Yeung Wesley, Leong Wei-Yee, Khoun Kimsong, Ong Warren, Sambi Sundesh, Lim Su-Min, Bieber Bill, Wilder-Smith Annelies
National University of Singapore, Singapore.
Nanyang Technological University, Singapore
Asia Pac J Public Health. 2015 Nov;27(8):835-47. doi: 10.1177/1010539515607961. Epub 2015 Sep 29.
Alcohol misuse is increasing in Southeast Asia. We investigated the extent of and risk factors for alcohol use disorder (AUD) and heavy episodic drinking (HED) in a rural community in Cambodia. We also attempted to explore the communities' perception of alcohol misuse and elicited potential community-based strategies to address the alcohol problem. A mixed-methods study design was used, combining a cross-sectional questionnaire survey with qualitative interviews (focus group discussions and key informant interviews). AUD and HED were measured using the AUDs Identification Test Alcohol Consumption questionnaire. The prevalence of AUD and HED was high: 25% and 31%, respectively. Male sex, younger age, and increasing income were significant risk factors. The communities were well aware of the harmful effects of alcohol, expressed the importance of implementing community-based measures, and proposed various community-led solutions. Evidence-based strategies that are culturally appropriate, accepted, and driven by communities are urgently needed.
东南亚地区酒精滥用现象日益严重。我们对柬埔寨一个农村社区酒精使用障碍（AUD）和重度饮酒（HED）的程度及风险因素进行了调查。我们还试图探究社区对酒精滥用的认知，并引出基于社区的潜在策略来解决酒精问题。本研究采用了混合方法研究设计，将横断面问卷调查与定性访谈（焦点小组讨论和关键 informant 访谈）相结合。使用 AUDs 识别测试酒精消费问卷来测量 AUD 和 HED。AUD 和 HED 的患病率很高，分别为 25%和 31%。男性、较年轻的年龄以及收入增加是显著的风险因素。社区充分意识到酒精的有害影响，表达了实施基于社区措施的重要性，并提出了各种由社区主导的解决方案。迫切需要符合文化背景、被社区接受且由社区推动的循证策略。 （注：这里“关键 informant 访谈”中的“informant”可根据具体语境更准确翻译，比如“关键信息提供者访谈” ，但按要求未做修改）
