A clinical validation of the National Survey on Drug Use and Health Assessment of Substance Use Disorders

Jordan, Barbara; Karg, Rhonda; Batts, Kathryn; Epstein, Joan; Wiesen, Chris

doi:10.1016/j.addbeh.2007.12.007

Cited by 82 publications

(62 citation statements)

References 26 publications

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“…However, NSDUH estimates of the prevalence of binge drinking among adults are significantly higher than those from other surveys of adults, such as the BRFSS (16). In addition, although the classification of alcohol dependence in this study is based on self-reported responses to a survey, the questions used to assess substance use disorders in the NSDUH have been found to be sensitive and specific for identifying alcohol dependence among adults when tested in clinical settings (21). Second, although the NSDUH collects information from residents of households and noninstitutional group quarters (eg, shelters, rooming houses, dormitories) and from civilians living on military bases, the survey does not include homeless persons who were not living in shelters, military personnel on active duty, and residents of institutional group quarters (eg, jails, long-term care facilities), and the prevalence of excessive drinking — including alcohol dependence — is known to be higher in some of these populations (22,23).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Alcohol Dependence Among US Adult Drinkers, 2009–2011

Esser¹,

Hedden²,

Kanny³

et al. 2014

Prev. Chronic Dis.

236

232

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IntroductionExcessive alcohol consumption is responsible for 88,000 deaths annually and cost the United States $223.5 billion in 2006. It is often assumed that most excessive drinkers are alcohol dependent. However, few studies have examined the prevalence of alcohol dependence among excessive drinkers. The objective of this study was to update prior estimates of the prevalence of alcohol dependence among US adult drinkers. MethodsData were analyzed from the 138,100 adults who responded to the National Survey on Drug Use and Health in 2009, 2010, or 2011. Drinking patterns (ie, past-year drinking, excessive drinking, and binge drinking) were assessed by sociodemographic characteristics and alcohol dependence (assessed through self-reported survey responses and defined as meeting ≥3 of 7 criteria for dependence in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition).ResultsExcessive drinking, binge drinking, and alcohol dependence were most common among men and those aged 18 to 24. Binge drinking was most common among those with annual family incomes of $75,000 or more, whereas alcohol dependence was most common among those with annual family incomes of less than $25,000. The prevalence of alcohol dependence was 10.2% among excessive drinkers, 10.5% among binge drinkers, and 1.3% among non-binge drinkers. A positive relationship was found between alcohol dependence and binge drinking frequency.ConclusionMost excessive drinkers (90%) did not meet the criteria for alcohol dependence. A comprehensive approach to reducing excessive drinking that emphasizes evidence-based policy strategies and clinical preventive services could have an impact on reducing excessive drinking in addition to focusing on the implementation of addiction treatment services.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Alcohol Dependence Among US Adult Drinkers, 2009–2011

Esser¹,

Hedden²,

Kanny³

et al. 2014

Prev. Chronic Dis.

236

232

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“…Items in the NSDUH survey have good reliability and validity (SAMHSA, 2010; Jordan et al, 2008; Grucza et al, 2007). The nine years analyzed included data from approximately 405,000 respondents age 18 or older.…”

Section: Methodsmentioning

confidence: 99%

Unemployment and substance outcomes in the United States 2002–2010

Compton¹,

Gfroerer²,

Conway³

et al. 2014

Drug and Alcohol Dependence

229

128

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Background The economic shock of 2008-2009 provided an opportunity to study the robustness of observed statistical associations between unemployment and problematic substance use. Methods Data from 405,000 non-institutionalized adult participants in the 2002 to 2010 U.S. National Survey on Drug Use and Health were used to compare substance outcomes among unemployed and employed persons. Association of unemployment with substance outcomes was examined for the years 2002-2004, 2005-2007, 2008, and 2009-2010, corresponding to periods prior to and after the economic downturn of 2008. Multivariate logistic regression models adjusted for age, sex, race/ethnicity, education, urban/rural residence, current DSM-IV Major Depression, and local county unemployment rates. Results Higher rates of past month tobacco and illicit drug use, heavy alcohol use, and past-year drug or alcohol abuse/dependence were found among the unemployed. Markedly increased unemployment in 2009-2010 did not moderate the association between substance outcomes and employment. This association was not confounded by sex, age group, or race/ethnicity for tobacco and illicit drugs, although it varied for alcohol outcomes among 18-25 year-olds. Results based on retrospective data regarding marijuana use in the period prior to unemployment suggest its use was associated with future job loss. Conclusions Employment status was strongly and robustly associated with problematic use of substances. Prevention and treatment interventions are warranted for a group whose employment and resulting insurance status may impair access to much needed health care.

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“…A module assessing past-year DSM-IV marijuana abuse and dependence was administered to individuals who reported using marijuana on 6 or more days in the prior year. 16 …”

Section: Methodsmentioning

confidence: 99%

Declining Prevalence of Marijuana Use Disorders Among Adolescents in the United States, 2002 to 2013

Grucza

Agrawal

Krauss

et al. 2016

Journal of the American Academy of Child & Adolescent Psych

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Objective Little is known about recent trends in marijuana use disorders among adolescents in the United States. We analyzed trends in the past-year prevalence of DSM-IV marijuana use disorders among adolescents, both overall and conditioned on past-year marijuana use. Potential explanatory factors for trends in prevalence were explored. Method We assembled data from the adolescent samples of the 2002–2013 administrations of the National Survey on Drug Use and Health (N=216,852; ages 12–17). Main outcome measures were odds ratios describing the average annual change in prevalence and conditional prevalence of marijuana use disorders, estimated from models of marijuana use disorder as a function of year. Post hoc analyses incorporated measures of potentially explanatory risk and protective factors into the trend analyses. Results A decline in the past-year prevalence of marijuana use disorders was observed (OR=0.976 per year; 95% CI: 0.968, 0.984; p<.001). This was due to both a net decline in past-year prevalence of use and a decline in the conditional prevalence of marijuana use disorders. The trend in marijuana use disorders was accounted for by a decrease in the rate of conduct problems among adolescents (e.g., fighting, stealing). Conclusion Past-year prevalence of marijuana use disorders among US adolescents declined by an estimated 24% over the 2002–13 period. The decline may be related to trends toward lower rates of conduct problems. Identification of factors responsible for the reduction in conduct problems could inform interventions targeting both conduct problems and marijuana use disorders.

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A clinical validation of the National Survey on Drug Use and Health Assessment of Substance Use Disorders

Cited by 82 publications

References 26 publications

Prevalence of Alcohol Dependence Among US Adult Drinkers, 2009–2011

Prevalence of Alcohol Dependence Among US Adult Drinkers, 2009–2011

Unemployment and substance outcomes in the United States 2002–2010

Declining Prevalence of Marijuana Use Disorders Among Adolescents in the United States, 2002 to 2013

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