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The Epidemiology of DSM-5 Nicotine Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III.
- Source :
-
The Journal of clinical psychiatry [J Clin Psychiatry] 2016 Oct; Vol. 77 (10), pp. 1404-1412. - Publication Year :
- 2016
-
Abstract
- Objective: To present nationally representative information on the prevalence, correlates, psychiatric comorbidity, and treatment of DSM-5 nicotine use disorder (NUD) and the public health burden of US cigarette consumption among adults with NUD and other psychiatric disorders.<br />Methods: Using data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 36,309), we conducted weighted cross-tabulations and multivariate logistic regression analyses to estimate prevalences and examine comorbidity of NUD.<br />Results: Prevalences of 12-month and lifetime DSM-5 NUD were 20.0% and 27.9%, respectively. Nicotine use disorder was more frequent among men, non-Hispanic whites, younger individuals, the previously married, those with less education and lower incomes, and those residing in rural areas. Adjusting for sociodemographic characteristics and additional psychiatric comorbidity, 12-month NUD and lifetime NUD were significantly associated with other substance use and antisocial personality disorders (odds ratios [ORs] = 1.5-5.1, 12-month; 1.5-5.6, lifetime). Twelve-month severe NUD was generally associated with major depressive, bipolar I, bipolar II, panic, generalized anxiety, posttraumatic stress, and schizotypal, borderline, and antisocial personality disorders (ORs = 1.3-2.5). Individuals with current NUD and at least 1 psychiatric disorder comprised 11.1% of US adults but smoked 53.6% of total cigarettes consumed. Treatment was utilized by 20.3% of respondents with 12-month and 18.8% with lifetime NUD.<br />Conclusions: Findings underscore the need to address nicotine use in clinical settings. Recognition of psychiatrically vulnerable subpopulations may inform etiologic research, prevention, and treatment of NUD.<br /> (© Copyright 2016 Physicians Postgraduate Press, Inc.)
- Subjects :
- Adolescent
Adult
Age Factors
Aged
Alcoholism psychology
Alcoholism rehabilitation
Comorbidity
Cross-Sectional Studies
Female
Health Surveys
Humans
Male
Mental Disorders epidemiology
Mental Disorders psychology
Middle Aged
Risk Factors
Smoking epidemiology
Smoking psychology
Smoking Cessation psychology
Statistics as Topic
Tobacco Use Disorder psychology
Tobacco Use Disorder rehabilitation
United States
Young Adult
Alcoholism epidemiology
Diagnostic and Statistical Manual of Mental Disorders
Tobacco Use Disorder epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1555-2101
- Volume :
- 77
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- The Journal of clinical psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 27135834
- Full Text :
- https://doi.org/10.4088/JCP.15m10114