Rathod S D, Luitel N P, Jordans M J D
Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Research Department, Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal.
Glob Ment Health (Camb). 2018 Nov 13;5:e37. doi: 10.1017/gmh.2018.28. eCollection 2018.
As reported from studies conducted in Nepal, between 15% and 57% of adults had ever consumed alcohol and between 1.5% and 25% of adults have alcohol use disorders (AUD). Few studies in Nepal have identified the correlates of consumption or described the help-seeking patterns and stigma among those affected with AUD.
Interviewers administered the Alcohol Use Disorders Identification Test (AUDIT) as part of population-based surveys of adults in Chitwan District between 2013 and 2017. We conducted a secondary analysis to identify sociodemographic and health-related correlates of recent alcohol consumption using the χ test, to identify correlates of total AUDIT scores among men who drink using negative binomial regression, and to describe the treatment-seeking and stigma beliefs of men with AUD.
Over half (53.7%, 95% CI 50.4-57.0) of men ( = 1130) recently consumed alcohol, and there were associations between being a drinker with age, religion, caste, education, occupation and tobacco use. Nearly one in four (23.8%, 95% CI 20.2-27.8%) male drinkers screened positive for AUD, and AUDIT scores were associated with age, caste, marital status, occupation, tobacco use, depression, functional status and suicidal ideation. Few (13.3%, 95% CI 11.7-15.0) women ( = 2352) recently consumed alcohol, and 5.3% (95% CI 3.0-9.1) of female drinkers screened positive for AUD. Among AUDIT-positive men, 38% spoke to another person about their problems and 80% had internalized stigma.
This study revealed that nearly one in four men who drink likely have AUD. Higher AUDIT scores were associated with depression, suicidality, dysfunctionality and internalized stigma.
尼泊尔开展的研究报告显示，15%至57%的成年人曾饮酒，1.5%至25%的成年人患有酒精使用障碍（AUD）。尼泊尔很少有研究确定饮酒的相关因素，或描述酒精使用障碍患者的求助模式和耻辱感。
在2013年至2017年期间，访员对奇旺地区的成年人进行基于人群的调查，其中包括实施酒精使用障碍识别测试（AUDIT）。我们进行了二次分析，以使用χ检验确定近期饮酒的社会人口学和健康相关因素，使用负二项回归确定饮酒男性中AUDIT总分的相关因素，并描述酒精使用障碍男性的求助和耻辱感信念。
超过一半（53.7%，95%置信区间50.4 - 57.0）的男性（n = 1130）近期饮酒，饮酒与年龄、宗教、种姓、教育程度、职业和烟草使用之间存在关联。近四分之一（23.8%，95%置信区间20.2 - 27.8%）的男性饮酒者AUD筛查呈阳性，AUDIT得分与年龄、种姓、婚姻状况、职业、烟草使用、抑郁、功能状态和自杀意念相关。很少（13.3%，95%置信区间11.7 - 15.0）的女性（n = 2352）近期饮酒，5.3%（95%置信区间3.0 - 9.1）的女性饮酒者AUD筛查呈阳性。在AUDIT呈阳性的男性中，38%的人就其问题与他人交谈过，80%的人有内化耻辱感。
本研究表明，近四分之一的男性饮酒者可能患有酒精使用障碍。较高的AUDIT得分与抑郁、自杀倾向、功能障碍和内化耻辱感相关。
