Patterns of alcohol consumption in diverse rural populations in the Asian region

Bich, Tran Huu; Nga, Pham Thi Quynh; Quang, La Ngoc; Minh, Hoang Van; Ng, Nawi; Juvekar, Sanjay; Razzaque, Abdur; Ashraf, Ali; Ahmed, Syed Masud; Soonthornthada, Kusol; Kanungsukkasem, Uraiwan

doi:10.3402/gha.v2i0.2017

Cited by 25 publications

(24 citation statements)

References 9 publications

(10 reference statements)

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“…Kestila and colleagues,11 in a nationally representative study of young adults in Finland, reported a significant association between a low level of education and heavy alcohol use. In a similar study carried out in rural Asian populations, Bich and colleagues reported an association between alcohol use and failure to attend or complete primary education 12. The evidence of association in our study is, however, weak as respondents’ level of education was not an independent predictor of both forms of alcohol use.…”

Section: Discussioncontrasting

confidence: 78%

Social determinants of alcohol use among drivers in Calabar

et al. 2011

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Objective:Hazardous use of alcohol is a public health problem which accounts for 4.0% of global disease burden. Although the prevalence of alcohol use among drivers of commercial vehicles in Nigeria has been documented, not much is known about its social determinants. This study was, therefore, aimed at assessing the social determinants of alcohol use among drivers of commercial vehicles in Calabar.Materials and Methods:A cross-sectional descriptive study was conducted among 360 male commercial drivers. A semistructured questionnaire, which included the World Health Organization Alcohol Use Disorders Identification Test, was administered at interview. Binary and multinomial logistic regression analyses were used to identify social determinants of any and hazardous alcohol use.Results:Determinants of any alcohol use (binary logistic) were history of use by parents (adjusted odds ratios (AOR)=2.7; 95% CI=1.1–6.3), friends (AOR=3.2; 95% CI=1.3–7.8) and ready availability (AOR=4.1; 95% CI=1.9–8.8) while determinants of hazardous use (multinomial logistic) were history of use by parents (AOR=5.8; 95% CI=2.0–16.9), siblings (AOR=7.0; 95% CI=2.6–16.9), friends (AOR=6.6; 95% CI=1.8–24.4), hostile upbringing environment (AOR=3.8; 95% CI=1.3–11.1), use of other drugs (AOR=55.6, 95% CI=14.5–200), and respondents who had fathers with a maximum of primary or no formal education (AOR=4.6; 95% CI=1.8–11.8).Conclusion:Alcohol use was associated with family use, friends’ use, and use of other drugs. Multiple health education interventions are needed to tackle these challenges.

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Section: Discussioncontrasting

confidence: 78%

Social determinants of alcohol use among drivers in Calabar

et al. 2011

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“…On average around 40% of all studies included some sort of socioeconomic indicator mirroring educational attainment [15, 17, 21–24, 32, 34, 35, 37–40, 42–44, 47, 48, 50, 55, 56, 60, 63, 66, 68, 69, 71, 73, 75, 76, 79, 81, 83–85, 91, 92, 95, 99, 101, 102, 104–108, 111, 112, 114, 122, 123, 125–127, 129, 131, 133, 135–138, 140, 142, 155, 156], income or wealth [15, 17, 20–22, 25, 28, 37, 39, 43, 47, 52, 55, 56, 60, 63, 66, …”

