Medical Research Council, Pretoria.
S Afr Med J. 2010 Mar 8;100(3):180-2. doi: 10.7196/samj.3767.
To assess and compare the extent of high-risk drinking and factors associated with high-risk drinking in the adult female population of a rural and an urban region in South Africa.
Cross-sectional household survey using multistage sampling methods. Setting. A rural wine farming area of the Western Cape and an urban site in Gauteng. Subjects. Women of reproductive age (18 - 44 years). Outcome measures. The extent of risky alcohol consumption measured using the Alcohol Use Disorders Identification Test (AUDIT) scale which categorises current drinkers into high- and low-risk drinkers.
Twenty-seven per cent (166/606) and 46% (188/412) of the women interviewed in Gauteng and the Western Cape respectively were current drinkers. In turn, 20% (33/166) of the Gauteng current drinkers and 68% (128/188) of the Western Cape current drinkers were classified as high-risk drinkers. Multivariate analysis indicated that employed people in Gauteng were less likely to be high-risk drinkers (odds ratio (OR) 0.3, 95% confidence interval (CI) 0.1 - 0.8). Living in a household that never/seldom went hungry was inversely associated with risky drinking for both sites (OR 0.3, 95% CI 0.1 - 0.9 for Gauteng and OR 0.2, 95% CI 0.3 - 1.2 for the Western Cape). Current smokers (Western Cape) (OR 7.6, 95% CI 3.1 - 18.9) and respondents with an alcohol problem in one or more family members (both sites) (OR 6.0, 95% CI 2.3 - 15.7 and OR 3.1, 95% CI 1.5 - 6.4) were more likely to be high-risk drinkers.
High-risk drinking by women is a major problem, especially in the Western Cape. Targeted interventions are needed for women with alcohol problems in the family setting, lower socio-economic status, and concurrent substance abuse.
评估和比较南非农村和城市地区成年女性人群的高危饮酒程度和与高危饮酒相关的因素。
使用多阶段抽样方法进行的横断面家庭调查。地点：西开普省的一个农村葡萄酒种植区和豪登省的一个城市地点。对象：育龄妇女（18-44 岁）。结局测量：使用酒精使用障碍识别测试（AUDIT）量表衡量的危险饮酒程度，该量表将当前饮酒者分为高风险和低风险饮酒者。
在所调查的豪登省和西开普省妇女中，分别有 27%（166/606）和 46%（188/412）为当前饮酒者。反过来，豪登省的 20%（33/166）当前饮酒者和西开普省的 68%（128/188）当前饮酒者被归类为高风险饮酒者。多变量分析表明，豪登省的就业人员不太可能成为高风险饮酒者（优势比（OR）0.3，95%置信区间（CI）0.1-0.8）。居住在一个从不/很少挨饿的家庭与两个地点的危险饮酒呈负相关（豪登省为 0.3，95%CI 0.1-0.9；西开普省为 0.2，95%CI 0.3-1.2）。当前吸烟者（西开普省）（OR 7.6，95%CI 3.1-18.9）和一个或多个家庭成员有酒精问题的受访者（两个地点）（OR 6.0，95%CI 2.3-15.7 和 OR 3.1，95%CI 1.5-6.4）更有可能成为高风险饮酒者。
高危饮酒是南非女性的一个主要问题，特别是在西开普省。需要针对有家庭饮酒问题、社会经济地位较低和同时滥用药物的妇女开展有针对性的干预措施。
