Cited by 2,556Substance Abuse Treatment and OutcomesMental Health Treatment and AccessAlcohol Consumption and Health Effects

The DOI matches its Crossref record, with a small difference in title or year; 71 of the 71 references it cites were found in a registry or an index; none of the 52 sources its claims cite is checked for support yet.

Epidemiology of DSM-5 Alcohol Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions III

Open access

Abstract

IMPORTANCE: National epidemiologic information from recently collected data on the new DSM-5 classification of alcohol use disorder (AUD) using a reliable, valid, and uniform data source is needed. OBJECTIVE: To present nationally representative findings on the prevalence, correlates, psychiatric comorbidity, associated disability, and treatment of DSM-5 AUD diagnoses overall and according to severity level (mild, moderate, or severe). DESIGN, SETTING, AND PARTICIPANTS: We conducted face-to-face interviews with a representative US noninstitutionalized civilian adult (≥18 years) sample (N = 36 309) as the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions III (NESARC-III). Data were collected from April 2012 through June 2013 and analyzed in October 2014. MAIN OUTCOMES AND MEASURES: Twelve-month and lifetime prevalences of AUD. RESULTS: Twelve-month and lifetime prevalences of AUD were 13.9% and 29.1%, respectively. Prevalence was generally highest for men (17.6% and 36.0%, respectively), white (14.0% and 32.6%, respectively) and Native American (19.2% and 43.4%, respectively), respondents, and younger (26.7% and 37.0%, respectively) and previously married (11.4% and 27.1%, respectively) or never married (25.0% and 35.5%, respectively) adults. Prevalence of 12-month and lifetime severe AUD was greatest among respondents with the lowest income level (1.8% and 1.5%, respectively). Significant disability was associated with 12-month and lifetime AUD and increased with the severity of AUD. Only 19.8% of respondents with lifetime AUD were ever treated. Significant associations were found between 12-month and lifetime AUD and other substance use disorders, major depressive and bipolar I disorders, and antisocial and borderline personality disorders across all levels of AUD severity, with odds ratios ranging from 1.2 (95% CI, 1.08-1.36) to 6.4 (95% CI, 5.76-7.22). Associations between AUD and panic disorder, specific phobia, and generalized anxiety disorder were modest (odds ratios ranged from 1.2 (95% CI, 1.01-1.43) to 1.4 (95% CI, 1.13-1.67) across most levels of AUD severity. CONCLUSIONS AND RELEVANCE: Alcohol use disorder defined by DSM-5 criteria is a highly prevalent, highly comorbid, disabling disorder that often goes untreated in the United States. The NESARC-III data indicate an urgent need to educate the public and policy makers about AUD and its treatment alternatives, to destigmatize the disorder, and to encourage those who cannot reduce their alcohol consumption on their own, despite substantial harm to themselves and others, to seek treatment.

Overview

Integrity signals

Registry

Crossref · 10.1001/jamapsychiatry.2015.0584

Cites

71 of 71 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 52 cited sources checked · 0 supported · 0 flagged

Show all 66 claims

  • It may state two separate claims as one. 20
  • Probably not a substantial claim. 9
25 of 25
  • The paper relies on this without support.

    Population segments not covered by the survey (homeless individuals, prisoners, and most treated individuals) have a higher prevalence of AUD than the covered population.

    “Because some population segments were not covered (ie, homeless individuals, prisoners, and most treated individuals), estimates presented herein may underestimate the true prevalence of AUD.”
1 of 1

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Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Claimed highest severe-AUD rates fall below the overall rates

    Major

    The abstract calls the lowest-income group's severe-AUD prevalences the greatest, yet gives 1.8% and 1.5%. The corresponding overall severe-AUD prevalences are higher, at 3.4% and 13.9%; an overall rate cannot exceed the highest income-group rate.

  • Lifetime severe-AUD rate is below the past-year rate in the same group

    Minor

    For the lowest-income group, the stated lifetime severe-AUD prevalence is 1.5%, below its 12-month prevalence of 1.8%. The paper defines lifetime diagnoses to include diagnoses in the preceding 12 months, so the lifetime rate cannot be lower for that group.

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Metadata

Authors
Grant, B. F., Goldstein, R. B., Saha, T. D., Chou, S. P., Jung, J., Zhang, H., Pickering, R. P., Ruan, W. J., Smith, S. M., Huang, B., & Hasin, D. S.
Affiliations
  • National Institutes of Health (US)
  • New York State Psychiatric Institute (US)
Venue
JAMA Psychiatry
Published
2015-08-01
Volume
72
Issue
8
Pages
757
ISSN
2168-622X (ISSN-L)
OpenAlex
W1839921965
Cited by
2,556
References
71
Citations by year
2026: 141 · 2025: 179 · 2024: 215 · 2023: 218 · 2022: 274 · 2021: 322 · 2020: 311 · 2019: 267 · 2018: 254 · 2017: 194 · 2016: 151 · 2015: 28
FWCI
163.86
Type
journal article
Language
en
Open access
Locations
  • JAMA Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (Z99‐AA999999)
  • National Institute on Alcohol Abuse and Alcoholism (K05AA014223)
  • National Institute on Drug Abuse
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
alcoholism, DSM-5 diagnostic criteria, prevalence, psychiatric comorbidity, substance use disorders, disability, treatment utilization, severity, lifetime prevalence, gender differences, income, marital status, personality disorders, anxiety disorders, depression, NESARC-III, United States adults, Native Americans, alcohol screening and brief intervention
MeSH terms
Adolescent, Adult, Age Factors, Aged, Alcoholism, Mental Disorders, Female, Health Surveys, Humans, Male, Middle Aged, Sex Factors, Socioeconomic Factors, United States, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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