Waleewong Orratai, Laslett Anne-Marie, Chenhall Richard, Room Robin
Melbourne School of Population and Global Health, University of Melbourne, 35 Bouverie St., Carlton VIC, Australia.
International Health Policy Program (IHPP), Health Promotion Policy Research Centre, Ministry of Public Health, Tiwanon Rd., Muang, Nonthaburi, Thailand.
Alcohol Alcohol. 2018 Nov 1;53(6):667-673. doi: 10.1093/alcalc/agy044.
This study aims to measure the prevalence rates and patterns of help-seeking behavior as a consequence of being harmed by drinkers in five Asian countries (India, Sri Lanka, Vietnam, Lao PDR and Thailand).
A total of 9832 respondents aged 18-65 years from the WHO/ThaiHealth Collaborative Project were surveyed between 2012 and 2014 about their experiences of being negatively affected due to another's drinking, and whether and where they sought help, focusing on four adverse aspects of harms from others' drinking.
The prevalence of seeking help from any source in the past year due to harm from others' drinking ranged from 7% to 20%. The most common service used by those who were affected by other people's drinking was asking for help from friends, followed by calling the police and using health-related services. The largest proportion of help-seeking was among those reporting property harm, followed by those being harmed physically and sexually by drinkers.
Given a wide range of harms from others' drinking in the general population and different needs of those affected, prevalence rates for help-seeking behavior due to others' drinking in South and South East Asian countries were low and the help sought was often informal. There is a large knowledge gap in our understanding of the mechanisms of help-seeking behavior and the pathways for access to help among those affected. Further studies are important for enhancing the social response services available and making these more accessible to those who need help.
本研究旨在衡量五个亚洲国家（印度、斯里兰卡、越南、老挝和泰国）中因饮酒者造成伤害而产生的求助行为的患病率及模式。
2012年至2014年期间，对世界卫生组织/泰国健康合作项目中的9832名年龄在18至65岁之间的受访者进行了调查，询问他们因他人饮酒而受到负面影响的经历，以及他们是否寻求帮助及在何处寻求帮助，重点关注他人饮酒造成伤害的四个不利方面。
过去一年中，因他人饮酒造成伤害而向任何来源寻求帮助的患病率在7%至20%之间。受他人饮酒影响的人最常使用的服务是向朋友求助，其次是报警和使用与健康相关的服务。寻求帮助比例最高的是那些报告财产损失的人，其次是那些受到饮酒者身体和性伤害的人。
鉴于普通人群中因他人饮酒造成的广泛伤害以及受影响者的不同需求，南亚和东南亚国家因他人饮酒而产生的求助行为患病率较低，且所寻求的帮助往往是非正式的。在我们对求助行为机制以及受影响者获得帮助途径的理解方面存在很大的知识差距。进一步的研究对于加强现有的社会应对服务并使这些服务更易于有需要的人获得至关重要。
