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Measuring the success rates of Alcoholics Anonymous (AA) is challenging due to its anonymous nature and decentralized structure. However, several studies and surveys provide insights into its effectiveness:

📊 AA Success Rates
AA's Internal Survey (2014): Among over 6,000 members in the U.S. and Canada:

27% were sober for less than a year
24% were sober for 1–5 years
13% were sober for 5–10 years
14% were sober for 10–20 years
22% were sober for over 20 years

Cochrane Review (2020): This comprehensive analysis found that AA and Twelve-Step Facilitation (TSF) programs often lead to higher rates of continuous abstinence compared to other treatments like cognitive-behavioral therapy, with added healthcare cost savings over time.

Long-Term Study: A study tracking individuals over 16 years found that 67% of those who engaged heavily with AA remained sober in the long term.
12steppers.org

🌍 Global Presence
AA operates in approximately 180 countries, with over 123,000 groups worldwide. However, detailed success rates by country are limited due to the organization's emphasis on anonymity and the variability in data collection methods across regions.

⚠️ Considerations
Self-Selection Bias: Individuals who choose to attend AA may differ in motivation and commitment compared to those who do not, potentially influencing success rates.

Variability in Definitions: "Success" can be defined in various ways—complete abstinence, reduced drinking, improved quality of life—which affects reported outcomes.

Critiques: Some experts argue that AA's success rates are modest and emphasize the need for alternative or complementary treatments for alcohol use disorder.

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