a Department of Mental Health, Social Health and Addiction, Ministry of Health , Tehran , Iran.
b Health sociology researcher, Health and Medical Sociology Group of Iran Sociology Association , Tehran , Iran.
J Psychoactive Drugs. 2019 Jul-Aug;51(3):290-297. doi: 10.1080/02791072.2019.1578909. Epub 2019 Feb 23.
Globally, alcohol use is one of the leading contributors to the burden of disease. The aim of this study was to provide data on prevalence and correlates of lifetime alcohol use among Iranian adults living in urban areas. This cross-sectional study investigated knowledge, attitude, and practice (KAP) of Iranian adults towards drug and alcohol use. Participants were recruited from the capital cities of five provinces-Tehran, West Azerbaijan, Markazi, Kerman, and Khorasan Razavi-in 2015. We used multivariate logistic regression models to conduct data analysis. Completing the questionnaire were 2,065 participants (44.06% female). Prevalence of lifetime alcohol use was 28% (95% CI: 25-29%). Lifetime alcohol use was significantly associated with male gender (Odds Ratio (OR) = 1.74, 95% Confidence Interval (CI): 1.26- 2.39), positive attitude towards alcohol (OR = 2.15, CI: 1.60-4.34), lifetime stimulants use (OR = 5.73, CI: 3.56- 9.23), and lifetime opioids use (OR = 4.47, CI: 3.12- 6.39). Estimated lifetime prevalence of alcohol use in our study was higher than the regional average. Primary alcohol prevention programs need to target sub- populations who are at risk for alcohol use and provide services that impede the development of positive attitudes towards alcohol.
全球范围内，饮酒是导致疾病负担的主要因素之一。本研究旨在提供伊朗城市成年居民终生饮酒的流行率和相关因素数据。这项横断面研究调查了伊朗成年人对毒品和酒精使用的知识、态度和实践（KAP）。参与者于 2015 年在五个省份的省会城市（德黑兰、东阿塞拜疆、马赞德兰、克尔曼和霍拉桑拉扎维）招募。我们使用多变量逻辑回归模型进行数据分析。共有 2065 名参与者（44.06%为女性）完成了问卷调查。终生饮酒的流行率为 28%（95%CI：25-29%）。终生饮酒与男性性别（比值比（OR）=1.74，95%置信区间（CI）：1.26-2.39）、对酒精的积极态度（OR=2.15，CI：1.60-4.34）、终生兴奋剂使用（OR=5.73，CI：3.56-9.23）和终生阿片类药物使用（OR=4.47，CI：3.12-6.39）显著相关。本研究估计的终生饮酒流行率高于该地区的平均水平。初级酒精预防计划需要针对有饮酒风险的亚人群，并提供服务，以阻止对酒精的积极态度的发展。
