Esser Marissa B, Gururaj Gopalkrishna, Rao Girish N, Jernigan David H, Murthy Pratima, Jayarajan Deepak, Lakshmanan S, Benegal Vivek
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Department of Epidemiology, WHO Collaborating Centre for Injury Prevention and Safety Promotion, Centre for Public Health, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Alcohol Alcohol. 2016 Mar;51(2):177-85. doi: 10.1093/alcalc/agv078. Epub 2015 Jul 8.
The aims of this study were to assess a wide range of alcohol-related harms from known heavy drinkers in Indian respondents' lives, and to assess respondents' characteristics and drinking patterns associated with reporting these harms.
Household interviews were administered in five Indian states from October 2011 to May 2012. For the secondary data analyses in this study, participants were Indians, ages 15-70, who self-reported having a heavy drinker in their lives (n = 5,375). We assessed the proportion of respondents reporting seventeen types of alcohol-related harms from a heavy drinker.
Approximately 83% of respondents reported at least one alcohol-related harm from a heavy drinker in their lives. Twenty-five percent of respondents reported physical harm, 6% reported sexual harm and 50% reported emotional harm or neglect. Controlling for other factors, being in the upper income quartiles was associated with reporting ≥5 harm types. Among females, being age 25-39 and married/cohabitating predicted reporting ≥5 harm types, while among males, being age 25-39 or age 40-70 and living in a rural area increased the odds. Among females, binge drinkers had 46% lower odds of reporting ≥5 harm types than abstainers; among males, binge drinkers had 54% greater odds.
Regardless of respondents' own drinking pattern, a substantial proportion of respondents reported experiencing a range of harms from a known heavy drinker; interventions are needed to reduce these harms.
本研究的目的是评估印度受访者生活中已知酗酒者造成的一系列与酒精相关的危害,并评估与报告这些危害相关的受访者特征和饮酒模式。
2011年10月至2012年5月在印度五个邦进行了家庭访谈。在本研究的二次数据分析中,参与者为15 - 70岁的印度人,他们自我报告生活中有酗酒者(n = 5375)。我们评估了报告酗酒者造成的17种与酒精相关危害的受访者比例。
约83%的受访者报告生活中至少遭受过酗酒者造成的一种与酒精相关的危害。25%的受访者报告受到身体伤害,6%报告受到性伤害,50%报告受到情感伤害或忽视。在控制其他因素后,处于收入最高四分位数与报告≥5种危害类型相关。在女性中,年龄在25 - 39岁且已婚/同居可预测报告≥5种危害类型,而在男性中,年龄在25 - 39岁或40 - 70岁且生活在农村地区会增加这种可能性。在女性中,暴饮者报告≥5种危害类型的几率比戒酒者低46%;在男性中,暴饮者的几率高54%。
无论受访者自身的饮酒模式如何,很大一部分受访者报告称遭受了已知酗酒者造成的一系列危害;需要采取干预措施来减少这些危害。