Prevalence of and Potential Influencing Factors for Alcohol Dependence in Europe

Alcohol use disorders (AUDs), and alcohol dependence (AD) in particular, are prevalent and associated with a large burden of disability and mortality. The aim of this study was to estimate prevalence of AD in the European Union (EU), Iceland, Norway, and Switzerland for the year 2010, and to investigate potential influencing factors. The 1-year prevalence of AD in the EU was estimated at 3.4% among people 18-64 years of age in Europe (women 1.7%, men 5.2%), resulting in close to 11 million affected people. Taking into account all people of all ages, AD, abuse and harmful use resulted in an estimate of 23 million affected people. Prevalence of AD varied widely between European countries, and was significantly impacted by drinking cultures and social norms. Correlations with level of drinking and other drinking variables and with major known outcomes of heavy drinking, such as liver cirrhosis or injury, were moderate. These results suggest a need to rethink the definition of AUDs.

[1]  W. Gaebel,et al.  Erratum zu: Psychische Störungen in der Allgemeinbevölkerung. Studie zur Gesundheit Erwachsener in Deutschland und ihr Zusatzmodul „Psychische Gesundheit“ (DEGS1-MH) , 2015, Der Nervenarzt.

[2]  M. Höfler,et al.  Twelve‐month prevalence, comorbidity and correlates of mental disorders in Germany: the Mental Health Module of the German Health Interview and Examination Survey for Adults (DEGS1‐MH) , 2014, International journal of methods in psychiatric research.

[3]  J. Rehm,et al.  A systematic review of the epidemiology of unrecorded alcohol consumption and the chemical composition of unrecorded alcohol. , 2014, Addiction.

[4]  J. Rehm,et al.  Cause-specific mortality risk in alcohol use disorder treatment patients: a systematic review and meta-analysis. , 2014, International journal of epidemiology.

[5]  B. Grant,et al.  Burden of disease associated with alcohol use disorders in the United States. , 2014, Alcoholism, clinical and experimental research.

[6]  D. Nutt,et al.  Doing it by numbers: A simple approach to reducing the harms of alcohol , 2014, Journal of psychopharmacology.

[7]  D. Nutt,et al.  The tangible common denominator of substance use disorders: a reply to commentaries to Rehm et al. (2013a). , 2014, Alcohol and alcoholism.

[8]  L. Kraus,et al.  Studiendesign und Methodik des Epidemiologischen Suchtsurveys 2012 , 2013 .

[9]  L. Kraus,et al.  Substanzkonsum und substanzbezogene Störungen: Trends in Deutschland 1980 – 2012 , 2013 .

[10]  G. V. Van Hal,et al.  Unhealthy drinking in the Belgian elderly population: prevalence and associated characteristics. , 2013, European journal of public health.

[11]  G Gmel,et al.  Defining substance use disorders: do we really need more than heavy use? , 2013, Alcohol and alcoholism.

[12]  M. Angermeyer,et al.  Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence , 2013, Psychiatry Research.

[13]  J. Rehm,et al.  Alcohol use disorders and mortality: a systematic review and meta-analysis. , 2013, Addiction.

[14]  J Rehm,et al.  Reduction of drinking in problem drinkers and all-cause mortality. , 2013, Alcohol and alcoholism.

[15]  J. Rehm,et al.  Alcohol consumption, alcohol dependence, and related mortality in Italy in 2004: effects of treatment-based interventions on alcohol dependence , 2013, Substance Abuse Treatment, Prevention, and Policy.

[16]  Michael Wagner,et al.  The design and methods of the mental health module in the German Health Interview and Examination Survey for Adults (DEGS1‐MH) , 2013, International journal of methods in psychiatric research.

[17]  M. Petticrew,et al.  A systematic review of the influence of community level social factors on alcohol use. , 2013, Health & place.

[18]  M. Hallgren,et al.  Severity of alcohol dependence in the Swedish adult population: association with consumption and social factors. , 2013, Alcohol.

[19]  J. Rehm,et al.  Modeling the impact of alcohol dependence on mortality burden and the effect of available treatment interventions in the European Union , 2013, European Neuropsychopharmacology.

[20]  Bernadette A. Thomas,et al.  Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[21]  Alan D. Lopez,et al.  A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[22]  K. Mann,et al.  ALCOHOL INTERVENTIONS AND TREATMENTS IN EUROPE , 2013 .

[23]  G. Gmel,et al.  Determining the best population-level alcohol consumption model and its impact on estimates of alcohol-attributable harms , 2012, Population Health Metrics.

[24]  J. Rehm,et al.  Difficulties with telephone‐based surveys on alcohol consumption in high‐income countries: the Canadian example , 2012, International journal of methods in psychiatric research.

[25]  J. Rehm,et al.  Alcohol consumption, alcohol dependence, and attributable burden of disease in Europe: Potential gains from effective interventions for alcohol dependence , 2012 .

