南苏丹的酒精使用与社会因素、精神困扰及创伤性事件的关系。
Alcohol use in South Sudan in relation to social factors, mental distress and traumatic events.
作者信息
Lien Lars, Hauff Edvard, Martinez Priscilla, Eide Arne H, Swarts Leslie, Ayazi Touraj
机构信息
Department of Public Health, Hedmark University College, Elverum, Norway.
National Advisory Board for Dual Diagnosis, Hospital Innlandet Trust, Box 104, 2381, Brumunddal, Norway.
出版信息
BMC Public Health. 2016 Sep 6;16(1):937. doi: 10.1186/s12889-016-3605-9.
BACKGROUND
Alcohol use is a major public health problem with vast implications for poor, war-torn countries. The objective of this study was to describe prevalence of alcohol use and risky drinking across socio-demographic factors in South Sudan, and to determine the association between risky drinking, traumatic events and mental distress.
METHODS
This is a randomized, population based, cross-sectional study from the north-western part of South Sudan with nearly 500 participants. We used the Alcohol Use Disorders Identification Test (AUDIT) as main outcome variable, the General Health Questionnaire (GHQ-28) for mental distress and five questions to assess traumatic events.
RESULTS
The mean AUDIT score was 2.7 (SD 0.3) with 14,2 % in the high risk problem drinking category. Being male, lack of a regular income and psychological distress were significantly associated with higher AUDIT score. Traumatic events, however, was not associated with higher score on AUDIT.
CONCLUSION
Despite decades of civil war and great poverty the alcohol use in this population was at the same level as other countries in Southern Africa. Traumatic events were not related to risk of problem drinking.
背景
饮酒是一个重大的公共卫生问题，对贫穷、饱受战争蹂躏的国家有着广泛影响。本研究的目的是描述南苏丹不同社会人口学因素下的饮酒率和危险饮酒情况，并确定危险饮酒、创伤性事件与精神困扰之间的关联。
方法
这是一项基于人群的随机横断面研究，来自南苏丹西北部，有近500名参与者。我们将酒精使用障碍识别测试（AUDIT）作为主要结果变量，使用一般健康问卷（GHQ - 28）评估精神困扰，并通过五个问题评估创伤性事件。
结果
AUDIT平均得分为2.7（标准差0.3），14.2%属于高风险问题饮酒类别。男性、无固定收入和心理困扰与较高的AUDIT得分显著相关。然而，创伤性事件与AUDIT得分较高无关。
结论
尽管经历了数十年的内战和极度贫困，但该人群的饮酒情况与南部非洲其他国家处于同一水平。创伤性事件与问题饮酒风险无关。
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