Estimating the transition from alcohol drinking onset to alcohol dependence within the first year of use in the United States, 2002-2019.

IF 0.6 4区医学 Q4 SUBSTANCE ABUSE

Journal of Substance Use Pub Date : 2025-06-08 DOI:10.1080/14659891.2025.2512529

Madison O Walsh, Kipling M Bohnert, Cara A Poland, James C Anthony

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Abstract

Background and objectives: Alcohol continues to be one of the most consumed substances worldwide, with unhealthy use on the rise. This study investigates the transition from the first full drink to the onset of alcohol dependence within 12 months among individuals with newly incident alcohol use in the United States.

Methods: Data come from the US National Surveys on Drug Use and Health (2002-2019), encompassing 67,135 participants, with assessments via confidential computer-assisted self-interviews. Newly incident drinkers had their first full drink no more than 12 months before evaluation. Alcohol dependence (AD) was based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).

Results: We found that an estimated 1.7% of individuals transition into alcohol dependence within the first year of alcohol use (95% CI = 1.5-1.9). The study includes a diverse age group and emphasizes a shorter transition time between initiation and dependence compared to previous studies.

Scientific significance: Results reflect the possibility of a rapid transition to dependence within the first year of alcohol use and help identify a high-risk group that could benefit from more specialized public health prevention and intervention strategies.

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估计2002-2019年美国第一年从饮酒开始到酒精依赖的转变。

背景和目标：酒精仍然是世界上消费最多的物质之一，不健康的使用呈上升趋势。本研究调查了美国新发生酒精使用的个体在12个月内从第一次完全饮酒到开始酒精依赖的转变。方法：数据来自美国国家药物使用和健康调查（2002-2019），包括67135名参与者，通过保密的计算机辅助自我访谈进行评估。新事件饮酒者在评估前不超过12个月第一次完全饮酒。酒精依赖（AD）基于精神障碍诊断与统计手册第四版（DSM-IV）的标准。结果：我们发现，估计有1.7%的个体在使用酒精的第一年内转变为酒精依赖（95% CI = 1.5-1.9）。该研究包括一个不同的年龄组，并强调与以前的研究相比，从开始到依赖的过渡时间更短。科学意义：结果反映了在酒精使用的第一年内迅速过渡到依赖的可能性，并有助于确定可能从更专业的公共卫生预防和干预策略中受益的高危群体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Substance Use SUBSTANCE ABUSE-

CiteScore

1.60

自引率

0.00%

发文量

129

期刊介绍： Journal of Substance Use is a bimonthly international journal, publishing peer-reviewed, up-to-the-minute articles on a wide spectrum of issues relating to the use of legal and illegal substances. The Journal aims to educate, inform, update and act as a forum for standard setting for health and social care professionals working with individuals and families with substance use problems. It also informs and supports those undertaking research in substance use, developing substance use services, and participating in, leading and developing education and training programmes.