Demilew Demeke, Boru Berhanu, Tesfaw Getachew, Kerebih Habtamu, Salelew Endalamaw
Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, P.O.BOX: 196, Gondar, Ethiopia.
School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Int J Ment Health Syst. 2021 Mar 26;15(1):28. doi: 10.1186/s13033-021-00454-2.
Alcohol use disorder increase the risk of physical harm, mental or social consequences for patients and others in the community. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data on alcohol use disorder and associated factors among alcohol user medical and surgical outpatients to intervene in the future.
An institution-based cross-sectional study was conducted by using the systematic random sampling technique. Alcohol use disorders were assessed using the World Health Organization's 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Bivariate and multivariate logistic regression analyses were performed, a P-value less than 0.05 were considered statistically significant in the multivariate analysis and the strength of association was measured at a 95% confidence interval.
The prevalence of alcohol use disorder was 34.5% with a 95% CI (29.20, 39.80) among study participants. In the multivariate logistic regression analysis, male sex (AOR = 3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR = 2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR = 1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR = 5.64, 95%CI: 1.95, 16.29) were factors significantly associated with alcohol use disorder.
The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, alcohol use for relaxation and lifetime cigarette smoking need more attention during the assessment of patients in the medical and surgical outpatient departments.
酒精使用障碍会增加患者以及社区中其他人员遭受身体伤害、心理或社会后果的风险。埃塞俄比亚针对内科和外科门诊患者的酒精使用障碍及其相关因素的研究有限。因此,本研究旨在提供有关内科和外科门诊酒精使用者的酒精使用障碍及其相关因素的重要数据,以便未来进行干预。
采用系统随机抽样技术进行了一项基于机构的横断面研究。使用世界卫生组织的10项酒精使用障碍识别测试(AUDIT)问卷评估酒精使用障碍。进行了二元和多元逻辑回归分析,在多元分析中,P值小于0.05被认为具有统计学意义,关联强度在95%置信区间内进行测量。
研究参与者中酒精使用障碍的患病率为34.5%,95%置信区间为(29.20,39.80)。在多元逻辑回归分析中,男性(比值比[AOR]=3.33,95%置信区间:1.40,7.93)、精神疾病史(AOR=2.68,95%置信区间:1.12,6.38)、为放松而饮酒(AOR=1.88,95%置信区间:1.02,3.48)以及终生吸烟史(AOR=5.64,95%置信区间:1.95,16.29)是与酒精使用障碍显著相关的因素。
在内科和外科门诊患者中,酒精使用障碍的患病率较高。在内科和外科门诊对患者进行评估时,男性、精神疾病史、为放松而饮酒以及终生吸烟需要更多关注。