Section: Resultsmentioning

confidence: 99%

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

et al. 2017

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BackgroundChronic noncommunicable diseases (NCDs) have emerged as a huge global health problem in low- and middle-income countries. The magnitude of the rise of NCDs is particularly visible in Southeast Asia where limited resources have been used to address this rising epidemic, as in the case of Indonesia. Robust evidence to measure growing NCD-related burdens at national and local levels and to aid national discussion on social determinants of health and intra-country inequalities is needed. The aim of this review is (i) to illustrate the burden of risk factors, morbidity, disability, and mortality related to NCDs; (ii) to identify existing policy and community interventions, including disease prevention and management strategies; and (iii) to investigate how and why an inequitable distribution of this burden can be explained in terms of the social determinants of health.MethodsOur review followed the PRISMA guidelines for identifying, screening, and checking the eligibility and quality of relevant literature. We systematically searched electronic databases and gray literature for English- and Indonesian-language studies published between Jan 1, 2000 and October 1, 2015. We synthesized included studies in the form of a narrative synthesis and where possible meta-analyzed their data.ResultsOn the basis of deductive qualitative content analysis, 130 included citations were grouped into seven topic areas: risk factors; morbidity; disability; mortality; disease management; interventions and prevention; and social determinants of health. A quantitative synthesis meta-analyzed a subset of studies related to the risk factors smoking, obesity, and hypertension.ConclusionsOur findings echo the urgent need to expand routine risk factor surveillance and outcome monitoring and to integrate these into one national health information system. There is a stringent necessity to reorient and enhance health system responses to offer effective, realistic, and affordable ways to prevent and control NCDs through cost-effective interventions and a more structured approach to the delivery of high-quality primary care and equitable prevention and treatment strategies. Research on social determinants of health and policy-relevant research need to be expanded and strengthened to the extent that a reduction of the total NCD burden and inequalities therein should be treated as related and mutually reinforcing priorities.

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“…HIV risk reduction interventions with IDU may need to explore the potential role of alcohol use and abuse and may want to review with IDU specific strategies to limit alcohol consumption including spacing drinks, alternating alcoholic drinks with nonalcoholic beverages, setting a limit on consumption, or finding alternative activities that do not include substance use, such as sports (Benton, et al, 2004; Delva, et al, 2004; Glassman, Werch, & Jobli, 2007; Martens, Ferrier, & Cimini, 2007; Martens, Pederson, Labrie, Ferrier, & Cimini, 2007; Martens, et al, 2004; Sugarman & Carey, 2007). Like many developing countries, information about alcohol abuse and alcohol consumption-related problems is less pervasive in Vietnam (Huu Bich, et al, 2009). Programs that target male IDU should increase awareness of the direct (e.g., liver disease, accidents, violence, psychiatric conditions, and interpersonal conflict) and indirect (e.g., increased sexual risk behaviors, increasing risk to overdose from mixing alcohol with heroin) harms associated with alcohol use.…”

Section: Discussionmentioning

confidence: 99%

Decreased injecting is associated with increased alcohol consumption among injecting drug users in northern Vietnam

Go¹,

Minh²,

Frangakis³

et al. 2013

International Journal of Drug Policy

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Background Reducing injecting frequency may reduce the risk of HIV infection and improve health outcomes among injection drug users (IDU). However, the reduction of one risk behavior may be associated with an increase in other risk behaviors, including the use of other risk-associated substances. Our objective was to determine if an association exists between a reduction in injecting and level of alcohol use among IDU. Methods We conducted a longitudinal analysis of data collected for a randomized controlled trial examining the efficacy of a peer education intervention in reducing HIV risk among IDU and their network members in Thai Nguyen, Vietnam. Our analysis included active male injectors (n=629) who were study participants and attended both baseline and 3-month visits. Frequency of alcohol consumption was assessed as the number of alcoholic drinks in the past 30 days. Change in risk and outcome behaviors was calculated as the difference in frequencies of behaviors between baseline and 3-month follow-up visits. The outcome of interest was concurrent decreased drug injection and increased alcohol consumption. Results The mean difference between baseline and 3-month follow-up of alcohol consumption and injection frequency in the past 30 days was 19.03 drinks (93.68 SD) and 20.22 injections (35.66 SD), respectively. Participants who reported reduced injection frequency were almost three times as likely to report increased alcohol consumption (OR 2.8; 95% CI, 2.0, 4.0). The proportion that both decreased injecting and increased alcohol by any amount in the past 30 days was 35.6%. In multivariate analysis higher education was significantly associated with an increase in alcohol and decrease in injecting of any amount. Conclusion Male IDU may be at risk for increasing alcohol consumption when they reduce injection frequency. Interventions with male IDU that encourage reduction of injection may need to review specific strategies to limit alcohol consumption.

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Patterns of alcohol consumption in diverse rural populations in the Asian region

Cited by 25 publications

References 9 publications

Social determinants of alcohol use among drivers in Calabar

Social determinants of alcohol use among drivers in Calabar

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

Decreased injecting is associated with increased alcohol consumption among injecting drug users in northern Vietnam

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