetime DUD prevalence increased with country income: 0.9% in low/lower-middle income countries, 2.5% in upper-middle income countries, 4.8% in high-income countries. Significant differences in 12-month prevalence of DUDs were found across country in income groups in the entire cohort, but not when limited to users. DUDs were more common among men than women and younger than older respondents. Among those with a DUD and at least one other mental disorder, onset of the DUD was usually preceded by the ‘other’ mental disorder. Conclusions: Substantial cross-national differences in DUD prevalence were found, reflecting myriad social, environmental, legal and other influences. Nonetheless, patterns of course and correlates of DUDs were strikingly consistent. These findings provide foundational data on country-level comparisons of DUDs.

Original languageEnglish (US)
Pages (from-to)103-112
Number of pages10
JournalInternational Journal of Drug Policy
Volume71
DOIs
StatePublished - Sep 1 2019

Fingerprint

Health Surveys
Substance-Related Disorders
Mental Health
Epidemiology
Mental Disorders
Global Health
Street Drugs
Diagnostic and Statistical Manual of Mental Disorders
Economics
Interviews

Keywords

  • Abuse
  • Dependence
  • Drugs
  • Epidemiology
  • World Mental Health Surveys

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy

Cite this

Degenhardt, L., Bharat, C., Glantz, M. D., Sampson, N. A., Scott, K., Lim, C. C. W., ... Kessler, R. C. (2019). The epidemiology of drug use disorders cross-nationally: Findings from the WHO's World Mental Health Surveys. International Journal of Drug Policy, 71, 103-112. https://doi.org/10.1016/j.drugpo.2019.03.002

The epidemiology of drug use disorders cross-nationally : Findings from the WHO's World Mental Health Surveys. / Degenhardt, Louisa; Bharat, Chrianna; Glantz, Meyer D.; Sampson, Nancy A.; Scott, Kate; Lim, Carmen C.W.; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Alonso, Jordi; Andrade, Laura H.; Bromet, Evelyn J.; Bruffaerts, Ronny; Bunting, Brendan; de Girolamo, Giovanni; Gureje, Oye; Haro, Josep Maria; Harris, Meredith G.; He, Yanling; de Jonge, Peter; Karam, Elie G.; Karam, Georges E.; Kiejna, Andrzej; Lee, Sing; Lepine, Jean Pierre; Levinson, Daphna; Makanjuola, Victor; Medina-Mora, Maria Elena; Mneimneh, Zeina; Navarro-Mateu, Fernando; Posada-Villa, José; Stein, Dan J.; Tachimori, Hisateru; Torres, Yolanda; Zarkov, Zahari; Chatterji, Somnath; Kessler, Ronald C.

In: International Journal of Drug Policy, Vol. 71, 01.09.2019, p. 103-112.

