Epidemiology, Hot Spots, and Sociodemographic Risk Factors of Alcohol Consumption in Indian Men and Women: Analysis of National Family Health Survey-4 (2015-16), a Nationally Representative Cross-Sectional Study
Abstract:Objectives: To map the alcohol hot spots and understand the Sociodemographic Indices (SDI) affecting alcohol consumption in Indian men and women.Methods: Data from National Family Health Survey-4 carried out from 2015 to 2016 with a sample size of 103,411 men and 699,686 women were used for Geographic Information System mapping, and hot spot identification by spatial statistics (Getis-Ord Gi*). Bivariate analyses and multiple logistic regressions were used to analyze SDI.Results: India has three major alcohol … Show more
“…In India, alcohol consumption is predominantly seen in males (male to female ratio of 24.3:1). 14 The suggestive evidence of alcohol abuse as the commonest aetiological factor of AP combined with the male predominance of alcohol consumption in India explains the male to female preponderance (3.5:1) in this study. Similar evidence was suggested by Dugernier T L et al 15 and Balthazar EJ et al 16 On the contrary, Raghuwanshi S et al 17 suggested the evidence of most common aetiology for AP as cholecystolithiasis (42%) followed by alcoholism (38%) with remaining 20% aetiology for AP belonged to rest category which included idiopathic, trauma and drug induced cases (24%, 2% and 2% respectively).…”
Background: Acute pancreatitis (AP) has unpredictable severity. Its management is based on initial assessment of disease severity. It ranges from mild interstitial to severe necrotic form; the latter is associated with poor prognosis. Contrast-enhanced computed tomography (CT) of the abdomen is the gold standard in early detection of pancreatic necrosis and in assessing the severity of AP. Two CT grading systems exist to assess severity of AP: CT severity Index (CSI) and modified CSI (MCSI). This study compares the usefulness of these two systems in predicting severity and clinical outcome in AP in comparison with Ranson’s criteria and clinical outcome parameters. Methods: This is a prospective hospital-based screening study of 80 patients aged >12 years with clinical diagnosis of AP who underwent contrast-enhanced CT study of the abdomen. Comparative analysis between MCSI and CSI with Ranson’s criteria and clinical outcome parameters was assessed by Chi-Squared test. Results: The accuracy of CSI and MSCI in predicting the requirement of critical care, superadded infection, multiple organ dysfunction syndrome (MODS) and requirement of intervention were 73.0%, 64.5%, 69.8% 60.9% and 77.2%, 76.0%, 74.4% & 56.6%, respectively. Area under the curve for MCSI score was significantly higher (AUC : 0.861; 95% CI: 0.736-0.986) than CSI score (AUC:0.815;95% CI:0.749-0.941). MCSI and CSI showed significant correlation with Ranson’s criteria; however, MCSI correlation was better (r:0.53; p<0.01) than CSI (r:0.35;p:0.04). Conclusion: CSI and MCSI are better predictors of severity, clinical outcome and mortality compared with Ranson’s criteria, with MCSI being more accurate and better predictor than CSI. The accuracy of MCSI is better than CSI for prediction of requirement of critical care, development of superadded infection and development of MODS in AP. However, CSI and MCSI have low accuracy in predicting intervention in AP.
“…In India, alcohol consumption is predominantly seen in males (male to female ratio of 24.3:1). 14 The suggestive evidence of alcohol abuse as the commonest aetiological factor of AP combined with the male predominance of alcohol consumption in India explains the male to female preponderance (3.5:1) in this study. Similar evidence was suggested by Dugernier T L et al 15 and Balthazar EJ et al 16 On the contrary, Raghuwanshi S et al 17 suggested the evidence of most common aetiology for AP as cholecystolithiasis (42%) followed by alcoholism (38%) with remaining 20% aetiology for AP belonged to rest category which included idiopathic, trauma and drug induced cases (24%, 2% and 2% respectively).…”
Background: Acute pancreatitis (AP) has unpredictable severity. Its management is based on initial assessment of disease severity. It ranges from mild interstitial to severe necrotic form; the latter is associated with poor prognosis. Contrast-enhanced computed tomography (CT) of the abdomen is the gold standard in early detection of pancreatic necrosis and in assessing the severity of AP. Two CT grading systems exist to assess severity of AP: CT severity Index (CSI) and modified CSI (MCSI). This study compares the usefulness of these two systems in predicting severity and clinical outcome in AP in comparison with Ranson’s criteria and clinical outcome parameters. Methods: This is a prospective hospital-based screening study of 80 patients aged >12 years with clinical diagnosis of AP who underwent contrast-enhanced CT study of the abdomen. Comparative analysis between MCSI and CSI with Ranson’s criteria and clinical outcome parameters was assessed by Chi-Squared test. Results: The accuracy of CSI and MSCI in predicting the requirement of critical care, superadded infection, multiple organ dysfunction syndrome (MODS) and requirement of intervention were 73.0%, 64.5%, 69.8% 60.9% and 77.2%, 76.0%, 74.4% & 56.6%, respectively. Area under the curve for MCSI score was significantly higher (AUC : 0.861; 95% CI: 0.736-0.986) than CSI score (AUC:0.815;95% CI:0.749-0.941). MCSI and CSI showed significant correlation with Ranson’s criteria; however, MCSI correlation was better (r:0.53; p<0.01) than CSI (r:0.35;p:0.04). Conclusion: CSI and MCSI are better predictors of severity, clinical outcome and mortality compared with Ranson’s criteria, with MCSI being more accurate and better predictor than CSI. The accuracy of MCSI is better than CSI for prediction of requirement of critical care, development of superadded infection and development of MODS in AP. However, CSI and MCSI have low accuracy in predicting intervention in AP.
