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酒精使用障碍及相关因素在贡德尔大学本科生中的横断面研究。

Alcohol use disorder and associated factors among University of Gondar undergraduate students: A cross-sectional study.

机构信息

Department of Psychiatry, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Human Physiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

出版信息

J Subst Abuse Treat. 2021 Oct;129:108373. doi: 10.1016/j.jsat.2021.108373. Epub 2021 Mar 19.

DOI:10.1016/j.jsat.2021.108373
PMID:34080544
Abstract

BACKGROUND

Alcohol use disorder among health science students is a problem throughout the world. Alcohol is accountable for many diseases, injury-related health conditions, poor academic performance, and dropout; and it is the fifth leading risk factor for premature death in the world. Despite this, we know little about the magnitude of alcohol use disorder among health science students in Ethiopia. Assessing alcohol use disorder and associated factors among this population will be paramount for future interventions.

OBJECTIVE

To assess alcohol use disorder and associated factors among University of Gondar undergraduate students.

METHODS

The research team conducted an institution-based cross-sectional study from April 18 to June 15, 2019. First, the study screened all students in the health science campus for alcohol use. To further study alcohol use disorder, the research team selected 424 students from alcohol users using a simple random sampling method. The team collected data through self-administered questionnaires. The study used an alcohol use disorders identification test to assess alcohol use disorder. The study team conducted bivariate and multivariate logistic regression analyses and used an adjusted odds ratio (AOR) at a 95% confidence interval (CI) to determine the independently associated factors of alcohol use disorder.

RESULTS

The overall prevalence of alcohol use disorder among the students was 61.8%. Chewing khat (AOR = 3.26, CI (1.30, 8.15)), male sex (AOR = 1.65, 95 CI (1.02, 2.67)), and having intimate friends who use alcohol (AOR = 1.603, CI (1.03, 2.50)) were significant factors associated with increased alcohol use disorder. Being a 2nd year student (AOR = 0.39, CI (0.17, 0.94)), 3rd year student (AOR = 0.30 CI (0.14, 0.66)), 4th year student (AOR = 0.39, CI (0.18, 0.85)) were significantly associated with decreased alcohol use disorder.

CONCLUSION

The prevalence of alcohol use disorder was high among students. Interventions should be made available to students who use alcohol and khat to reduce use-related problems, and thereby improve their health, and functional and social well-being.

摘要

背景

在全球范围内,健康科学专业学生的酗酒问题一直存在。酒精会导致许多疾病、与伤害相关的健康状况、学业成绩不佳和辍学,是世界范围内导致过早死亡的第五大主要风险因素。尽管如此,我们对埃塞俄比亚健康科学专业学生酗酒问题的严重程度了解甚少。评估这一人群的酗酒问题及其相关因素对于未来的干预措施至关重要。

目的

评估贡德尔大学本科生的酗酒问题及其相关因素。

方法

研究团队于 2019 年 4 月 18 日至 6 月 15 日进行了一项基于机构的横断面研究。首先,研究人员对健康科学校区的所有学生进行了酒精使用筛查。为了进一步研究酗酒问题,研究团队采用简单随机抽样法从饮酒者中选择了 424 名学生。团队通过自填式问卷收集数据。研究使用酒精使用障碍识别测试来评估酗酒问题。研究团队进行了双变量和多变量逻辑回归分析,并使用调整后的优势比(AOR)和 95%置信区间(CI)来确定与酗酒问题独立相关的因素。

结果

学生酗酒障碍的总体患病率为 61.8%。咀嚼恰特草(AOR=3.26,CI(1.30,8.15))、男性(AOR=1.65,95%CI(1.02,2.67))和有饮酒亲密朋友(AOR=1.603,CI(1.03,2.50))是与酗酒障碍相关的显著因素。二年级学生(AOR=0.39,CI(0.17,0.94))、三年级学生(AOR=0.30,CI(0.14,0.66))和四年级学生(AOR=0.39,CI(0.18,0.85))与酗酒障碍显著相关。

结论

学生酗酒障碍的患病率较高。应向饮酒和咀嚼恰特草的学生提供干预措施,以减少相关问题,从而改善他们的健康、功能和社会福利。

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