Rose Anuradha, Mohan Venkat Raghava, Vinodh Amala, David Sam Marconi, George Kuryan, Minz Shantidani, Prasad Jasmin Helan
Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Don Bosco Social Outreach, Jamunamarathur, Jawadhi Hills, Tamil Nadu, India.
J Family Med Prim Care. 2021 Jan;10(1):481-484. doi: 10.4103/jfmpc.jfmpc_1354_20. Epub 2021 Jan 30.
Worldwide, hazardous use of alcohol is common among many cultures and societies and adversely impacts families and communities, with significant morbidity and mortality. Scheduled Tribes (STs) who are socially deprived and marginalised have higher rates of alcohol use.
We attempted to determine the nature, prevalence, and risk factors associated with hazardous consumption of alcohol in the tribal community.
A cross-sectional study was conducted among adult male and permanent residents of Jawadhi hills. A total of 1200 men were interviewed. Study participants were chosen by Probability Proportionate to Size (PPS) sampling method. The questionnaire that documented socio-demographic characteristics and patterns of alcohol use was used. AUDIT tool was used to assess the hazardous use of Alcohol. Data were analysed using SPSS.
Majority of the men were middle-aged, married, and were from lower socio-economic strata. A large proportion of men (65%) had a history of alcohol consumption in the last one year using one-year, of whom a quarter showed hazardous use (29%) and another quarter exhibited alcohol dependency (24%). Tobacco use, higher income and local alcohol production were found to be significant risk factors for Hazardous alcohol use.
Alcohol consumption needs to be treated as a social problem and has to be tackled at the policy level. Population-based interventions, legislation, taxation, policies regarding the manufacture and sale of alcohol, are some of the ways to address this problem.
在全球范围内，许多文化和社会中酒精的有害使用现象普遍存在，对家庭和社区产生不利影响，导致大量发病和死亡。社会地位低下且处于边缘地位的部落民饮酒率较高。
我们试图确定部落社区中与酒精有害消费相关的性质、患病率及风险因素。
在贾瓦迪山的成年男性和常住居民中开展了一项横断面研究。共对1200名男性进行了访谈。研究参与者采用按规模大小概率抽样（PPS）方法选取。使用记录社会人口学特征和饮酒模式的问卷。采用酒精使用障碍鉴定测试（AUDIT）工具评估酒精的有害使用情况。数据使用社会科学统计软件包（SPSS）进行分析。
大多数男性为中年、已婚，且来自社会经济地位较低的阶层。很大一部分男性（65%）在过去一年中有饮酒史，其中四分之一表现出有害使用（29%），另有四分之一表现出酒精依赖（24%）。吸烟、较高收入和当地酒精生产被发现是有害酒精使用的重要风险因素。
饮酒需要被视为一个社会问题，必须在政策层面加以解决。基于人群的干预措施、立法、税收、关于酒精生产和销售的政策，是解决这一问题的一些途径。
