Singh Shivaram Prasad, Padhi Pradeep Kumar, Narayan Jimmy, Singh Ayaskanta, Pati Girish Kumar, Nath Preetam, Parida Prasant Kumar, Mishra Sunil
Department of Gastroenterology, Sriram Chandra Bhanj Medical College, Cuttack, Odisha, 753 007, India.
Indian J Gastroenterol. 2016 Nov;35(6):419-424. doi: 10.1007/s12664-016-0699-z. Epub 2016 Oct 19.
The aim of this study is to estimate the socioeconomic impact of alcohol use on patients with alcoholic liver disease (ALD) and their families.
The demographic and socioeconomic data were collected from hospitalized ALD patients and attendants using a self designed non validated questionnaire and analyzed.
Study subjects included 100 consecutive ALD patients (all males). Sixty percent were between 30 and 50 years. Most were married (96 %), literate (63 %), either businessmen (37 %) or employed (30 %) and belonged to middle socioeconomic class. Ninety percent started alcohol use before age 30 years and half during teenage. Mean alcohol intake was 190 mL/day (mean duration 23 years); 60 % consumed alcohol daily. Concomitant tobacco abuse was noted in 79 %. Average expenditure on alcohol was Rs 3800/month. Average hospitalizations for ALD related problems was 2.6 times/year with average expenditure of INR 30,000 (~440 US$) during each hospitalization. For treatment expenses, 86 % of patients borrowed money from friends/relatives, 36 % used saving deposits, and 4 % sold personal belongings. Eleven percent lost their job, and 7 % sold immovable property. In 43 % of cases, children were deprived of education. Besides, 52 % had disturbed social and family life, 34 % abused their spouse, 20 % suffered accidents, and 37 % indulged in physical violence.
Majority of ALD patients and their families had disturbed social and family life and incurred severe financial loss arising of alcohol use.
本研究旨在评估饮酒对酒精性肝病（ALD）患者及其家庭的社会经济影响。
使用自行设计的未经验证的问卷收集住院ALD患者及其陪护人员的人口统计学和社会经济数据，并进行分析。
研究对象包括100例连续的ALD患者（均为男性）。60%的患者年龄在30至50岁之间。大多数患者已婚（96%），有文化（63%），职业为商人（37%）或受雇人员（30%），属于社会经济中产阶级。90%的患者在30岁之前开始饮酒，半数在青少年时期开始饮酒。平均酒精摄入量为190毫升/天（平均饮酒时长23年）；60%的患者每日饮酒。79%的患者伴有烟草滥用。酒精平均月支出为3800卢比。因ALD相关问题的平均住院次数为每年2.6次，每次住院平均支出为30000印度卢比（约440美元）。在治疗费用方面，86%的患者向朋友/亲戚借钱，36%的患者动用储蓄存款，4%的患者出售个人物品。11%的患者失去工作，7%的患者出售不动产。43%的家庭中，孩子的教育受到影响。此外，52%的患者社会和家庭生活受到干扰，34%的患者虐待配偶，20%的患者遭遇事故，37%的患者有肢体暴力行为。
大多数ALD患者及其家庭的社会和家庭生活受到干扰，因饮酒导致严重的经济损失。
