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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 7/2017

01-07-2017 | Original Paper

The epidemiology of alcohol use in Izmir, Turkey: drinking pattern, impairment and help-seeking

Authors: Halis Ulaş, Tolga Binbay, Umut Kırlı, Hayriye Elbi, Köksal Alptekin

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2017

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Abstract

Purpose

There is no report on various patterns of alcohol drinking and related impairment, help-seeking in Turkey. We investigated the 12-month prevalence and correlates of drinking patterns and alcohol use disorders in the general population of Izmir-Turkey, with further analyses on role impairment and help-seeking.

Method

A multi-stage clustered area probability sample of adult household residents in the Izmir Metropolitan Area was assessed using the Composite International Diagnostic Interview 2.1 (n  = 4011). Estimation focused on prevalence and correlates of 12-month drinking pattern and DSM-IV alcohol use disorders. The 12-month drinking pattern included groups of non-regular users, regular non-heavy drinkers, regular heavy drinkers, and alcohol abuse disorder and alcohol dependence. All respondents were questioned about receiving 12-month treatment for any psychological complaints, the route of help-seeking, and were assessed with Short Form-36 for functional impairments. Multinomial logistic regression was used for underlying associations between the covariates and the drinking patterns.

Results

The rate of lifetime alcohol abstinence was 52.3% while the prevalence of past-year users was 14.8%. The 12-month prevalence estimates of regular heavy drinkers, and alcohol abuse disorder and dependence were 2.5%, 3.2 and 1.6%, respectively. Any of the drinking patterns and alcohol use disorders was associated with male gender, and higher levels of education, monthly income and socioeconomic status. Alcohol dependence was associated with mental health impairment but not with physical impairment. The 12-month rates of help-seeking in alcohol abuse and dependence were 11.6 and 16.5%.

