Aryal K K, Thapa P, Mehata S, Vaidya A, Pandey A R, Bista B, Pandit A, Dhakal P, Dhimal M, Karki K B
Nepal Health Research Council, Kathmandu Nepal.
Nepal Health Research Council, Kathmandu, Nepal.
J Nepal Health Res Counc. 2015 Jan-Apr;13(29):1-6.
Over the centuries, the world has witnessed alcohol use as a common phenomenon among the male population. Owing to the vulnerability of women towards alcohol and its possible consequences on women as well as children when pregnant or lactating mothers drink alcohol, there is utmost need to know the alcohol use among this population. The study sought to assess alcohol use among the Nepalese women aged 15-69 years.
It was a sub-set analysis of 2807 women aged 15-69 years, extracted from a data of national cross-sectional study, NCD Risk Factors: STEPS Survey Nepal 2013 carried out among 4200 adults in 2013 using a multistage cluster sampling. Data collected in personal digital assistants using WHO NCD STEPS instrument version 2.2 were transferred to Microsoft Excel, cleaned in SPSS 16.0, and analyzed in STATA 13.0.
We reported 11.7% (95% CI: 9.5-14.3) ever users of alcohol, 9.4% (95% CI: 7.4-11.7) last 12 months alcohol users, 7.1% (95% CI: 5.2-9.0) current drinkers, and 0.9% (95% CI: 0.5-1.6) with harmful use of alcohol. As compared to 15-29 years women, 30-44 and 45-69 years women were 1.61 (95% CI: 1.02-2.55) and 1.58 (95% CI: 1.03-2.43) times more likely to be drinkers in the last 12 months, respectively. Likewise, 45-69 years women were 2.84 (95% CI: 1.05-7.63) times more likely to indulge into harmful use of alcohol than their younger counterparts (15-29 years). Women from the Terai belt had lower odds of any drinking pattern than the women from hills: ever use (0.43, 95% CI: 0.27-0.70), alcohol use in the last 12 months (0.44, 95% CI: 0.26-0.75), current drinking (0.38, 95% CI: 0.22-0.65), and harmful use of alcohol (0.11, 95% CI: 0.03-0.37). Primary education holders were found to have 0.64 times (95% CI: 0.43-0.95) chances of current drinking than those without formal education.
Women from upper age groups, hills, and with no formal education were found likely to be consuming alcohol. Contextual and culture friendly anti alcohol behaviour change communication interventions on community settings of hills and mountains, promoting active participation of relatively older women (45-69 years) and illiterate women are of great importance.
几个世纪以来，饮酒一直是男性群体中的常见现象。由于女性对酒精较为敏感，以及怀孕或哺乳期母亲饮酒可能对自身及孩子产生影响，因此极有必要了解该群体中的饮酒情况。本研究旨在评估年龄在15至69岁之间的尼泊尔女性的饮酒情况。
这是一项对2807名15至69岁女性的子集分析，数据取自2013年对4200名成年人开展的全国横断面研究——尼泊尔非传染性疾病风险因素：STEPS调查2013，采用多阶段整群抽样。使用世界卫生组织非传染性疾病STEPS工具2.2在个人数字助理上收集的数据被传输到Microsoft Excel，在SPSS 16.0中清理，并在STATA 13.0中进行分析。
我们报告称，曾经饮酒者占11.7%（95%置信区间：9.5 - 14.3），过去12个月饮酒者占9.4%（95%置信区间：7.4 - 11.7），当前饮酒者占7.1%（95%置信区间：5.2 - 9.0），有害饮酒者占0.9%（95%置信区间：0.5 - 1.6）。与15至29岁的女性相比，30至44岁和45至69岁的女性在过去12个月内饮酒的可能性分别高出1.61倍（95%置信区间：1.02 - 2.55）和1.58倍（95%置信区间：1.03 - 2.43）。同样，45至69岁的女性有害饮酒的可能性是年轻女性（15至29岁）的2.84倍（95%置信区间：1.05 - 7.63）。来自特赖地区的女性出现任何饮酒模式的几率低于山区女性：曾经饮酒（0.43，95%置信区间：0.27 - 0.70）、过去12个月饮酒（0.44，95%置信区间：0.26 - 0.75）、当前饮酒（0.38，95%置信区间：0.22 - 0.65）以及有害饮酒（0.11，95%置信区间：0.03 - 0.37）。与未受过正规教育的人相比，接受过小学教育的人当前饮酒的几率为0.64倍（95%置信区间：0.43 - 0.95）。
年龄较大群体、山区以及未受过正规教育的女性更有可能饮酒。在山区社区开展注重背景和文化的反酒精行为改变沟通干预措施，促进相对年长女性（45至69岁）和文盲女性的积极参与非常重要。
