Prevalence and Pattern of Alcohol Consumption using Alcohol Use Disorders Identification Test (AUDIT)
in Rural Tamil Nadu, India
Dr. Ganesh Kumar S.,
Department of Preventive and Social Medicine, JIPMER, Puducherry-605006, India.
Phone: 9487896551, E-mail: firstname.lastname@example.org
Background: There is a paucity of information on prevalence and pattern of alcohol consumption in India.
Aim: To assess the prevalence and pattern of alcohol consumption in a rural area of Tamil Nadu, India.
Material and Methods: A community based, cross sectional study was conducted among 946 subjects who were aged 10 years and above, in rural Tamil Nadu, India. Data on alcohol use was collected by using â€˜Alcohol Use Disorder Identification Testâ€™ (AUDIT) scale. Data on pattern and associated factors like socio-demographic details, smoking, tobacco chewing and chronic diseases were collected by using a structured questionnaire.
Statistical Analysis: Data was analysed by univariate and multiple logistic regression analysis and information was depicted in percentages or proportions. A p value of less than 0.05 was considered as significant.
Results: Overall, the prevalence of alcohol use was found to be 9.4%. Prevalence was more among males (16.8%) as compared to that among females (1.3%). Mean age at initiation was 25.3 +9.0 years. Multiple logistic regression analysis revealed that middle age (15â€“44 years) (OR=3.56), male gender (OR=11.23), illiteracy (OR=6.16), lower education levels (OR=2.57) and smoking (OR=17.78) were independently associated with alcohol use. Among those who used alcohol, 29.2% (26) were possible hazardous drinkers, 33.7%(30) had a probable alcohol dependence and 56.2% (50) had experienced harmful effects, based on AUDIT item analysis.
Conclusion: Prevalence of alcohol use is high, especially among males. Health educational interventions among those who are at a higher risk and management of alcohol dependent subjects, may help in reducing the burden of alcohol use in this area.