Department of Nursing, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Psychiatry, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Subst Abuse Treat Prev Policy. 2020 Apr 3;15(1):26. doi: 10.1186/s13011-020-00270-w.
Several studies reported that history of alcohol use among prisoners is higher than the prevalence in the general population. Criminality is found to be associated with alcohol use disorder (AUD) in previous studies. In Ethiopia, there is limited information on the prevalence and associated factors of AUD among prisoners. Therefore, this study aimed to assess the prevalence and associated factors of AUD among prisoners of Debre Berhan Prison.
A cross-sectional survey was conducted to assess history of AUD among prisoners at Debre Berhan Prison, before imprisonment. We selected 347 prisoners with a systematic sampling technique and interviewed using Alcohol Use Disorder Identification Test (AUDIT) to screen for AUD in May 2017. Data entry was done using Epi-Data version 3.1 software, and bivariate and multivariate analyses were done using Stata version 13 software. Crude and adjusted odds ratios, with 95% confidence intervals and p-values are reported.
About six out of ten prisoners (59.1%) had AUD before imprisonment. Factors associated with increased odds of AUD were perception that the current offence is related to using substances (AOR = 4.2; 95% CI = 2.3, 7.8), and family history of substance use (AOR = 8.7; 95% CI = 1.7, 44.9). Being married had lower odds of AUD compared to the unmarried (AOR = 0.5; 95% CI = 0.2, 0.9).
We found that the prevalence of AUD 1 year before imprisonment in this population is high. AUD is found to be associated with a family history of substance use and perception that the current offence is related to using a substance. We recommend community-based study with different kind of study designs to see the relationship between AUD and crime for planning interventions.
多项研究报告称，囚犯中的饮酒史高于普通人群的患病率。先前的研究发现犯罪与酒精使用障碍（AUD）有关。在埃塞俄比亚，关于囚犯中 AUD 的患病率和相关因素的信息有限。因此，本研究旨在评估 Debre Berhan 监狱囚犯中 AUD 的患病率和相关因素。
我们采用横断面调查，在 2017 年 5 月，使用酒精使用障碍识别测试（AUDIT）对 Debre Berhan 监狱的囚犯进行了入狱前 AUD 史评估。我们采用系统抽样技术选择了 347 名囚犯，并进行了访谈。使用 Epi-Data 版本 3.1 软件进行数据录入，使用 Stata 版本 13 软件进行单变量和多变量分析。报告了粗比和调整后的比值比、95%置信区间和 p 值。
大约十分之六的囚犯（59.1%）在入狱前有 AUD。与 AUD 几率增加相关的因素包括认为当前犯罪与使用物质有关（AOR=4.2；95%CI=2.3,7.8）和有物质使用的家族史（AOR=8.7；95%CI=1.7,44.9）。与未婚者相比，已婚者 AUD 的几率较低（AOR=0.5；95%CI=0.2,0.9）。
我们发现，该人群在入狱前 1 年 AUD 的患病率很高。AUD 与物质使用的家族史和认为当前犯罪与使用物质有关有关。我们建议进行基于社区的研究，并采用不同的研究设计，以了解 AUD 与犯罪之间的关系，从而为干预措施提供计划。
