Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Glob Health Action. 2013 Jan 28;6:18937. doi: 10.3402/gha.v6i0.18937.
Alcohol use and alcohol-related problems are on the rise in low- and middle-income countries. Expenditure on alcohol is an important problem for families and communities and needs to be assessed.
This study examines level of alcohol consumption and expenditure on alcohol in a district in Vietnam.
A cross-sectional survey was conducted in a rural district in northern Vietnam. Multi-stage sampling was employed to randomly select participants from 20 communities and a town in the same district. One thousand five hundred and sixty-four adults (765 males and 799 females) aged 18-60 years were interviewed. Information about alcohol use as well as expenditure on alcohol consumption four weeks prior to the interview was gathered. Non-parametric tests and log-linear regression were employed to compare expenditure on alcohol consumption across socioeconomic groups.
The prevalence of alcohol use one month prior to interview was 35% (66% among men and 5% among women). The median alcohol consumption among those who reported use of alcohol in the week prior to the interview was 7.9 standard drinks. Excessive drinking (more than 14 standard drinks per week for men and more than seven standard drinks per week for women) occurred among 35% of those who used alcohol. Median expenditure for alcohol consumption during one month by those who drank alcohol was USD 3.5, accounting for 4.6% of household food expenditure, 2.7% of total household expenditure, and 1.8% of household income. The differences in alcohol consumption and expenditure between sexes and between socioeconomic groups are also presented.
Our study confirms that alcohol consumption and alcohol-related problems are common among men in Vietnam. The share of alcohol expenditure in total household expenditure is substantial, especially among poor households. This should be considered an important public health issue, which needs to be taken into account in the alcohol policy debate.
在中低收入国家，酒精使用和与酒精相关的问题正在上升。酒精支出是家庭和社区的一个重要问题，需要进行评估。
本研究调查了越南一个地区的酒精消费水平和酒精支出情况。
在越南北部的一个农村地区进行了横断面调查。采用多阶段抽样方法，从同一地区的 20 个社区和一个城镇随机选择参与者。共访谈了 1564 名 18-60 岁的成年人（男性 765 名，女性 799 名）。收集了受访者在接受访谈前四周的饮酒情况以及酒精支出信息。采用非参数检验和对数线性回归比较了不同社会经济群体的酒精支出情况。
在接受访谈前一个月，饮酒的患病率为 35%（男性为 66%，女性为 5%）。在接受访谈前一周内报告饮酒的人群中，酒精平均消耗量为 7.9 标准饮品。有 35%的饮酒者存在过量饮酒（男性每周饮酒超过 14 标准饮品，女性每周饮酒超过 7 标准饮品）。在饮酒者中，过去一个月内的酒精消费中位数为 3.5 美元，占家庭食品支出的 4.6%，占家庭总支出的 2.7%，占家庭收入的 1.8%。还介绍了性别和社会经济群体之间在饮酒和支出方面的差异。
我们的研究证实，饮酒和与酒精相关的问题在越南男性中很常见。酒精支出在家庭总支出中所占比例相当大，尤其是在贫困家庭中。这应该被视为一个重要的公共卫生问题，在制定酒精政策时需要考虑到这一点。
