Katulanda Prasad, Ranasinghe Chathuranga, Rathnapala Amila, Karunaratne Nalika, Sheriff Rezvi, Matthews David
Faculty of Medicine, University of Colombo, PO box 25, Kynsey road, Colombo 10, Sri Lanka.
BMC Public Health. 2014 Jun 17;14:612. doi: 10.1186/1471-2458-14-612.
Most studies on alcohol consumption carried out in Sri Lanka are limited to single/few provinces in the island. The objective of this study was to determine the prevalence, patterns and correlates of alcohol consumption among a larger sample of adults in Sri Lanka.
This cross-sectional study was conducted in seven of all nine provinces in Sri Lanka, between 2005 and 2006. A nationally representative sample of 5000 adults aged ≥18 years was selected using multi-stage random cluster sampling. Data of 4532 participants were collected using an interviewer administered questionnaire. Data analysis included chi-squared test, multiple logistic regression analysis and Spearman correlation using Stata/SE 10.0 (StataCorp LP., Texas, USA) software package.
Males were 40%; mean age was 46.1 years (±15.1). The overall, urban and rural prevalence (95% CI) of current drinking was 23.7% (21.7 - 25.7), 29.5% (25.7 - 33.3) and 22.2% (19.8 - 24.7) respectively (p = 0.001). Current (M: 48.1%, F: 1.2%, p < 0.0001) and former (M: 21.4%, F: 0.7%, p < 0.0001) drinking was much higher in males. The highest prevalence of drinking in males (58.9%) and females (2.2%) was in the 30 - 39 and <20 year age groups respectively. Lowest prevalence in men (24.6%) and women (0%) was in the >70 years age-group. Hazardous drinking was seen in 5.2% of men and 0.02% of women. Male sex, urban living and current smoking correlated with both current and hazardous drinking. Lower level of education, and age >70 years positively correlated with hazardous drinking.
Alcohol is predominantly a problem in Sri Lankan males. In males, both current and hazardous drinking positively correlated with urban living, white collar occupation, Burgher ethnicity and current smoking. Hazardous drinking positively correlated with lower level of education and older age. The data shown here are useful in planning interventions simultaneously targeting alcohol and tobacco.
在斯里兰卡开展的大多数关于饮酒的研究仅限于该岛的单个/少数省份。本研究的目的是确定斯里兰卡更大样本成年人中饮酒的患病率、模式及相关因素。
这项横断面研究于2005年至2006年在斯里兰卡九个省份中的七个进行。使用多阶段随机整群抽样方法选取了5000名年龄≥18岁的具有全国代表性的成年人样本。通过访员管理的问卷收集了4532名参与者的数据。数据分析包括使用Stata/SE 10.0(美国德克萨斯州StataCorp LP公司)软件包进行卡方检验、多重逻辑回归分析和Spearman相关性分析。
男性占40%;平均年龄为46.1岁(±15.1)。当前饮酒的总体、城市和农村患病率(95%CI)分别为23.7%(21.7 - 25.7)、29.5%(25.7 - 33.3)和22.2%(19.8 - 24.7)(p = 0.001)。当前饮酒(男性:48.1%,女性:1.2%,p < 0.0001)和既往饮酒(男性:21.4%,女性:0.7%,p < 0.0001)在男性中更为普遍。男性饮酒患病率最高(58.9%)的年龄组为30 - 39岁,女性(2.2%)为<20岁年龄组。男性(24.6%)和女性(0%)中患病率最低的是>70岁年龄组。5.2%的男性和0.02%的女性存在有害饮酒情况。男性、城市居住和当前吸烟与当前饮酒及有害饮酒均相关。较低的教育水平和>70岁的年龄与有害饮酒呈正相关。
在斯里兰卡,酒精问题主要集中在男性中。在男性中,当前饮酒和有害饮酒均与城市居住、白领职业、布尔格人种族和当前吸烟呈正相关。有害饮酒与较低的教育水平和较高的年龄呈正相关。此处所示数据有助于同时针对酒精和烟草制定干预计划。