Skip to main content

Advertisement

SpringerLink
Log in

Incidence of first onset alcohol use disorder: a 16-year follow-up in the Taiwanese aborigines

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Purpose

To investigate the incidence and cumulative risk of first onset alcohol use disorder (AUD) in a 16-year follow-up among Taiwanese aboriginal populations.

Methods

Participants included in this study were cohort subjects free from any AUD at phase 1 survey (n = 428 for DSM-3-R and 451 for DSM-4) of the Taiwan aboriginal study project conducted in 1986–1988. They were reassessed approximately 16 years later, with a response rate of 98.8 %. A Chinese version of the WHO schedules for clinical assessment in neuropsychiatry was employed to assess the lifetime drinking history and AUD.

Results

Age-standardized annual incidence rates of AUD in all groups were 2.26 and 1.75 % according to DSM-3-R and DSM-4, respectively. The overall incidence rates of AUD were comparable to most of other studies in Caucasian populations, but the sex ratios of women to men were higher in this study (1:2–3) than in the latter (1:6). The incidence of AUD was higher with DSM-3-R than with DSM-4 criteria in this study, attributable to the exclusion of physical/psychological harm in DSM-4 alcohol abuse. The cumulative risks of DSM-4 AUD in this study were very high, being 72.2 ± 19.8 for men and 48.7 ± 8.2 for women up to the age of 65 years.

Conclusions

High incidence rates and cumulative risks of AUD in Taiwanese aborigines demand effective prevention strategy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Schuckit MA (2009) Alcohol use disorders. Lancet 373:492–501

    Article  PubMed  Google Scholar 

  2. Ojesjo L, Hagnell O, Lanke J (1982) Incidence of alcoholism among men in the Lundby community cohort Sweden, 1957–1972: probabilistic baseline calculations. J Stud Alcohol 43:1190–1198

    PubMed  CAS  Google Scholar 

  3. Mattisson C, Bogren M, Horstmann V, Ojesjö L (2010) Incidence of alcoholism in the revisited Lundby population, 1947–1997. J Stud Alcohol Drugs 71:496–505

    PubMed  Google Scholar 

  4. Eaton WW, Kramer M, Anthony JC, Dryman A, Shapiro S, Locke B (1989) The incidence of specific DIS/DSM-III mental disorders: data from the NIMH epidemiologic catchment area program. Acta Psychiatr Scand 79:163–178

    Article  PubMed  CAS  Google Scholar 

  5. Crum RM, Chan YF, Chen LS, Storr CL, Anthony JC (2005) Incidence rates for alcohol dependence among adults: prospective data from the Baltimore epidemiologic catchment area follow-up survey, 1981–1996. J Stud Alcohol 66:795–805

    PubMed  Google Scholar 

  6. Bijl RV, de Graaf R, Ravelli A, Smit E, Vollebergh WAM (2002) Gender and age-specific first incidence of DSM-III-R psychiatric disorders in the general population: results from the Netherlands mental health survey and incidence study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 37:372–379

    Article  PubMed  Google Scholar 

  7. Grant BF, Goldstein RB, Chou SP, Huang B, Stinson FS, Dawson DA et al (2009) Sociodemographic and psychopathologic predictors of first incidence of DSM-IV substance use, mood and anxiety disorders: results from the wave 2 national epidemiologic survey on alcohol and related conditions. Mol Psychiatry 14:1051–1066

    Article  PubMed  CAS  Google Scholar 

  8. Chen WJ, Cheng ATA (1997) Incidence of first onset alcoholism among Taiwanese aborigines. Psychol Med 27:1363–1371

    Article  PubMed  CAS  Google Scholar 

  9. Cheng ATA, Gau SF, Chen THH, Chang JC, Chang YT (2004) A 4-year longitudinal study on risk factors for alcoholism. Arch Gen Psychiatry 61:184–191

    Article  PubMed  Google Scholar 

  10. American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (III-rev edn) (DSM-III-R), APA

  11. Cheng ATA, Chen WJ (1995) Alcoholism among four aboriginal groups in Taiwan: high prevalences and their implications. Alcohol Clin Exp Res 19:81–91

    Article  PubMed  CAS  Google Scholar 

  12. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (4th edn) (DSM-IV), APA

  13. Cheng TA, Hsu M (1992) A. community study of mental disorders among four aboriginal groups in Taiwan. Psychol Med 22:255–263

    Article  PubMed  CAS  Google Scholar 

  14. Goldberg DP, Cooper B, Eastwood MR, Kedward HB, Shepherd M (1970) A standardized psychiatric interview for use in community surveys. Br J Prev Soc Med 24:18–23

