Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.

<h4>Background</h4>Alcohol, tobacco, and illegal drug use cause considerable morbidity and mortality, but good cross-national epidemiological data are limited. This paper describes such data from the first 17 countries participating in the World Health Organization's (WHO's) Wo...

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Autores principales: Louisa Degenhardt, Wai-Tat Chiu, Nancy Sampson, Ronald C Kessler, James C Anthony, Matthias Angermeyer, Ronny Bruffaerts, Giovanni de Girolamo, Oye Gureje, Yueqin Huang, Aimee Karam, Stanislav Kostyuchenko, Jean Pierre Lepine, Maria Elena Medina Mora, Yehuda Neumark, J Hans Ormel, Alejandra Pinto-Meza, José Posada-Villa, Dan J Stein, Tadashi Takeshima, J Elisabeth Wells
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Publicado: Public Library of Science (PLoS) 2008
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spelling oai:doaj.org-article:987b81489f8e4815b3c9d368cc345b662021-11-25T05:36:53ZToward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.1549-12771549-167610.1371/journal.pmed.0050141https://doaj.org/article/987b81489f8e4815b3c9d368cc345b662008-07-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18597549/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Alcohol, tobacco, and illegal drug use cause considerable morbidity and mortality, but good cross-national epidemiological data are limited. This paper describes such data from the first 17 countries participating in the World Health Organization's (WHO's) World Mental Health (WMH) Survey Initiative.<h4>Methods and findings</h4>Household surveys with a combined sample size of 85,052 were carried out in the Americas (Colombia, Mexico, United States), Europe (Belgium, France, Germany, Italy, Netherlands, Spain, Ukraine), Middle East and Africa (Israel, Lebanon, Nigeria, South Africa), Asia (Japan, People's Republic of China), and Oceania (New Zealand). The WHO Composite International Diagnostic Interview (CIDI) was used to assess the prevalence and correlates of a wide variety of mental and substance disorders. This paper focuses on lifetime use and age of initiation of tobacco, alcohol, cannabis, and cocaine. Alcohol had been used by most in the Americas, Europe, Japan, and New Zealand, with smaller proportions in the Middle East, Africa, and China. Cannabis use in the US and New Zealand (both 42%) was far higher than in any other country. The US was also an outlier in cocaine use (16%). Males were more likely than females to have used drugs; and a sex-cohort interaction was observed, whereby not only were younger cohorts more likely to use all drugs, but the male-female gap was closing in more recent cohorts. The period of risk for drug initiation also appears to be lengthening longer into adulthood among more recent cohorts. Associations with sociodemographic variables were consistent across countries, as were the curves of incidence of lifetime use.<h4>Conclusions</h4>Globally, drug use is not distributed evenly and is not simply related to drug policy, since countries with stringent user-level illegal drug policies did not have lower levels of use than countries with liberal ones. Sex differences were consistently documented, but are decreasing in more recent cohorts, who also have higher levels of illegal drug use and extensions in the period of risk for initiation.Louisa DegenhardtWai-Tat ChiuNancy SampsonRonald C KesslerJames C AnthonyMatthias AngermeyerRonny BruffaertsGiovanni de GirolamoOye GurejeYueqin HuangAimee KaramStanislav KostyuchenkoJean Pierre LepineMaria Elena Medina MoraYehuda NeumarkJ Hans OrmelAlejandra Pinto-MezaJosé Posada-VillaDan J SteinTadashi TakeshimaJ Elisabeth WellsPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 5, Iss 7, p e141 (2008)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Louisa Degenhardt
Wai-Tat Chiu
Nancy Sampson
Ronald C Kessler
James C Anthony
Matthias Angermeyer
Ronny Bruffaerts
Giovanni de Girolamo
Oye Gureje
Yueqin Huang
Aimee Karam
Stanislav Kostyuchenko
Jean Pierre Lepine
Maria Elena Medina Mora
Yehuda Neumark
J Hans Ormel
Alejandra Pinto-Meza
José Posada-Villa
Dan J Stein
Tadashi Takeshima
J Elisabeth Wells
Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
description <h4>Background</h4>Alcohol, tobacco, and illegal drug use cause considerable morbidity and mortality, but good cross-national epidemiological data are limited. This paper describes such data from the first 17 countries participating in the World Health Organization's (WHO's) World Mental Health (WMH) Survey Initiative.<h4>Methods and findings</h4>Household surveys with a combined sample size of 85,052 were carried out in the Americas (Colombia, Mexico, United States), Europe (Belgium, France, Germany, Italy, Netherlands, Spain, Ukraine), Middle East and Africa (Israel, Lebanon, Nigeria, South Africa), Asia (Japan, People's Republic of China), and Oceania (New Zealand). The WHO Composite International Diagnostic Interview (CIDI) was used to assess the prevalence and correlates of a wide variety of mental and substance disorders. This paper focuses on lifetime use and age of initiation of tobacco, alcohol, cannabis, and cocaine. Alcohol had been used by most in the Americas, Europe, Japan, and New Zealand, with smaller proportions in the Middle East, Africa, and China. Cannabis use in the US and New Zealand (both 42%) was far higher than in any other country. The US was also an outlier in cocaine use (16%). Males were more likely than females to have used drugs; and a sex-cohort interaction was observed, whereby not only were younger cohorts more likely to use all drugs, but the male-female gap was closing in more recent cohorts. The period of risk for drug initiation also appears to be lengthening longer into adulthood among more recent cohorts. Associations with sociodemographic variables were consistent across countries, as were the curves of incidence of lifetime use.<h4>Conclusions</h4>Globally, drug use is not distributed evenly and is not simply related to drug policy, since countries with stringent user-level illegal drug policies did not have lower levels of use than countries with liberal ones. Sex differences were consistently documented, but are decreasing in more recent cohorts, who also have higher levels of illegal drug use and extensions in the period of risk for initiation.
format article
author Louisa Degenhardt
Wai-Tat Chiu
Nancy Sampson
Ronald C Kessler
James C Anthony
Matthias Angermeyer
Ronny Bruffaerts
Giovanni de Girolamo
Oye Gureje
Yueqin Huang
Aimee Karam
Stanislav Kostyuchenko
Jean Pierre Lepine
Maria Elena Medina Mora
Yehuda Neumark
J Hans Ormel
Alejandra Pinto-Meza
José Posada-Villa
Dan J Stein
Tadashi Takeshima
J Elisabeth Wells
author_facet Louisa Degenhardt
Wai-Tat Chiu
Nancy Sampson
Ronald C Kessler
James C Anthony
Matthias Angermeyer
Ronny Bruffaerts
Giovanni de Girolamo
Oye Gureje
Yueqin Huang
Aimee Karam
Stanislav Kostyuchenko
Jean Pierre Lepine
Maria Elena Medina Mora
Yehuda Neumark
J Hans Ormel
Alejandra Pinto-Meza
José Posada-Villa
Dan J Stein
Tadashi Takeshima
J Elisabeth Wells
author_sort Louisa Degenhardt
title Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
title_short Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
title_full Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
title_fullStr Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
title_full_unstemmed Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys.
title_sort toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the who world mental health surveys.
publisher Public Library of Science (PLoS)
publishDate 2008
url https://doaj.org/article/987b81489f8e4815b3c9d368cc345b66
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