Conclusion

Although alcohol use disorders are lower than estimates of Western countries, alcohol use constitute a major reason of disability with prominent treatment gap.
Literature
1.
World Health Organization (2010) Global strategy to reduce the harmful use of alcohol. World Health Organization, Geneva
2.
World Health Organization, Regional Office for Europe. (2011) European status report on alcohol and health 2010. World Health Organization, Copenhagen
3.
4.
Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J (2009) Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet 373(9682):2223–2233. doi:10.​1016/​S0140-6736(09)60746-7 CrossRef
5.
6.
World Health Organization, Regional Office for Europe (2010) Atlas on substance use (2010): resources for the prevention and treatment of substance use disorders
7.
Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, Burstein R, Murray CJ, Vos T (2013) Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet 382(9904):1575–1586. doi:10.​1016/​S0140-6736(13)61611-6 CrossRef
8.
9.
Kalaydjian A, Swendsen J, Chiu WT, Dierker L, Degenhardt L, Glantz M, Merikangas KR, Sampson N, Kessler R (2009) Sociodemographic predictors of transitions across stages of alcohol use, disorders, and remission in the National Comorbidity Survey Replication. Compr Psychiatry 50(4):299–306. doi:10.​1016/​j.​comppsych.​2008.​09.​012 CrossRefPubMed
10.
World Health Organization (2014) Global status report on alcohol and health. World Health Organization
11.
12.
Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2014) Türkiye Nüfus ve Sağlık Araştırması 2013. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı, TÜBİTAK, Ankara
13.
Erhan Deveci S, Acik Y, Ferdane Oguzoncul A, Deveci F (2010) Prevalence and factors affecting the use of tobacco, alcohol and addictive substance among university students in eastern Turkey. Southeast Asian J Trop Med Public Health 41(4):996–1007PubMed
14.
Ozgur Ilhan I, Yildirim F, Demirbas H, Dogan YB (2008) Alcohol use prevalence and sociodemographic correlates of alcohol use in a university student sample in Turkey. Soc Psychiatry Psychiatr Epidemiol 43(7):575–583. doi:10.​1007/​s00127-008-0335-z CrossRefPubMed
15.
Ogel K, Corapcioglu A, Sir A, Tamar M, Tot S, Dogan O, Uguz S, Yenilmez C, Bilici M, Tamar D, Liman O (2004) [Tobacco, alcohol and substance use prevalence among elementary and secondary school students in nine cities of Turkey]. Turk Psikiyatri Derg 15(2):112–118PubMed
16.
17.
Kılıç C (1998) Türkiye Ruh Sağlığı Profili: Erişkin nüfusta ruhsal hastalıkların yaygınlığı, ilişkili faktörler, yetiyitimi ve ruh sağlığı hizmeti kullanımı sonuçları. Ankara: TC Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü:77–98
18.
Binbay T, Drukker M, Alptekin K, Elbi H, Aksu Tanik F, Ozkinay F, Onay H, Zagli N, van Os J (2012) Evidence that the wider social environment moderates the association between familial liability and psychosis spectrum outcome. Psychol Med 42(12):2499–2510. doi:10.​1017/​S003329171200070​0 CrossRefPubMed
19.
Binbay T, Elbi H, Alptekin K, Aksu Tanik F, Drukker M, Onay H, Ozkinay F, Zagli N, Van Os J (2011) Izmir mental health survey for gene-environment interaction in psychoses (TurkSch): objectives and methodology. Turk Psikiyatri Derg 22(2):65–76PubMed
20.
Binbay T, Drukker M, Elbi H, Tanik FA, Ozkinay F, Onay H, Zagli N, van Os J, Alptekin K (2012) Testing the psychosis continuum: differential impact of genetic and nongenetic risk factors and comorbid psychopathology across the entire spectrum of psychosis. Schizophr Bull 38(5):992–1002. doi:10.​1093/​schbul/​sbr003 CrossRefPubMed
21.
Topuzoglu A, Binbay T, Ulas H, Elbi H, Tanik FA, Zagli N, Alptekin K (2015) The epidemiology of major depressive disorder and subthreshold depression in Izmir, Turkey: Prevalence, socioeconomic differences, impairment and help-seeking. J Affect Disord 181:78–86. doi:10.​1016/​j.​jad.​2015.​04.​017 CrossRefPubMed
22.
Kish L (1949) A procedure for objective respondent selection within the household. J Amer Statistical Assoc 44(247):380–387CrossRef
23.
Andrews G, Peters L (1998) The psychometric properties of the composite international diagnostic interview. Soc Psychiatry Psychiatr Epidemiol 33(2):80–88CrossRefPubMed
24.
Pull CB, Saunders JB, Mavreas V, Cottler LB, Grant BF, Hasin DS, Blaine J, Mager D, Ustun BT (1997) Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study. Drug Alcohol Depend 47(3):207–216CrossRefPubMed
25.
Cottler LB, Grant BF, Blaine J, Mavreas V, Pull C, Hasin D, Compton WM, Rubio-Stipec M, Mager D (1997) Concordance of DSM-IV alcohol and drug use disorder criteria and diagnoses as measured by AUDADIS-ADR, CIDI and SCAN. Drug Alcohol Depend 47(3):195–205CrossRefPubMed
26.
Binbay T, Alptekin K, Elbi H, Zagli N, Drukker M, Aksu Tanik F, Ozkinay F, Onay H, Van Os J (2012) Lifetime prevalence and correlates of schizophrenia and disorders with psychotic symptoms in the general population of Izmir, Turkey. Turk Psikiyatri Derg 23(3):149–160PubMed
27.
Silveira CM, Viana MC, Siu ER, de Andrade AG, Anthony JC, Andrade LH (2011) Sociodemographic correlates of transitions from alcohol use to disorders and remission in the Sao Paulo megacity mental health survey, Brazil. Alcohol Alcohol 46(3):324–332. doi:10.​1093/​alcalc/​agr007 CrossRefPubMedPubMedCentral
28.
29.
30.
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483CrossRefPubMed
31.
Kohn R, Saxena S, Levav I, Saraceno B (2004) The treatment gap in mental health care. Bull World Health Organ 82(11):858–866PubMedPubMedCentral
32.
Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2004) Türkiye  Nüfus ve Sağlık Araştırması TDHS-2003. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Ankara
33.
Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2008) Türkiye Nüfus ve Sağlık Araştırması (TDHS) 2007. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Ankara
34.
Kalema D, Vanderplasschen W, Vindevogel S, Derluyn I (2016) The role of religion in alcohol consumption and demand reduction in Muslim majority countries (MMC). Addiction 111(10):1716–1718. doi:10.​1111/​add.​13333 CrossRefPubMed
35.
Glantz MD, Medina-Mora ME, Petukhova M, Andrade LH, Anthony JC, de Girolamo G, de Graaf R, Degenhardt L, Demyttenaere K, Florescu S, Gureje O, Haro JM, Horiguchi I, Karam EG, Kostyuchenko S, Lee S, Lepine JP, Matschinger H, Neumark Y, Posada-Villa J, Sagar R, Stein DJ, Tomov T, Wells JE, Chatterji S, Kessler RC (2014) Alcohol abuse in developed and developing countries in the World Mental Health Surveys: Socially defined consequences or psychiatric disorder? Am J Addict 23(2):145–155. doi:10.​1111/​j.​1521-0391.​2013.​12082.​x CrossRefPubMed
36.
37.
Onat A, Hergenc G, Kucukdurmaz Z, Ugur M, Kaya Z, Can G, Yuksel H (2009) Moderate and heavy alcohol consumption among Turks: long-term impact on mortality and cardiometabolic risk. Turk Kardiyol Dern Ars 37(2):83–90PubMed
38.
39.
40.
41.
Buscemi J, Murphy JG, Martens MP, McDevitt-Murphy ME, Dennhardt AA, Demographic T Health Survey (TDHS) (2010) Help-seeking for alcohol-related problems in college students: correlates and preferred resources. Psychol Addict Behav 24(4):571–580. doi:10.​1037/​a0021122 CrossRefPubMedPubMedCentral
42.
Carney R, Yung AR, Amminger GP, Bradshaw T, Glozier N, Hermens DF, Hickie IB, Killackey E, McGorry P, Pantelis C, Wood SJ, Purcell R (2016) Substance use in youth at risk for psychosis. Schizophr Res. doi:10.​1016/​j.​schres.​2016.​08.​026
43.
44.
Foster JH, Peters TJ, Marshall EJ (2000) Quality of life measures and outcome in alcohol-dependent men and women. Alcohol 22(1):45–52CrossRefPubMed
45.
Levola J, Kaskela T, Holopainen A, Sabariego C, Tourunen J, Cieza A, Pitkanen T (2014) Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions. Disabil Rehabil 36(15):1227–1239. doi:10.​3109/​09638288.​2013.​837104 CrossRefPubMed
46.
Levola J, Aalto M, Holopainen A, Cieza A, Pitkanen T (2014) Health-related quality of life in alcohol dependence: a systematic literature review with a specific focus on the role of depression and other psychopathology. Nord J Psychiatry 68(6):369–384. doi:10.​3109/​08039488.​2013.​852242 CrossRefPubMed
Metadata
Title
The epidemiology of alcohol use in Izmir, Turkey: drinking pattern, impairment and help-seeking
Authors
Halis Ulaş
Tolga Binbay
Umut Kırlı
Hayriye Elbi
Köksal Alptekin
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 7/2017
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-017-1345-5

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