    PubMed  CAS  Google Scholar 

  15. Cheng TA, Williams P, Clare AW (1983) Reliability study of the clinical interview schedule (CIS) between the British and Chinese psychiatrists. Bull Chin Soc Neuropsychiatry 9:54–55

    Google Scholar 

  16. World Health Organization (1993) The ICD-10 classification of mental and behavioral disorders: diagnostic criteria for research, WHO

  17. Cheng ATA, Tien AY, Chang CJ, Cooper JE, Brugha TS, Lee CS et al (2001) Cross-cultural implementation of a Chinese version of the SCAN in Taiwan. Br J Psychiatry 178:567–572

    Article  PubMed  CAS  Google Scholar 

  18. Lee CS, Liu CY, Chang CJ, Chang JC, Yu WY, Lai TJ et al (2002) Inter-rater reliability of the Chinese version of the schedules for clinical assessment in neuropsychiatry (SCAN) in Taiwan. Taiwan J Psychiatry 16:35–45

    Google Scholar 

  19. World Health Organization (2005) SCAN I-Shell. Computer assisted personal interviewing application for the schedules for clinical assessment in neuropsychiatry version 2.1 and diagnostic algorithms for WHO ICD-10 chapter V DCR and for American psychiatric association diagnostic and statistical manual, Version 1.0.4.6, WHO

  20. Breslow NE, Day NE (1987) Statistical methods in cancer research volume II—the design and analysis of cohort studies. International Agency for Research on Cancer, Lyon

    Google Scholar 

  21. Rice JA (1988) Mathematical Statistics and Data Analysis. Wadsworth and Brooks/Cole Advanced Books and Software, California

    Google Scholar 

  22. Bonomo YA, Bowes G, Coffey C, Carlin JB, Patton GC (2004) Teenage drinking and the onset of alcohol dependence: a cohort study over seven years. Addiction 99:1520–1528

    Article  PubMed  Google Scholar 

  23. Grant BF (1988) DSM-III-R and proposed DSM-IV alcohol abuse and dependence, United States 1988: a nosological comparison. Alcohol Clin Exp Res 16:1068–1077

    Article  Google Scholar 

  24. American Psychiatric Association (2010) Diagnostic and statistical manual of mental disorders (5th edn draft) (DSM-V), APA (www.dsm5.org)

  25. Pillai A, Nayak MB, Greenfield TK, Bond JC, Nadkarni A, Patel V (2012) Patterns of alcohol use, their correlates, and impact in male drinkers: a population-based survey from Goa. India Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-012-0538-1

    Google Scholar 

  26. Eberhard S, Nordström G, Höglund P, Ojehagen A (2009) Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study. Soc Psychiatry Psychiatr Epidemiol 44(12):1013–1021

    Article  PubMed  Google Scholar 

  27. Sobell LC, Agrawal S, Sobell MB, Leo GI, Young LJ, Cunningham JA, Simco ER (2003) Comparison of a quick drinking screen with the timeline followback for individuals with alcohol problems. J Stud Alcohol 64(6):858–861

    PubMed  Google Scholar 

  28. Bhui K, Dinos S (2011) Preventive psychiatry: a paradigm to improve population mental health and well-being. Br J Psychiatry 198:417–419

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study is supported by grants from the National Science Council, Taiwan for 6 years (NSC91-2314-B-001-012; NSC92-2314-B-001-005; NSC93-2314-B-001-001; NSC94-2314-B-001-008; NSC95-2314-B-001-005; NSC96-2314-B-001-002).

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan

    Chau-Shoun Lee

  2. Department of Health Industry Management, Kainan University, Taoyuan, Taiwan

    Chau-Shoun Lee

  3. Research Center for Genes, Environment and Human Health and Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan

    Shu-Fen Liao & Wen-Chung Lee

  4. Department of Psychiatry, Cardinal Tien Hospital and School of Medicine, Fu Jen Catholic University, Taipei, Taiwan

    I-Chao Liu

  5. Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan

    Andrew T. A. Cheng

Authors
  1. Chau-Shoun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shu-Fen Liao
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I-Chao Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Wen-Chung Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Andrew T. A. Cheng
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andrew T. A. Cheng.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, CS., Liao, SF., Liu, IC. et al. Incidence of first onset alcohol use disorder: a 16-year follow-up in the Taiwanese aborigines. Soc Psychiatry Psychiatr Epidemiol 48, 955–963 (2013). https://doi.org/10.1007/s00127-012-0600-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-012-0600-z

Keywords

Search

Navigation