“…Thereby, a child at the very early stage starts imitating in the same way not only in private but also in public spaces like buses, malls, streets, and more (Bhattacharyya, 2015;Bhattacharyya, 2016). There are some similar arguments that are given by Pulla (2020) 7 in his certain lectures on theories of 1…”
Section: Review Of Literature: Overview Of Domestic Violence Amidst C...mentioning
COVID-19 pandemic has forced millions of people across the globe to restrict them under home quarantine. While lockdown was imposed for health and safety reasons for its citizens; it has exacerbated numerous socio-economic issues like rising in Domestic Violence cases and its complaints in India. Due to the increase in Domestic Violence cases in India, the Government of India in 2005 passed the ‘Domestic Violence Act’ that deepened work for the public health issue. The main goal of this research is to examine the available cases of DV in India during quarantine and infer the reasons for them. The data show that unemployment and dissatisfaction as a result of limited access to and/or availability of alcohol following a long prohibition are the major causes of increased DV. Nonetheless, establishing a relationship between DV and lockdown is now difficult due to a lack of data. Domestic Violence Act, it is said, has failed to reduce DV instances in India not just during a lockdown, but also before and after lockdown. This report recommends a large-scale national study based on data from government agencies that track domestic violence complaints.
“…This variability across different states can also be due to state-wise differences in manufacturing, and sales regulations. Very high prevalence of alcohol consumption among women in Mizoram and Manipur could be attributed to lifting on ban on liquor nearly after two decades, with increasing accessibility and social acceptability of its use [ 14 , 15 ]. Also, reason behind lifting of this ban on liquor prohibition was said to be due to incidences of adverse health events due to illicit liquor consumption.…”
Background
Women’s health is usually looked upon in terms of their reproductive health. However, cardio-vascular diseases are one of the leading causes of death and disability among women, globally as well as in India. Risk factors of today can be disease of tomorrow. Gradience in level of epidemiological transition is observed across different states. The study aims to estimate the national and regional prevalence, and sociodemographic determinants of biological and behavioural risk factors for cardiovascular diseases.
Materials and methods
The present study was conducted among women in the age group of 15 to 49 years using nationally representative sample from fifth round National Family Health Survey in India. The data analysis in the current study included 7,24,115 women in the age group of 15 to 49 years. SPSS version 20 was used for the purpose of analysis. Weighted prevalence was computed for the studied behavioral and biological (dependent variable) risk factors using women specific weights as provided in the dataset. Binary logistic regression model was employed to calculate the adjusted odds ratio (OR) with the corresponding 95% confidence interval (CI) to study the sociodemographic determinants (independent variables) of these risk factors.
Results
Highest prevalent risk factor for cardiovascular diseases was reported to be central obesity (78.2%), followed by overweight/obesity (23.9%), oral contraceptive use (13.4%), raised blood pressure (11.8%), raised blood sugar (8.6%), tobacco use (4.0%), and alcohol use (0.7%). Higher odds of all the studied risk factors were reported with increasing age. All of the studied risk factors, except for alcohol consumption [OR (95%CI): 0.9 (0.8–0.96)], had higher odds in rural areas compared to urban areas. Compared to other castes, the odds of tobacco [OR (95% CI): 2.01 (1.91–2.08)] and alcohol consumption [OR (95% CI): 5.76 (5.12–6.28)], and raised blood pressure [OR (95% CI): 1.07(1.04–1.11)] was significantly higher among the people belonging to schedule tribe.
Conclusion and recommendation
The present study highlights the state-wise disparities in the burden and predictors of risk factors for cardio-vascular diseases among women of reproductive age. The study provides insights to these disparities, and focuses on the need of tailoring the disease prevention and control measures suiting to the local needs.
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