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In contrast, only 15.0% (<jats:italic>SE<\/jats:italic>\u00a0=\u00a00.6) of past\u2010year alcohol use disorders had a co\u2010occurring past\u2010year SUD. The odds of past\u2010year multiple SUDs were greater among males, younger adults, African\u2010Americans, and those with mood, personality, posttraumatic stress, or multiple psychiatric disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Assessment, diagnosis, and treatment often focus on individual substance\u2010specific SUDs rather than multiple SUDs, despite evidence for substantial rates of polysubstance use in clinical and epidemiological studies. There are notable differences in the prevalence of multiple SUDs between alcohol use disorders and other nonalcohol SUDs that have important clinical implications; for example, multiple SUDs are more persistent than individual SUDs. These findings suggest that clinical assessment and diagnosis should screen for multiple SUDs, especially among adults with nonalcohol DSM\u20105 SUDs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hup.2625","type":"journal-article","created":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T23:32:49Z","timestamp":1501198369000},"source":"Crossref","is-referenced-by-count":107,"title":["Multiple DSM\u20105 substance use disorders: A national study of US adults"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-4652","authenticated-orcid":false,"given":"Sean Esteban","family":"McCabe","sequence":"first","affiliation":[{"name":"Institute for Research on Women and Gender University of Michigan  Ann Arbor Michigan USA"},{"name":"Substance Abuse Research Center University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brady T.","family":"West","sequence":"additional","affiliation":[{"name":"Survey Research Center, Institute for Social Research University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Jutkiewicz","sequence":"additional","affiliation":[{"name":"Department of Pharmacology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol J.","family":"Boyd","sequence":"additional","affiliation":[{"name":"Institute for Research on Women and Gender University of Michigan  Ann Arbor Michigan USA"},{"name":"School of Nursing University of Michigan  Ann Arbor Michigan USA"},{"name":"Addiction Center, Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2012.10.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2014.75.170"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hup.766"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2012.08.019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2013.07.012"},{"key":"e_1_2_7_7_1","unstructured":"Center for Behavioral Health Statistics and Quality.2015.Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS publication no. 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