The course and outcome of alcohol use disorders in men in Goa: A population- based follow-up study

Nadkarni, Abhijit; Bhat, Bhargav; Ebrahim, Shah; Patel, Vikram

doi:10.4103/0019-5545.120573

Cited by 5 publications

(5 citation statements)

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“…The need of the hour for India is to implement and integrate evidence-based interventions [64][65][66][67] within the existing primary health-care system, along with the engagement of the private sector. Alcohol control programs should function alongside all other health and development programs, adequately supported with resources, and with the capacity to be implemented at national and state levels.…”

Section: Health Services Responsementioning

confidence: 99%

Alcohol consumption in India: A rising burden and a fractured response

Gururaj

Sukumar

Arvind

2020

Drug and Alcohol Review

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Issues To review the burden of alcohol use in India, examine current policy initiatives and programs specific to India and provide a roadmap for future actions. Approach A literature search was undertaken to review available published research papers, unpublished reports and anecdotal media information in the period 2000–2020 to assess the burden and pattern of alcohol use and appraise alcohol control policies in India. Key Findings The per‐capita alcohol consumption among individuals aged 15+ years was 5.7 L, which increased over time. Prevalence of alcohol use varied across states with considerable impact on the nation. Regulatory policies and alcohol control programs vary across Indian states, with poor enforcement and implementation. Taxation and pricing policies are revenue oriented. Policies are needed to address the aggressive and innovative marketing strategies of the alcohol industry. The system for regular monitoring of alcohol burden and conducting alcohol policy analysis needs strengthening. Implications Alcohol use and its public health impact would continue to increase in India in the absence of effective policy and programs; the country may not achieve its stated goal of relative reduction of alcohol use prevalence by 10% by 2025. Conclusion The prevailing alcohol control policies and programs in India have been less than fully effective in controlling the burden of alcohol use and its associated impact. There is a need for comprehensive, evidence‐based and consensus‐driven national alcohol control policy to appropriately guide and support the Indian states in regulating alcohol and reducing the associated burden. Effective implementations of such policies are central to its success.

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Section: Health Services Responsementioning

confidence: 99%

Alcohol consumption in India: A rising burden and a fractured response

Gururaj

Sukumar

Arvind

2020

Drug and Alcohol Review

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“…[ 1 ] Alcohol use disorders are associated with long-term adverse health outcomes. [ 2 ] The management of alcohol dependence is complicated by relapse. Cumulative relapse rates of patients treated for alcohol dependence are as high as 40%–60%.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Relapse in Patients with Alcohol Dependence

Sureshkumar

Kailash

Dalal

et al. 2017

Indian Journal of Psychological Medicine

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Introduction:Despite the recent developments in the biology of addiction, a significant part of relapse and its management is still influenced by psychosocial factors and the interplay between them. This study aims at finding the extent of association of various psychosocial factors with relapse in patients of alcohol dependence.Materials and Methods:It is a cross-sectional study of two groups of alcohol dependence patients: abstinence (n = 31) and relapse (n = 35). Demographic, clinical, and psychosocial variables were compared between the two groups. Statistical analyses were aimed at finding the extent of association between various factors and relapse.Results:Demographic variables such as family history of substance dependence (odds ratio [OR] =2.09; confidence interval [CI] =0.74–5.90) and past history of ≥2 relapses (OR = 2.71; CI = 0.83–8.87) were associated with relapse in alcohol dependence. Clinical variables such as younger age of onset of dependence (Mean difference = −3.93; 95% CI = −7.66 - −0.21; P = 0.038) and shorter time to develop dependence (Mean difference = −3.08; 95% CI = −5.53 -−0.63; P = 0.014) were significantly associated with relapse. Of the psychosocial variables, coping behavior (OR = 6.54; CI = 1.17–36.74) had the highest association with relapse followed by relapse precipitants (OR = 1.42; CI = 1.16–1.74).Conclusion:Coping behaviors to adverse situations have greater association with relapse among psychosocial variables than the number of high-risk situations a patient experiences. Interventions targeted at improving coping skills can help patients stay abstinent.

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“…Screening questionnaires have been used primarily in the community settings for epidemiological purposes [24]. In hospital settings, some studies regarding the utility of pre-existing questionnaires have been done with mixed results [25]. Screening questionnaires have also been used in some other studies where diagnosis or epidemiology was not the primary focus [26].…”

Section: Discussionmentioning

confidence: 99%

Development of Screening Questionnaire for Detection of Alcohol Dependence

Singh

Bhalla

Giri

et al. 2015

JCDR

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The consumption and acceptability of alcohol in Indian society is increasing [1]. This is reflected in a growing contribution of alcohol to illness and morbidity in both routine and emergency surgical and medical settings [2][3][4][5][6]. Thus it is important that alcohol use disorders (AUD) be recognized in health care settings. One way of quick detection is by the use of screening questionnaires. There are numerous screening questionnaires for detection of AUD such as the well known CAGE (an acronym for Cut down, Annoyed, Guilty feelings and Eye opener) [7], Fast alcohol screening test (FAST) [8], Alcohol use disorders identification test (AUDIT) [9] and others [10]. There is also ample evidence to suggest that screening for AUD is useful and important [11]. However, it is often difficult to administer these instruments in a busy emergency setting because of paucity of time, attitude of the health-care professional, length of time required in administration of the instrument, lack of awareness or unavailability of relevant instruments [12]. Moreover, these instruments have been developed for use in western cultures and the idioms and language used are often not applicable in an Indian context. Some of the instruments used also depend on the quantification of alcohol consumed which may not be relevant to our context given the wide variety of alcohol available locally [13]. Another issue in this area is that of terminology and severity of AUD that the screening questionnaire is designed for. These terminologies range from hazardous and harmful alcohol use to alcohol dependence syndrome (AD) [14,15]. Therefore, there is a need for a simple, culturally sensitive, vernacular screening questionnaire for detection of AUD in an Indian emergency setting. This paper describes the development of a screening questionnaire in the Hindi language for detection of AD for use by doctors in an emergency setting. We have decided to restrict ourselves to the diagnosis of AD as these patients have demonstrable behavioural, social, or health consequences of alcohol use and are in imminent danger of adverse consequences such as complicated withdrawal [16]. As mentioned above, we have designed the questionnaire to be simple, brief and based on behavioural and physiological aspects of alcohol dependence instead of the quantification of alcohol consumed. This questionnaire is designed to screen for presence of the diagnosis of AD or mental and behavioural disorders due to use of alcohol, dependence syndrome, currently using the substance (F10.24) as per the ICD-10 [15]. MAterIAls And MethOdsThis study was conducted in the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh and was approved by the institute ethics committee. All participants provided written informed consent. The study was conducted from May 2013 to July 2013.The items of the questionnaire were derived by consultation among the authors. The items were derived by clinical experience, diagnostic criteria of nosological systems and also relevant ...

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The course and outcome of alcohol use disorders in men in Goa: A population- based follow-up study

Cited by 5 publications

References 31 publications

Alcohol consumption in India: A rising burden and a fractured response

Alcohol consumption in India: A rising burden and a fractured response

Psychosocial Factors Associated with Relapse in Patients with Alcohol Dependence

Development of Screening Questionnaire for Detection of Alcohol Dependence

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