[26]  B. Bunting,et al.  Prevalence and treatment of 12-month DSM-IV disorders in the Northern Ireland study of health and stress , 2012, Social Psychiatry and Psychiatric Epidemiology.

[27]  J. Rehm,et al.  Global and Country Specific Adult per capita Consumption of Alcohol, 2008 , 2011 .

[28]  Who Europe European Status Report on Alcohol and Health 2010 , 2011 .

[29]  U. Becker,et al.  The number of persons with alcohol problems in the Danish population , 2011, Scandinavian journal of public health.

[30]  M. Carta,et al.  The stigma of alcohol dependence compared with other mental disorders: a review of population studies. , 2011, Alcohol and alcoholism.

[31]  R. Fleming Alcohol use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence , 2011 .

[32]  R. Graaf,et al.  Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2 , 2012, Social Psychiatry and Psychiatric Epidemiology.

[33]  S. Popova,et al.  Disability associated with alcohol abuse and dependence. , 2010, Alcoholism, clinical and experimental research.

[34]  C. Sessler,et al.  Alcohol-use disorders in the critically ill patient. , 2010, Chest.

[35]  H. Kuendig Alcohol Dependence Figures in the Swiss General Population: A Sisyphean Challenge for Epidemiologists , 2010, European Addiction Research.

[36]  B. Grant,et al.  Statistical modeling of volume of alcohol exposure for epidemiological studies of population health: the US example , 2010, Population health metrics.

[37]  E. Blas,et al.  Equity, social determinants and public health programmes. , 2010 .

[38]  S. Florescu,et al.  The Mental Health Study - Romania 2007. Prevalence, Severity, and Treatment of 12-Month DSM-IV Disorders , 2009 .

[39]  J. Suvisaari,et al.  Prevalence and correlates of alcohol and other substance use disorders in young adulthood: A population-based study , 2009, BMC psychiatry.

[40]  E. Líndal,et al.  [The prevalence of mental disorders in the Greater-Reykjavik area]. , 2009, Laeknabladid.

[41]  D. Chisholm,et al.  Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol , 2009, The Lancet.

[42]  Jürgen Rehm,et al.  Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders , 2009, The Lancet.

[43]  Kathryn Angus,et al.  Impact of alcohol advertising and media exposure on adolescent alcohol use: a systematic review of longitudinal studies. , 2009, Alcohol and alcoholism.

[44]  Matthew J. Salois,et al.  Effects of beverage alcohol price and tax levels on drinking: a meta-analysis of 1003 estimates from 112 studies. , 2009, Addiction.

[45]  L. Schmidt,et al.  Alcohol: equity and social determinants. , 2009 .

[46]  Paul Bebbington,et al.  Adult Psychiatric Morbidity in England, 2007: Results of a Household Survey , 2009 .

[47]  H. Doll,et al.  The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression Analysis , 2008, PLoS medicine.

[48]  J. Fabry,et al.  Caractéristiques des personnes alcoolodépendantes incarcérées en maison d'arrêt , 2008 .

[49]  Sungjae Kim,et al.  Women's Alcohol Use and Alcoholism in Korea , 2008, Substance use & misuse.

[50]  Ronald C. Kessler,et al.  Comprar The WHO World Mental Health Surveys | Ronald C. Kessler | 9780521884198 | Cambridge University Press , 2008 .

[51]  Huibert Burger,et al.  The WHO World Mental Health Surveys , 2008 .

[52]  P. Lamothe,et al.  [Characteristics of alcohol-dependent male inmates]. , 2008, Revue d'epidemiologie et de sante publique.

[53]  P. Philippot,et al.  Homelessness in Europe and the United States: A Comparison of Prevalence and Public Opinion , 2007 .

[54]  F. Stickel,et al.  “Allgemeine und systematische Pharmakologie und Toxikologie” WS 18/19 Seminarthema: Chemische Kanzerogenese , 2017 .

[55]  Elizabeth L. Ogburn,et al.  Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. , 2007, Archives of general psychiatry.

[56]  J. Rehm,et al.  Comparative quantification of alcohol exposure as risk factor for global burden of disease , 2007, International journal of methods in psychiatric research.

[57]  N. Volkow,et al.  Errors in assessing DSM-IV substance use disorders. , 2007, Archives of general psychiatry.

[58]  R. Room Understanding Cultural Differences in Young People’s Drinking , 2007 .

[59]  N. Hoffmann,et al.  Alcohol dependence: international policy implications for prison populations , 2006, Substance abuse treatment, prevention, and policy.

[60]  R. Room Taking account of cultural and societal influences on substance use diagnoses and criteria. , 2006, Addiction.

[61]  P. Morosini,et al.  Prevalence of common mental disorders in Italy , 2006, Social Psychiatry and Psychiatric Epidemiology.

[62]  J. Lawson Comparative Quantification of Health Risks. Global and Regional Burden of Disease Attributable to Selected Major Risk Factors , 2006 .