Research output: Contribution to journalArticle

Degenhardt, L, Bharat, C, Glantz, MD, Sampson, NA, Scott, K, Lim, CCW, Aguilar-Gaxiola, S, Al-Hamzawi, A, Alonso, J, Andrade, LH, Bromet, EJ, Bruffaerts, R, Bunting, B, de Girolamo, G, Gureje, O, Haro, JM, Harris, MG, He, Y, de Jonge, P, Karam, EG, Karam, GE, Kiejna, A, Lee, S, Lepine, JP, Levinson, D, Makanjuola, V, Medina-Mora, ME, Mneimneh, Z, Navarro-Mateu, F, Posada-Villa, J, Stein, DJ, Tachimori, H, Torres, Y, Zarkov, Z, Chatterji, S & Kessler, RC 2019, 'The epidemiology of drug use disorders cross-nationally: Findings from the WHO's World Mental Health Surveys', International Journal of Drug Policy, vol. 71, pp. 103-112. https://doi.org/10.1016/j.drugpo.2019.03.002
Degenhardt, Louisa ; Bharat, Chrianna ; Glantz, Meyer D. ; Sampson, Nancy A. ; Scott, Kate ; Lim, Carmen C.W. ; Aguilar-Gaxiola, Sergio ; Al-Hamzawi, Ali ; Alonso, Jordi ; Andrade, Laura H. ; Bromet, Evelyn J. ; Bruffaerts, Ronny ; Bunting, Brendan ; de Girolamo, Giovanni ; Gureje, Oye ; Haro, Josep Maria ; Harris, Meredith G. ; He, Yanling ; de Jonge, Peter ; Karam, Elie G. ; Karam, Georges E. ; Kiejna, Andrzej ; Lee, Sing ; Lepine, Jean Pierre ; Levinson, Daphna ; Makanjuola, Victor ; Medina-Mora, Maria Elena ; Mneimneh, Zeina ; Navarro-Mateu, Fernando ; Posada-Villa, José ; Stein, Dan J. ; Tachimori, Hisateru ; Torres, Yolanda ; Zarkov, Zahari ; Chatterji, Somnath ; Kessler, Ronald C. / The epidemiology of drug use disorders cross-nationally : Findings from the WHO's World Mental Health Surveys. In: International Journal of Drug Policy. 2019 ; Vol. 71. pp. 103-112.
@article{cebe2a041b0c4d3191faa6fd79ee6d3a,
title = "The epidemiology of drug use disorders cross-nationally: Findings from the WHO's World Mental Health Surveys",
abstract = "Background: Illicit drug use and associated disease burden are estimated to have increased over the past few decades, but large gaps remain in our knowledge of the extent of use of these drugs, and especially the extent of problem or dependent use, hampering confident cross-national comparisons. The World Mental Health (WMH) Surveys Initiative involves a standardised method for assessing mental and substance use disorders via structured diagnostic interviews in representative community samples of adults. We conducted cross-national comparisons of the prevalence and correlates of drug use disorders (DUDs) in countries of varied economic, social and cultural nature. Methods and findings: DSM-IV DUDs were assessed in 27 WMH surveys in 25 countries. Across surveys, the prevalence of lifetime DUD was 3.5{\%}, 0.7{\%} in the past year. Lifetime DUD prevalence increased with country income: 0.9{\%} in low/lower-middle income countries, 2.5{\%} in upper-middle income countries, 4.8{\%} in high-income countries. Significant differences in 12-month prevalence of DUDs were found across country in income groups in the entire cohort, but not when limited to users. DUDs were more common among men than women and younger than older respondents. Among those with a DUD and at least one other mental disorder, onset of the DUD was usually preceded by the ‘other’ mental disorder. Conclusions: Substantial cross-national differences in DUD prevalence were found, reflecting myriad social, environmental, legal and other influences. Nonetheless, patterns of course and correlates of DUDs were strikingly consistent. These findings provide foundational data on country-level comparisons of DUDs.",
keywords = "Abuse, Dependence, Drugs, Epidemiology, World Mental Health Surveys",
author = "Louisa Degenhardt and Chrianna Bharat and Glantz, {Meyer D.} and Sampson, {Nancy A.} and Kate Scott and Lim, {Carmen C.W.} and Sergio Aguilar-Gaxiola and Ali Al-Hamzawi and Jordi Alonso and Andrade, {Laura H.} and Bromet, {Evelyn J.} and Ronny Bruffaerts and Brendan Bunting and {de Girolamo}, Giovanni and Oye Gureje and Haro, {Josep Maria} and Harris, {Meredith G.} and Yanling He and {de Jonge}, Peter and Karam, {Elie G.} and Karam, {Georges E.} and Andrzej Kiejna and Sing Lee and Lepine, {Jean Pierre} and Daphna Levinson and Victor Makanjuola and Medina-Mora, {Maria Elena} and Zeina Mneimneh and Fernando Navarro-Mateu and Jos{\'e} Posada-Villa and Stein, {Dan J.} and Hisateru Tachimori and Yolanda Torres and Zahari Zarkov and Somnath Chatterji and Kessler, {Ronald C.}",
year = "2019",
month = "9",
day = "1",
doi = "10.1016/j.drugpo.2019.03.002",
language = "English (US)",
volume = "71",
pages = "103--112",
journal = "International Journal of Drug Policy",
issn = "0955-3959",
publisher = "Elsevier",

}

TY - JOUR

T1 - The epidemiology of drug use disorders cross-nationally

T2 - Findings from the WHO's World Mental Health Surveys

AU - Degenhardt, Louisa

AU - Bharat, Chrianna

AU - Glantz, Meyer D.

AU - Sampson, Nancy A.

AU - Scott, Kate

AU - Lim, Carmen C.W.

AU - Aguilar-Gaxiola, Sergio

AU - Al-Hamzawi, Ali

AU - Alonso, Jordi

AU - Andrade, Laura H.

