Trends in concurrent tobacco use and heavy drinking among individuals 15 years and older in Mongolia

Abstract

The study aimed to evaluate trends in the prevalence and correlates of current tobacco use only (= CT), current heavy drinking only (= CHD), and current tobacco use and current heavy drinking (= CTHD) in people 15 years and older from 2009 to 2019 in Mongolia. Cross-sectional data were analyzed from 5,438 individuals (15–64 years) of the Mongolia STEPS 2009 survey, 6,013 (15–69 years) of the Mongolia STEPS 2013 survey, and 6,654 persons (15–69 years) of the Mongolia STEPS 2019 survey and responded to questions about substance use, other health risk behaviours and physical measurements. Trend analysis shows that the prevalence of CT increased from 14.4% in 2009 to 15.3% in 2019, and the prevalence of CHD significantly decreased from 13.3% in 2009 to 10.3% in 2019, and the prevalence of CTHD significantly decreased from 14.2% in 2009 to 9.4% in 2019. Middle and older age, male sex (13 times higher for CT, 3.4 times higher for CHD, and 28 times higher for CTHD) and high physical activity significantly increased the odds of CT, CHD and CTHD. Higher education decreased the odds of CT but increased the odds of CHD. Urban residence was positively associated with CT, and among women with CTHD. Underweight decreased the odds of CT, CHD, and CTHD, and obesity decreased the odds of CT and CTHD and increased the odds of CHD. Hypertension was positively associated with CHD and CTHD, while sedentary behaviour was positively associated with CT and CTHD. Being Khalkh by ethnicity increased the odds of CT and inadequate fruit and vegetable intake increased the odds of CHD. More than one in six persons 15 years and older engaged in CT and more than one in ten engaged in CHD and CTHD. Several sociodemographic factors, such as male sex and middle and/or older age, and health variables, such as obesity and hypertension for CHD, were identified associated with CT, CHD, and CTHD that can help in guiding public interventions.

Prevalence of alcohol dependence in Mongolia: a nationwide population-based, cross-sectional study

“…While the above studies have measured alcohol consumption and estimated the prevalence of alcohol dependence by national registry data in Mongolia, there has been no large-scale nationwide study of alcohol dependence. Moreover, a recent report on heavy drinking use in Mongolia was a secondary data analysis based on the WHO NCD Microdata repository (Pengpid & Pelzter, 2022). Therefore, this study aimed to determine the prevalence of alcohol dependence within the general population using a structured clinical interview following the ICD-10 diagnostic criteria after screening by AUDIT questionnaire.…”

Alcohol and Periodontal Disease: A Narrative Review

“…Tobacco chewing is considered independently as a risk factor for oral cancer [136,137]. Tobacco smokers or chewers, along with betel nut and leaf, who concurrently drink alcoholic beverages have a greater probability of oral and esophageal carcinoma [138], as well as head and neck cancer (HNC), especially in Southeast Asia [139,140], and become snowballing public health apprehension [141]. Another study revealed that alcohol and tobacco have give-and-take impacts on despot hankering, "subjective responses to fixed-dose alcohol or nicotine administration and self-administration" [142].…”