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尼泊尔东部达兰长途巴士司机和工作人员中酒精问题的识别:基于CAGE和DSM-IV工具的评估

Identification of alcohol problem among long route bus drivers and staffs of Dharan, eastern Nepal: Assessing from the CAGE and DSM-IV tools.

作者信息

Yadav Ashok K, Rai B K, Niraula S R, Yadav A, Bhandari R, Shrivastav V

机构信息

Department of General Practice and Emergency Medicine, B.P. Koirala Institute of Health sciences, Dharan, Nepal.

Department of Community Medicine and Public Health, B.P. Koirala Institute of Health sciences, Dharan, Nepal.

出版信息

J Family Med Prim Care. 2019 Mar;8(3):853-859. doi: 10.4103/jfmpc.jfmpc_301_17.

Abstract

BACKGROUND

Alcohol use remains a major cause of preventable death worldwide occurring prematurely. Despite its global burden, alcohol still is a legal drug. Various studies have also shown that factors like education, occupation, influence from films and family, for stress relief, pleasure during alcohol use, better self-esteem, and occupational boredom are associated with alcohol use. The consumption of alcohol, even in relatively small amounts, increases the risk of being involved in a crash for motorists and pedestrians. It is also associated with impaired judgments and so is often linked to road traffic accident.

OBJECTIVES

To assess the prevalence, type of alcohol use, and the associated factors for the initiation of alcohol use among bus drivers and staffs of long route bus of Dharan. To assess the knowledge, attitude, and practice regarding alcohol use for their willingness to quit it with medical help.

MATERIALS AND METHODS

The cross-sectional survey was conducted in 250 long route drivers and staffs in Dharan Bus Park in 2016 with the help of a self-designed questionnaire in Nepali language. The sample size was preliminarily estimated on the basis of the prevalence of alcohol use. The "Alcohol consumer" refers to drivers who used alcohol at least once in the previous year.

RESULTS

Alcohol dependency among Hindu was found to be significantly more than other religious group. The prevalence of alcohol consumption was found to be 78%. About 51% drivers are likely to have alcohol problems, 39% are alcohol abuser, and 45% are alcohol dependent.

CONCLUSION

Drinking and driving increase the vulnerability to injury and death on the road. The study creates awareness among drivers about the harmful use of alcohol and psychosocial consequences.

摘要

背景

饮酒仍然是全球可预防过早死亡的主要原因。尽管其造成全球负担,但酒精仍是一种合法药物。各种研究还表明,诸如教育、职业、电影和家庭的影响、为缓解压力、饮酒时的愉悦感、更高的自尊以及职业倦怠等因素与饮酒有关。即使是相对少量饮酒,也会增加驾车者和行人遭遇车祸的风险。它还与判断力受损有关,因此常与道路交通事故相关联。

目的

评估达兰长途巴士司机和工作人员中饮酒的患病率、饮酒类型以及开始饮酒的相关因素。评估他们对饮酒的知识、态度和行为,以及他们在医疗帮助下戒酒的意愿。

材料与方法

2016年,在达兰巴士站,借助一份自行设计的尼泊尔语问卷,对250名长途巴士司机和工作人员进行了横断面调查。样本量是根据饮酒患病率初步估算的。“饮酒者”指在前一年至少饮酒一次的司机。

结果

发现印度教徒中的酒精依赖情况明显多于其他宗教群体。饮酒患病率为78%。约51%的司机可能存在酒精问题,39%是酗酒者,45%是酒精依赖者。

结论

酒后驾车会增加道路上受伤和死亡的风险。该研究提高了司机对有害饮酒及其社会心理后果的认识。

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