Mathew Asha E, Minz Shantidani, Vinodh Amala, Prasad Jasmin Helan, Paul John, Jebaraj Paul, Rose Anuradha
Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Director of Social Outreach Ministry, Arutkaram Don Bosco Deaddiction Ministries, Don Bosco Tribal Society Jawadhi, India.
J Family Med Prim Care. 2022 Nov;11(11):6869-6875. doi: 10.4103/jfmpc.jfmpc_2457_21. Epub 2022 Dec 16.
Alcohol consumption in the tribal communities is found to be rising, as Indian-made foreign liquor (IMFL) is easily accessible through state-run outlets. During the first coronavirus disease (COVID-19) lockdown, despite IMFL being non-available, there were not any reports of alcohol withdrawal among the tribal men who were enrolled in our substance abuse clinic.
This is a community-based, mixed-method study to document the changes during the lockdown in the drinking pattern and behavior of families and communities of men who consume alcohol. The quantitative part of the study was done by interviewing 45 alcohol-dependent men and documenting their alcohol use disorders identification test (AUDIT) scores during the lockdown. The qualitative part captured the changes in familial and social behavior. Focused group discussions (FGDs) were conducted among community members and leaders. In-depth interviews (IDs) were done among men with harmful drinking patterns and their spouses.
There was a significant reduction in the consumption of IMFL among the men interviewed as depicted by the low mean AUDIT score (16.42, < 0.001). Trivial withdrawal symptoms were found among them (67%). Around 73.3% could access arrack. The community perceived that arrack was brewed and sold at a higher cost within days of lockdown. Familial conflicts reduced. Certain community leaders and members could proactively curb the brewing and selling of arrack.
The study uniquely brought out in depth the information at the individual, familial, and community contexts. It is imperative to develop policies to protect indigenous populations by different rules governing the sales of alcohol.
由于国产外国酒（IMFL）可通过国营商店轻松买到，部落社区的酒精消费量呈上升趋势。在首次冠状病毒病（COVID-19）封锁期间，尽管买不到IMFL，但在我们的药物滥用诊所登记的部落男性中，没有任何戒酒报告。
这是一项基于社区的混合方法研究，旨在记录封锁期间饮酒男性家庭和社区饮酒模式及行为的变化。研究的定量部分通过采访45名酒精依赖男性并记录他们在封锁期间的酒精使用障碍识别测试（AUDIT）分数来完成。定性部分捕捉了家庭和社会行为的变化。在社区成员和领导人中进行了焦点小组讨论（FGD）。对有有害饮酒模式的男性及其配偶进行了深入访谈（ID）。
受访男性的IMFL消费量显著减少，平均AUDIT分数较低（16.42，<0.001）。在他们当中发现了轻微的戒断症状（67%）。约73.3%的人可以获得亚力酒。社区认为在封锁几天内，亚力酒的酿造和销售价格更高。家庭冲突减少。某些社区领导人和成员能够积极遏制亚力酒的酿造和销售。
该研究独特地深入揭示了个人、家庭和社区背景下的信息。必须制定政策，通过对酒精销售实行不同规则来保护土著居民。
