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PREVALENCE AND CORRELATES OF DSM-IV AND ICD-10 ALCOHOL DEPENDENCE: 1990 US NATIONAL ALCOHOL SURVEY
Authors:CAETANO, RAUL   TAM, TAMMY W.
Affiliation:Alcohol Research Group 2000 Hearst Avenue, Berkeley, CA 94709, USA
Abstract:This paper describes DSM-IV and ICD-10 alcohol dependence prevalencerates and sociodemographic and drinking correlates. The sampleunder analysis (n = 2058) constitutes a multicluster probabilitysample of the US adult household population. The study responserate is 71%. The prevalence rate for current (past 12 month)DSM-IV alcohol dependence is 3.9%, and for current ICD-10 itis 5.5%. Agreement between DSM-IV and ICD-10 on whether respondentsare dependent or not is less than optimal (Kappa = 0.67). Thepredictors of ICD-10 alcohol dependence are the frequency ofdrinking five or more drinks on occasion and age (inverse relationship).For DSM-IV alcohol dependence the correlates are drinking fiveor more drinks on occasion, being unemployed and age (also aninverse relationship). Differences in results underline theimportance of understanding the variations among DSM-IV andICD-10 criteria for alcohol dependence and the implicationsof these differences for epidemiological research. The highprevalence of dependence among young men may be the result ofrecognizing consequences of episodic heavy drinking as signsof alcohol dependence.
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