AU - Bromet, Evelyn J.

AU - Bruffaerts, Ronny

AU - Bunting, Brendan

AU - de Girolamo, Giovanni

AU - Gureje, Oye

AU - Haro, Josep Maria

AU - Harris, Meredith G.

AU - He, Yanling

AU - de Jonge, Peter

AU - Karam, Elie G.

AU - Karam, Georges E.

AU - Kiejna, Andrzej

AU - Lee, Sing

AU - Lepine, Jean Pierre

AU - Levinson, Daphna

AU - Makanjuola, Victor

AU - Medina-Mora, Maria Elena

AU - Mneimneh, Zeina

AU - Navarro-Mateu, Fernando

AU - Posada-Villa, José

AU - Stein, Dan J.

AU - Tachimori, Hisateru

AU - Torres, Yolanda

AU - Zarkov, Zahari

AU - Chatterji, Somnath

AU - Kessler, Ronald C.

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Background: Illicit drug use and associated disease burden are estimated to have increased over the past few decades, but large gaps remain in our knowledge of the extent of use of these drugs, and especially the extent of problem or dependent use, hampering confident cross-national comparisons. The World Mental Health (WMH) Surveys Initiative involves a standardised method for assessing mental and substance use disorders via structured diagnostic interviews in representative community samples of adults. We conducted cross-national comparisons of the prevalence and correlates of drug use disorders (DUDs) in countries of varied economic, social and cultural nature. Methods and findings: DSM-IV DUDs were assessed in 27 WMH surveys in 25 countries. Across surveys, the prevalence of lifetime DUD was 3.5%, 0.7% in the past year. Lifetime DUD prevalence increased with country income: 0.9% in low/lower-middle income countries, 2.5% in upper-middle income countries, 4.8% in high-income countries. Significant differences in 12-month prevalence of DUDs were found across country in income groups in the entire cohort, but not when limited to users. DUDs were more common among men than women and younger than older respondents. Among those with a DUD and at least one other mental disorder, onset of the DUD was usually preceded by the ‘other’ mental disorder. Conclusions: Substantial cross-national differences in DUD prevalence were found, reflecting myriad social, environmental, legal and other influences. Nonetheless, patterns of course and correlates of DUDs were strikingly consistent. These findings provide foundational data on country-level comparisons of DUDs.

AB - Background: Illicit drug use and associated disease burden are estimated to have increased over the past few decades, but large gaps remain in our knowledge of the extent of use of these drugs, and especially the extent of problem or dependent use, hampering confident cross-national comparisons. The World Mental Health (WMH) Surveys Initiative involves a standardised method for assessing mental and substance use disorders via structured diagnostic interviews in representative community samples of adults. We conducted cross-national comparisons of the prevalence and correlates of drug use disorders (DUDs) in countries of varied economic, social and cultural nature. Methods and findings: DSM-IV DUDs were assessed in 27 WMH surveys in 25 countries. Across surveys, the prevalence of lifetime DUD was 3.5%, 0.7% in the past year. Lifetime DUD prevalence increased with country income: 0.9% in low/lower-middle income countries, 2.5% in upper-middle income countries, 4.8% in high-income countries. Significant differences in 12-month prevalence of DUDs were found across country in income groups in the entire cohort, but not when limited to users. DUDs were more common among men than women and younger than older respondents. Among those with a DUD and at least one other mental disorder, onset of the DUD was usually preceded by the ‘other’ mental disorder. Conclusions: Substantial cross-national differences in DUD prevalence were found, reflecting myriad social, environmental, legal and other influences. Nonetheless, patterns of course and correlates of DUDs were strikingly consistent. These findings provide foundational data on country-level comparisons of DUDs.

KW - Abuse

KW - Dependence

KW - Drugs

KW - Epidemiology

KW - World Mental Health Surveys

UR - http://www.scopus.com/inward/record.url?scp=85067928567&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067928567&partnerID=8YFLogxK

U2 - 10.1016/j.drugpo.2019.03.002

DO - 10.1016/j.drugpo.2019.03.002

M3 - Article

AN - SCOPUS:85067928567

VL - 71

SP - 103

EP - 112

JO - International Journal of Drug Policy

JF - International Journal of Drug Policy

SN - 0955-3959

ER -