Steep Decrease of Gender Difference in DSM-IV Alcohol Use Disorder: A Comparison of Two Nation-wide Surveys Conducted 10 Years Apart in Korea
Journal of Korean Medical Science
; : 1675-1681, 2015.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-198120
Responsible library:
WPRO
ABSTRACT
While decreasing trend in gender differences in alcohol use disorders was reported in Western countries, the change in Asian countries is unknown. This study aims to explore the shifts in gender difference in alcohol abuse (AA) and dependence (AD) in Korea. We compared the data from two nation-wide community surveys to evaluate gender differences in lifetime AA and AD by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Face-to-face interviews using the Composite International Diagnostic Interview (CIDI) were applied to all subjects in 2001 (n=6,220) and 2011 (n=6,022). Male-to-female ratio of odds was decreased from 6.41 (95% CI, 4.81-8.54) to 4.37 (95% CI, 3.35-5.71) for AA and from 3.75 (95% CI, 2.96-4.75) to 2.40 (95% CI, 1.80-3.19) for AD. Among those aged 18-29, gender gap even became statistically insignificant for AA (OR, 1.59; 95% CI, 0.97-2.63) and AD (OR, 1.18; 95% CI, 0.80-2.41) in 2011. Men generally showed decreased odds for AD (0.55; 95% CI, 0.45-0.67) and women aged 30-39 showed increased odds for AA (2.13; 95% CI 1.18-3.84) in 2011 compared to 2001. Decreased AD in men and increased AA in women seem to contribute to the decrease of gender gap. Increased risk for AA in young women suggests needs for interventions.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
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SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Goal 9: Noncommunicable diseases and mental health
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Target 3.5: Prevention and treatment of consumption of psychoactive substances
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Alcohol
Database:
WPRIM (Western Pacific)
Main subject:
Incidence
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Risk Factors
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Sex Distribution
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Age Distribution
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Health Care Surveys
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Alcohol-Induced Disorders
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Diagnostic and Statistical Manual of Mental Disorders
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Republic of Korea
Type of study:
Etiology study
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Practice guideline
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Incidence study
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Prognostic study
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Qualitative research
/
Risk factors
Aspects:
Social determinants of health
Limits:
Adolescent
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Adult
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Aged
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Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2015
Document type:
Article