title: Prevalence, correlates, comorbidity, and age of onset of alcohol use disorders in adult males from five provinces in China.
abstract: This study integrates data from high-quality mental health surveys in five provinces in China to examine the prevalence, demographic correlates, age of onset, and comorbidity of alcohol use disorder (AUD).
  
  
  
  The five cross-sectional surveys initially screened a representative sample of 74,752 community-living adults (94% response rate) from a sampling population including over 12% of China's adult population. Psychiatrists then administered a detailed diagnostic exam to an enriched sample of 21,015 respondents (95% response rate). The prevalence of AUD in females in China is below 0.5%, so we limited our analysis to 9619 males who completed the diagnostic interview.
  
  
  
  Using meta-analyses to summarize estimates across the five locations, the current (30-day) prevalence of AUD among adult Chinese males was 9.8% (95% CI=5.7-16.9%), but there was wide cross-province variation. After adjusting for age and other demographic variables, the prevalence of AUD was significantly lower in single men than in married men (OR=0.4, CI=0.2-0.7), lower in men who were not currently working than in men who were currently working (OR=0.7, CI=0.5-0.96), and lower in men with comorbid mental disorders than in men without comorbid mental disorders (OR=0.4, CI=0.2-0.8). The risk of developing AUD peaked at 30 years of age.
  
  
  
  Substantial differences in the demographic correlates and age of onset of AUD in men in China compared to those reported in other countries highlight the importance of understanding the country-specific and region-specific profile of AUD before developing intervention and prevention strategies.
authors.affiliation: Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 3210 Humin Road, Shanghai 201102, China; Departments of Psychiatry and Global Health, Emory University, 201 Dowman Drive, Atlanta, GA 30322, USA; Beijing Suicide Research and Prevention Center, WHO Collaborating Center for Research and Training in Suicide Prevention, Beijing Hui Long Guan Hospital, Beijing 100096, China. Electronic address: mphillipschina@outlook.com.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Phillips
authors.affiliation: Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 3210 Humin Road, Shanghai 201102, China; Department of Epidemiology and Biostatistics, Michigan State University, 909 Fee Rd. Room 601, East Lansing, MI 48843, USA.
authors.forename: Hui G
authors.initials: HG
authors.lastname: Cheng
authors.affiliation: Beijing Suicide Research and Prevention Center, WHO Collaborating Center for Research and Training in Suicide Prevention, Beijing Hui Long Guan Hospital, Beijing 100096, China.
authors.forename: Xianyun
authors.initials: X
authors.lastname: Li
authors.affiliation: Shandong Mental Health Center, 49 Wen Hua Dong Road, Jinan, Shandong 250014, China.
authors.forename: Jingxuan
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Tong De Hospital of Zhejiang Province,234 Gucui Road, Hangzhou, Zhejiang 310012, China.
authors.forename: Qichang
authors.initials: Q
authors.lastname: Shi
authors.affiliation: Tianjin Mental Health Center, Liulin Road 13, Hexi district, Tianjin 300222, China.
authors.forename: Guangming
authors.initials: G
authors.lastname: Xu
authors.affiliation: The 3rd People's Hospital of Qinghai Province, 41 Guoluo Road, Xining, Qinghai 810007, China.
authors.forename: Zhiqiang
authors.initials: Z
authors.lastname: Song
authors.affiliation: Tianshui City Mental Hospital, Jingbiao Road 17, Tianshui, Gansu 741000, China.
authors.forename: Zhijie
authors.initials: Z
authors.lastname: Ding
authors.affiliation: Qingdao Mental Health Centre, Nanjing Road 299, Qingdao, Shandong 266034, China.
authors.forename: Shutao
authors.initials: S
authors.lastname: Pang
mesh_terms: D000328:Adult; D017668:Age of Onset; D019973:Alcohol-Related Disorders / Q000453:epidemiology; D000437:Alcoholism / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017533:Marital Status / Q000208:ethnology / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology; D008875:Middle Aged; D013223:Statistics as Topic; D014478:Unemployment / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Age of onset; Alcohol use disorders; China; Comorbid diagnoses; Demographic correlates; Epidemiological survey