Cited by 168Substance Abuse Treatment and OutcomesMental Health Treatment and AccessOpioid Use Disorder Treatment

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Prevalence of Co-Occurring Substance Use and other Mental Disorders in the Canadian Population

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Rush, Brian, Urbanoski, Karen, Bassani, Diego, Castel, Saulo, Wild, T Cameron, Strike, Carol, Kimberley, Dennis, Somers, Julian·2008·The Canadian Journal of Psychiatry

DOI 10.1177/070674370805301206

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Abstract

Objective: Population health surveys around the world have studied the epidemiology of comorbid substance use disorders (SUDs) and other mental disorders as part of larger efforts to assess needs and direct integrated planning and delivery of services. This study presents the first national assessment in Canada of the prevalence of co-occurring SUDs and other mental disorders, with attention to differences by substance problem severity, sex, age, and region. Methods: This work is a secondary analysis of data from the 2002 Canadian Community Health Survey: Mental Health and Well-Being. The sample was obtained using a multistage stratified cluster design ( n = 36 984, response rate = 77%). Results: The 12-month population prevalence of co-occurring disorders was 1.7%. The 12-month prevalence of other mental disorders was higher among those with illicit drug, relative to alcohol, problems and among those with dependence, compared with those with less severe problems. Sex and age differences mirrored population differences in pure disorders. Salient regional differences included the higher rate of co-occurring disorders in British Columbia and the lower rates in Quebec. Conclusions: Cross-study comparisons are hampered by methodological differences; however, these Canadian rates are at the lower end of the range reported internationally. This might have resulted from the exclusion of several disorders known to be highly comorbid with SUDs. Nonetheless, prevalence is high in certain subgroups, and efforts under way to improve Canada's substance abuse and mental health services should continue to ensure that adequate attention is directed to the needs of people with co-occurring disorders.

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Authors: Rush, B., Urbanoski, K., Bassani, D., Castel, S., Wild, T. C., Strike, C., Kimberley, D., & Somers, J.
Affiliations: Centre for Addiction and Mental Health (CA)
St. Michael's Hospital (CA)
University of Toronto (CA)
University of Alberta (CA)
Research Scientist, Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Ontario; Associate Professor, Department of Public Health Sciences, University of Toronto, Toronto, Ontario
Memorial University of Newfoundland (CA)
Simon Fraser University (CA)
Corresponding author: Rush, Brian
ORCID: Rush, Brian
Urbanoski, Karen
Bassani, Diego
Wild, T Cameron
Somers, Julian
Venue: The Canadian Journal of Psychiatry
Publisher: SAGE Publications
Published: 2008-12
Volume: 53
Issue: 12
Pages: 800-809
ISSN: 0706-7437 (ISSN-L)
1497-0015
DOI: 10.1177/070674370805301206
OpenAlex: W205599819
Cited by: 168
References: 51
Citations by year: 2026: 5 · 2025: 11 · 2024: 8 · 2023: 13 · 2022: 8 · 2021: 19 · 2020: 7 · 2019: 6 · 2018: 11 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 15 · 2013: 7 · 2012: 15
FWCI: 4.70
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Canadian Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Ontario Ministry of Health and Long-Term Care
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 › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: prevalence, illicit drug use, alcohol consumption, substance dependence, sex differences, age differences, regional variation, Canadian Community Health Survey
MeSH terms: Adolescent, Adult, Age Factors, Alcoholism, Mental Disorders, Canada, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Sex Factors, Comorbidity, Multivariate Analysis, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Young Adult

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Prevalence of Co-Occurring Substance Use and other Mental Disorders in the Canadian Population

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