[63]  N. Skinner,et al.  From data to evidence, to action: findings from a systematic review of hospital screening studies for high risk alcohol consumption. , 2006, Drug and alcohol dependence.

[64]  H. Doll,et al.  Substance abuse and dependence in prisoners: a systematic review. , 2006, Addiction.

[65]  K. Xenitidis,et al.  Prevalence of mental disorders and deliberate self-harm in Greek male prisoners. , 2006, International journal of law and psychiatry.

[66]  S. Torgersen,et al.  Mental illness in a rural area: a Norwegian psychiatric epidemiological study. , 2006, Social psychiatry and psychiatric epidemiology.

[67]  G. de Girolamo,et al.  Prevalence of common mental disorders in Italy: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD). , 2006, Social psychiatry and psychiatric epidemiology.

[68]  J. Haro,et al.  [Prevalence of mental disorders and associated factors: results from the ESEMeD-Spain study]. , 2006, Medicina clinica.

[69]  Harry G. Kennedy,et al.  Psychiatric morbidity in a cross-sectional sample of male remanded prisoners? , 2005, Irish Journal of Psychological Medicine.

[70]  R. Room,et al.  Alcohol use disorders in EU countries and Norway: An overview of the epidemiology , 2005, European Neuropsychopharmacology.

[71]  G. Buchkremer,et al.  Prevalence of mental illness among homeless men in the community , 2005, Social Psychiatry and Psychiatric Epidemiology.

[72]  J. Lepine,et al.  Prévalence et comorbidité des troubles psychiatriques dans la population générale française : résultats de l’étude épidémiologique ESEMeD/MHEDEA 2000/ (ESEMeD) , 2005 .

[73]  C. Corr,et al.  Drug use among the homeless population in Ireland. , 2005 .

[74]  J. Lépine,et al.  [Prevalence and comorbidity of psychiatric disorders in the French general population]. , 2005, L'Encephale.

[75]  J. Suvisaari,et al.  DSM-IV mood-, anxiety- and alcohol use disorders and their comorbidity in the Finnish general population , 2005, Social Psychiatry and Psychiatric Epidemiology.

[76]  B. Grant,et al.  Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. , 2004, Archives of general psychiatry.

[77]  B. Völlm,et al.  [Psychiatric morbidity in homeless single men]. , 2004, Psychiatrische Praxis.

[78]  M. Höfler,et al.  Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS) , 2004, Psychological Medicine.

[79]  Seppo Koskinen,et al.  HEALTH AND FUNCTIONAL CAPACITY IN FINLAND Baseline Results of the Health 2000 Health Examination Survey , 2004 .

[80]  Maristela Monteiro,et al.  The Global Distribution of Average Volume of Alcohol Consumption and Patterns of Drinking , 2003, European Addiction Research.

[81]  Y. Forsell,et al.  The PART Study : A Population Based Study of Mental Health in the Stockholm County: Study Design. Phase l (1998-2000) , 2003 .

[82]  D. Hasin Classification of Alcohol Use Disorders , 2003, Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism.

[83]  P. Bebbington,et al.  Prevalence of psychiatric disorder and the need for psychiatric care in Northern Ireland , 2002, British Journal of Psychiatry.

[84]  L. Manwell,et al.  Prevalence of tobacco and alcohol use disorders in Polish primary care settings. , 2002, European journal of public health.

[85]  M. Höfler,et al.  Estimating the prevalence of mental and somatic disorders in the community: aims and methods of the German National Health Interview and Examination Survey , 2002, International journal of methods in psychiatric research.

[86]  S. Torgersen,et al.  A Norwegian psychiatric epidemiological study. , 2001, The American journal of psychiatry.

[87]  Maristela Monteiro,et al.  AUDIT - The alcohol use disorders identification test: guidelines for use in primary care. , 2001 .

[88]  Tim Stockwell,et al.  INTERNATIONAL GUIDE FOR MONITORING ALCOHOL CONSUMPTION AND RELATED HARM , 2000 .

[89]  R. Bijl,et al.  Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS) , 1998, Social Psychiatry and Psychiatric Epidemiology.

[90]  M. Pinsky,et al.  The critically ill patient. , 1998, Kidney international. Supplement.

[91]  B. Grant,et al.  Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study. , 1997, Drug and alcohol dependence.

[92]  N Sartorius,et al.  WHO Study on the reliability and validity of the alcohol and drug use disorder instruments: overview of methods and results. , 1997, Drug and alcohol dependence.

[93]  T. Brugha,et al.  SCAN. Schedules for Clinical Assessment in Neuropsychiatry. , 1990, Archives of general psychiatry.

[94]  S. Schnoll,et al.  Substance abuse. , 1989, JAMA.

[95]  J. Ewing,et al.  Detecting alcoholism. The CAGE questionnaire. , 1984, JAMA.

[96]  S. Walter The estimation and interpretation of attributable risk in health research. , 1976, Biometrics.

[97]  Global status report on alcohol and health , 2022 .