The National Epidemiologic Survey on Alcohol and
Related Conditions (NESARC)—a huge resource for
data and research findings
The National Epidemiologic Survey on Alcohol and Related
Conditions NESARC), waves 1 and 2, has been the source of
empirical data for more than 740 scientific papers, many of
them cited more than 100 times. These papers have been
authored by National Institute on Alcohol Abuse and
Alcoholism (NIAAA) intramural scientists, and by
extramural scientists from around the world.
Dr Caetano [1] raised many questions about the NESARC.
While a full-scale review of these issues is beyond the scope
of a commentary, many of the questions can be addressed
with factual information.
WHAT WAS INCLUDED IN THE NESARC?
The following were included: detailed drinking quantity and
frequency measures; frequency of drug use; diagnoses and
symptom data for major common and less-common psychi-
atric and substance use disorders; medical conditions; treat-
ment utilization; functional impairment; immigration;
socio-economic information; childhood maltreatment and
other adversities; family history of substance and psychiatric
disorders; past-year stressful life events; discrimination due
to minority group statuses; and social support. Wave 2 re-
interviews of initial participants provided information on
3-year incidence, remission and chronicity.
NUMBER OF PUBLICATIONS
By 22 October 2014, using the search terms: ‘National
Epidemiologic Survey on Alcohol and Related Conditions’,
‘NESARC’ ‘Nationally Representative Sample’ and
Alcohol and ‘United States’, ‘43,093’ and ‘34,653’,
Pubmed and Scopus indicated 743 empirical NESARC
papers. New papers are published monthly, including
in high-impact journals, indicating substantial scientific
contribution.
WAVES 1 AND 2 PUBLICATIONS
Of NESARC papers, 420 used wave 1 data, 118 used wave
2 data and 205 used data from both waves. Thus, both
waves generated enormous scientific productivity.
NESARC CITATIONS
Scopus indicates six NESARC papers cited >600 times
(range = 602–1128); six cited 301–600 times; 31 cited
101–300 times; and 274 cited 11–100 times. The scien-
tific community has thus shown substantial interest in
NESARC findings.
INTRAMURAL VERSUS EXTRAMURAL
SCIENTISTS
The NESARC was designed, approved and funded to ad-
dress issues key to NIAAA ’s mission. A major responsibil-
ity of the NIAAA Intramural Laboratory of Epidemiology
and Biometry (LEB) is to conduct in-depth analyses of
NESARC data to achieve those objectives. Accordingly,
intramural scientists were the only authors on some pa-
pers. However, the Department of Health and Human
Services (DHHS) always planned to make NESARC data
available to the wider scientific community. Therefore,
LEB spent more than a year meticulously cleaning the
data and providing detailed documentation to ensure
quality, precision, accuracy and ease of use of these
public-use data. This effort was highly successful. First
authors, senior (last) authors and co-authors of NESARC
papers were located at hundreds of academic and other
institutions around the United States and world-wide.
Authors ranged from leading senior scientists to junior
investigators, whose work with NESARC formed an
important aspect of their scientific and professional
development.
FUNDING NESARC RESEARCH
Scientific value is also indicated by sources allocating
funding to extramural investigators for NESARC analyses.
NIH was the most widely reported source of extramural
support (426 papers); funding was also acknowledged
from non-profit organizations, US state governments
and governments of other countries. Thus, a wide vari-
ety of organizations allocated funds towards NESARC-
related work.
© 2015 Society for the Study of Addiction Addiction, 110, 378–380
EDITORIAL doi:10.1111/add.12794