Gopikrishnan Sri Keerthana, Ponraj David Gregg Smith, Newtonraj Ariarathinam, Purty Anil Jacob, Manikandan Mani, Vincent Antony
Department of Community Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.
J Family Med Prim Care. 2020 Aug 25;9(8):4333-4336. doi: 10.4103/jfmpc.jfmpc_917_20. eCollection 2020 Aug.
Alcohol use is a major public health problem in India. We sought to study the use of alcohol and its risk factors in a rural area in South India.
This study was conducted in 20 villages surrounding a Rural Health Training Centre, located in South India. The study was done from March 2018 to October 2018 with the help of Medical Interns and Medical Social Workers using a pretested questionnaire.
In a total population of 14,925, 11,995 individuals are in the age group of 15 years and above, among whom 1,005 were reported to be using alcohol. The prevalence of alcohol among 15 years and above is 8.4% (7.9-8.9) and the overall prevalence in the total population is 7% (6.3-7.1). Prevalence of alcohol use among males and females are 16% and 1%, respectively. The alcohol use is higher among those who prefer open defecation (adjusted Odds Ratio (aOR) 1.2 (1.0-1.4)), Kutcha house (aOR 1.7 (1.4-2.2)) or semi-pucca house (aOR 1.3 (1.121.6)), lower caste (Most Backward Castes (MBC) aOR 1.7 (1.2-2.2), Scheduled Castes (SC) aOR 2.1 (1.6-2.9)), male gender (aOR 41 (29-59)), Married 5.0 (3.7-6.8), or Separated 2.6 (1.5-4.4) and Diabetes 1.6 (1.1-2.3).
Alcohol use in a remote rural area is high among socially deprived communities who live in kutcha and semi-pucca houses and belong to a lower caste. This needs serious public health interventions to improve their socioeconomic status.
饮酒在印度是一个重大的公共卫生问题。我们试图研究印度南部一个农村地区的饮酒情况及其风险因素。
本研究在印度南部一个农村卫生培训中心周边的20个村庄开展。研究于2018年3月至2018年10月进行,借助医学实习生和医学社会工作者,使用预先测试过的问卷。
在总共14925人中,11995人年龄在15岁及以上,其中据报告有1005人饮酒。15岁及以上人群中的饮酒患病率为8.4%(7.9 - 8.9),总人口中的总体患病率为7%(6.3 - 7.1)。男性和女性的饮酒患病率分别为16%和1%。在那些更喜欢露天排便(调整后的优势比(aOR)1.2(1.0 - 1.4))、居住在土坯房(aOR 1.7(1.4 - 2.2))或半永久性房屋(aOR 1.3(1.1 - 1.6))、低种姓(最落后种姓(MBC)aOR 1.7(1.2 - 2.2)、在册种姓(SC)aOR 2.1(1.6 - 2.9))、男性(aOR 41(29 - 59))、已婚(aOR 5.0(3.7 - 6.8))或分居(aOR 2.6(1.5 - 4.4))以及患有糖尿病(aOR 1.6(1.1 - 2.3))的人群中,饮酒情况更为普遍。
在居住在土坯房和半永久性房屋且属于低种姓的社会弱势群体中,偏远农村地区的饮酒率较高。这需要采取严肃的公共卫生干预措施来改善他们的社会经济地位。