Alcohol use and alcohol use disorder among male outpatients in a primary care setting in rural Puducherry

Akkilagunta, Sujiv; Chinnakali, Palanivel; Balajee, Karthik Laksham; Lakshminarayanan, Subitha; Kumar, Senthil; Roy, Gautam

doi:10.4103/0972-6748.181711

Cited by 19 publications

(11 citation statements)

References 8 publications

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“…The striking differences in alcohol use (and hazardous alcohol use) may also explain some of the sex imbalances in TB cases in India and in our study population (where the PAF for alcohol in women was only 1.7%). [ 14 ] Alcohol treatment programs are few in this area and more may be needed;[ 15 ] by reducing alcohol use, TB cases would be fewer. [ 12 , 16 ] Furthermore, alcohol use results in poor TB treatment adherence and worse TB outcomes, including death;[ 17 , 18 ] closer integration between TB control programs and alcohol treatment programs may improve outcomes.…”

Section: Discussionmentioning

confidence: 99%

Comorbidities in pulmonary tuberculosis cases in Puducherry and Tamil Nadu, India: Opportunities for intervention

et al. 2017

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BackgroundWe aimed to define characteristics of TB patients in Puducherry and two districts of Tamil Nadu, India and calculate the population attributable fractions (PAF) of TB from malnutrition and alcohol.MethodsNew smear-positive TB cases were enrolled into the Regional Prospective Observational Research for Tuberculosis (RePORT India) cohort. Census and National Family Health Survey data were used for comparisons.ResultsData were analyzed for 409 participants enrolled between May 2014-June 2016; 307 (75.1%) were male, 60.2% were malnourished (body mass index [BMI] <18.5 kg/m2), and 29.1% severely malnourished (BMI <16). “Hazardous” alcohol use (based on AUDIT-C score) was reported by 155/305 (50.8%) of males. Tuberculosis cases were more likely than the Puducherry population to be malnourished (62.6% v 10.2% males and 71.7% v 11.3% of females; both p<0.001), and male cases were more likely to use alcohol than male non-cases (84.4% v 41%; p < .001). The PAF of malnutrition was 57.4% in males and 61.5% in females; the PAF for alcohol use was 73.8% in males and 1.7% in females.ConclusionsAlcohol use in men and malnutrition are helping drive the TB epidemic in Southern India. Reducing the TB burden in this population will require efforts to mitigate these risk factors.

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Section: Discussionmentioning

confidence: 99%

Comorbidities in pulmonary tuberculosis cases in Puducherry and Tamil Nadu, India: Opportunities for intervention

et al. 2017

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“…This indicates a greater prevalence of alcohol use (79.3% vs. 39.8%), alcohol use disorder defined as AUDIT >8 (60.9% vs. 10.9%), and a higher proportion of probable dependent users defined as AUDIT >20 (9.9% vs. 2.3%) among fishermen compared to general population of Puducherry. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Association of Attention-deficit Hyperkinetic Disorder with Alcohol Use Disorders in Fishermen

Kumar

Bharadwaj

Kuppili

et al. 2017

Journal of Neurosciences in Rural Practice

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Introduction:Alcohol use is a widely prevalent problem and poses hazard during work for certain groups such as fishermen. Disorders such as Attention-Deficit/Hyperkinetic Disorder (ADHD) correlate with early onset and greater severity of alcohol use disorders.Aims:We planned to study the frequency of ADHD among fishermen in a fishing hamlet of southern India using adult ADHD self-reported scale (ASRS) and correlated with the severity of alcohol use disorder as evidenced by age at initiation of alcohol use, presence of harmful use, or dependence use as defined by Alcohol Use Disorders Identification Test (AUDIT).Subjects and Methods:This was a community-based interview using AUDIT questionnaire for severity of alcohol use and the ASRS to detect ADHD.Results:The prevalence of adult ADHD among fishermen in this study was 25.7% using the critical items of the ASRS. ADHD was about twice as likely in participants with dependence as those without dependence (odds ratio = 2.10). ADHD was also more likely in participants with onset of use before 30 years of age than others (25.1% vs. 15.4%) (P = 0.27).Discussion:We found a high frequency of alcohol use among fishermen (79.8%). However, only 9.9% had alcohol dependence which is higher than the general population (2.3%) in the region. Fishermen with alcohol dependence were twice as likely to have ADHD as those without alcohol dependence.Conclusion:In a community-based survey of fishermen, the prevalence of alcohol dependence was about 10%. The presence of alcohol dependence predicted a two times higher likelihood of ADHD among fishermen than those without alcohol dependence.

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“…Few facility-based studies done in primary health-care (PHC) settings in India have found that the prevalence of alcohol use among male outpatient department (OPD) attendees were ranging from 38% to 63%. [ 9 10 11 12 ]…”

Section: Introductionmentioning

confidence: 99%

Willingness to quit alcohol use and its associated factors among male outpatients attending urban primary health centers in Delhi

Nagappa

Marimuthu

Sarweswaran

et al. 2020

J Edu Health Promot

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CONTEXT: Harmful use of alcohol has led to 1.7 million deaths from noncommunicable diseases and 1 million injury deaths including road traffic accidents, self-harm, and interpersonal violence. The opportunistic screening can be used to screen for substance abuse in outpatient department (OPD) attendees of primary health-care (PHC) settings in India. AIMS: This study was conducted to determine the prevalence of willingness to quit alcohol use among alcohol users and factors associated with it. SUBJECTS AND METHODS: A facility-based cross-sectional study was conducted in urban PHCs and willingness to quit alcohol was assessed among the alcohol users. Alcohol Use Disorder Identification Test (AUDIT) scale was used to assess the alcohol use disorder score. Data were entered using Epidata version 3.1 and analyzed using STATA version 14. RESULTS: It is found that two-third of the male OPD patients are using alcohol and 59% of the alcohol users were willing to quit alcohol. Education (adjusted prevalence rate ratio [aPR] = 1.9; 95% confidence interval [CI]: 1.2–2.9), occupation (aPR = 1.4; 95% CI: 1.1–1.8), higher AUDIT scores (aPR = 2.7; 95% CI: 2.2–3.5), frequency of alcohol use (aPR = 1.6; 95% CI: 1.2–2.0), and positive family history of alcohol-related illness times (aPR = 1.6; 95% CI: 1.3–2.0) were significantly associated with willingness to quit alcohol. CONCLUSION: Two-third of the male OPD patients are using alcohol and 59% of the alcohol users were willing to quit alcohol. Education, occupation, higher AUDIT scores, frequency of alcohol use, and positive family history of alcohol-related illness were significantly associated with willingness to quit alcohol.

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Alcohol use and alcohol use disorder among male outpatients in a primary care setting in rural Puducherry

Cited by 19 publications

References 8 publications

Comorbidities in pulmonary tuberculosis cases in Puducherry and Tamil Nadu, India: Opportunities for intervention

Comorbidities in pulmonary tuberculosis cases in Puducherry and Tamil Nadu, India: Opportunities for intervention

Association of Attention-deficit Hyperkinetic Disorder with Alcohol Use Disorders in Fishermen

Willingness to quit alcohol use and its associated factors among male outpatients attending urban primary health centers in Delhi

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