Peacock, A and Leung, J and Larney, S and Colledge, S and Hickman, M and Rehm, J and Giovino, GA and West, R and Hall, W and Griffiths, P and Ali, R and Gowing, L and Marsden, J and Ferrari, AJ and Grebely, J and Farrell, M and Degenhardt, L, Global statistics on alcohol, tobacco and illicit drug use: 2017 status report, Addiction, 113, (10) pp. 1905-1926. ISSN 0965-2140 (2018) [Refereed Article]
© 2018 Society for the Study of Addiction
Aims: This review provides an up-to-date curated source of information on alcohol, tobacco and illicit drug use and their associated mortality and burden of disease. Limitations in the data are also discussed, including how these can be addressed in the future.
Methods: Online data sources were identified through expert review. Data were obtained mainly from the World Health Organization, United Nations Office on Drugs and Crime and Institute for Health Metrics and Evaluation.
Results: In 2015, the estimated prevalence among the adult population was 18.4% for heavy episodic alcohol use (in the past 30 days); 15.2% for daily tobacco smoking; and 3.8, 0.77, 0.37 and 0.35% for past-year cannabis, amphetamine, opioid and cocaine use, respectively. European regions had the highest prevalence of heavy episodic alcohol use and daily tobacco use. The age-standardized prevalence of alcohol dependence was 843.2 per 100 000 people; for cannabis, opioids, amphetamines and cocaine dependence it was 259.3, 220.4, 86.0 and 52.5 per 100 000 people, respectively. High-income North America region had among the highest rates of cannabis, opioid and cocaine dependence. Attributable disability-adjusted life-years (DALYs) were highest for tobacco smoking (170.9 million DALYs), followed by alcohol (85.0 million) and illicit drugs (27.8 million). Substance-attributable mortality rates were highest for tobacco smoking (110.7 deaths per 100 000 people), followed by alcohol and illicit drugs (33.0 and 6.9 deaths per 100 000 people, respectively). Attributable age-standardized mortality rates and DALYs for alcohol and illicit drugs were highest in eastern Europe; attributable age-standardized tobacco mortality rates and DALYs were highest in Oceania.
Conclusions: In 2015 alcohol use and tobacco smoking use between them cost the human population more than a quarter of a billion disability-adjusted life years, with illicit drugs costing further tens of millions. Europeans suffered proportionately more, but in absolute terms the mortality rate was greatest in low- and middle-income countries with large populations and where the quality of data was more limited. Better standardized and rigorous methods for data collection, collation and reporting are needed to assess more accurately the geographical and temporal trends in substance use and its disease burden.
|Item Type:||Refereed Article|
|Keywords:||alcohol; amphetamine; cannabis; cocaine; epidemiology; mortality; opioid; prevalence; substance dependence; tobacco|
|Research Group:||Clinical and health psychology|
|Research Field:||Clinical psychology|
|Objective Group:||Public health (excl. specific population health)|
|Objective Field:||Substance abuse|
|UTAS Author:||Peacock, A (Miss Amy Peacock)|
|Web of Science® Times Cited:||386|
|Deposited By:||Health Sciences|
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