Alcohol use disorder among prisoners in Debre Berhan prison, Ethiopia: a cross-sectional study

Abstract

Background: Several studies reported that history of alcohol use among prisoners is higher than the prevalence in the general population. Criminality is found to be associated with alcohol use disorder (AUD) in previous studies. In Ethiopia, there is limited information on the prevalence and associated factors of AUD among prisoners. Therefore, this study aimed to assess the prevalence and associated factors of AUD among prisoners of Debre Berhan Prison. Methods: A cross-sectional survey was conducted to assess history of AUD among prisoners at Debre Berhan Prison, before imprisonment. We selected 347 prisoners with a systematic sampling technique and interviewed using Alcohol Use Disorder Identification Test (AUDIT) to screen for AUD in May 2017. Data entry was done using Epi-Data version 3.1 software, and bivariate and multivariate analyses were done using Stata version 13 software. Crude and adjusted odds ratios, with 95% confidence intervals and p-values are reported. Results: About six out of ten prisoners (59.1%) had AUD before imprisonment. Factors associated with increased odds of AUD were perception that the current offence is related to using substances (AOR = 4.2; 95% CI = 2.3, 7.8), and family history of substance use (AOR = 8.7; 95% CI = 1.7, 44.9). Being married had lower odds of AUD compared to the unmarried (AOR = 0.5; 95% CI = 0.2, 0.9). Conclusion: We found that the prevalence of AUD 1 year before imprisonment in this population is high. AUD is found to be associated with a family history of substance use and perception that the current offence is related to using a substance. We recommend community-based study with different kind of study designs to see the relationship between AUD and crime for planning interventions.

Problematic Khat Use Among Prisoners in Debre Berhan Prison, Ethiopia: A Cross-Sectional Study

“…One fth (19.9%) of the participants used to live alone before imprisonment. Detailed description of the socio-demographic characteristics, social factors, and factors related to crime history of the participants are reported elsewhere [51].…”

“…A cross-sectional study design was employed to conduct the study among male prisoners selected through a systematic random sampling method. The detailed description of the setting, and method of the study are reported elsewhere [51].…”

“…We used a structed questionnaire that we developed for the assessment of explanatory variables of this study. Detail description of measures used to assess the explanatory variables in this study are described elsewhere [51]. The measure used to assess the outcome variable (i.e., PKU) is described below.…”

Assessment of alcohol use disorder and its associated factors among alcohol users of medical and surgical outpatients attending a specialized hospital in Gondar, Ethiopia: a cross-sectional study

“…This alcohol screening tool has been validated across different African countries [1,6,29]. In previous works carried out in Ethiopia, the internal consistency of AUDIT was within the acceptable range (Cronbach's α = 0.79) [9,30]. The local made ethanol beverages, for example ' Araki' (distilled from fermented barley or maize combined with 'gesho' [Rhamnusprinioides]), 'Tella' (a beer like drink fermented from barley and Rhamnusprioides) and 'Tej' (honey-wine) were converted into standard drinking units based on their local measurement with an equivalent standard drinking measurement [8].…”

Assessment of Alcohol use Disorder and its Associated Factors among Alcohol users of Medical and Surgical Outpatients Attending a Specialized Hospital in Gondar, Ethiopia: A cross-sectional study

“…This alcohol screening tool has been validated across different African countries [1,6,29]. In previous works carried out in Ethiopia, the internal consistency of AUDIT was within the acceptable range (Cronbach's α = 0.79) [9,30]. The local made ethanol beverages, for example 'Araki' (distilled from fermented barley or maize combined with 'gesho'…”