scholarly journals Hazardous Alcohol Drinking and Associated Factors Among Patients With Tuberculosis Attending Public Healthcare Facilities in Gedeo Zone, Southern Ethiopia

Author(s):  
Kalkidan Yohannes ◽  
Getinet Ayano ◽  
Kusse Koirita ◽  
Henok Mulatu ◽  
Hirbaye Mokona

Abstract Background: Hazardous drinking is a quantity or pattern of alcohol consumption that places individuals at risk for adverse health events. Studies have shown that hazardous alcohol drinking among patients with tuberculosis has been often linked to a decrease in immune system functioning, greater rates of treatment-resistant cases and death during treatment. However, there are rare studies that assessed the prevalence of hazardous alcohol use and associated factors among patients with tuberculosis in Ethiopia. Therefore, this study was aimed to assess the prevalence of hazardous alcohol drinking and associated factors among patients with tuberculosis attending public healthcare facilities in Gedeo Zone, Southern Ethiopia.Methods: An institution-based, cross-sectional study was conducted among a randomly selected sample of 415 patients with tuberculosis. The study was conducted at the tuberculosis units of public healthcare facilities in Gedeo zone, Southern Ethiopia. The Alcohol Use Identification Test (AUDIT) scale was used to measure hazardous alcohol drinking. Data on social support, perceived tuberculosis stigma, and depression were collected using a standard, validated, and structured questionnaire. Results: The prevalence of hazardous alcohol drinking in our study was 20 % (95% CI; 16.1% -24.2%). Medical comorbidity (AOR = 2.44, 95% CI: 1.29–4.62), length of illness (>=12 months) (AOR = 2.88, 95% CI: 1.03–3.04), and being male (AOR = 2.10, 95% CI: 1.17–3.77) were found to be significant predictors of hazardous alcohol drinking after controlling for potential confounders.Conclusion: A high prevalence of hazardous alcohol drinking was observed among patients with tuberculosis. Therefore, routine screening for alcohol use and a holistic treatment approach for patients with tuberculosis are crucial.

2021 ◽  
Author(s):  
Kalkidan Yohannes ◽  
Getinet Ayano ◽  
Kusse Koirita ◽  
Henok Mulatu ◽  
Hirbaye Mokona

Abstract Background: Hazardous drinking is a quantity or pattern of alcohol consumption that places individuals at risk for adverse health events. Studies have shown that hazardous alcohol drinking among patients with tuberculosis has been often linked to a decrease in immune system functioning, greater rates of treatment-resistant cases, and death during treatment. However, there are rare studies that assessed the prevalence of hazardous alcohol use and associated factors among patients with tuberculosis in Ethiopia. Therefore, this study was aimed to assess the prevalence of hazardous alcohol drinking and associated factors among patients with tuberculosis attending public healthcare facilities in Gedeo Zone, Southern Ethiopia.Methods: An institution-based, cross-sectional study was conducted among a randomly selected sample of 415 patients with tuberculosis. The study was conducted at the tuberculosis unit of public healthcare facilities in the Gedeo zone, Southern Ethiopia. The Alcohol Use Identification Test (AUDIT) scale was used to measure hazardous alcohol drinking. Data on social support, perceived tuberculosis stigma, and depression were collected using a standard, validated, and structured questionnaire. Results: The prevalence of hazardous alcohol drinking in our study was 20 % (95% CI; 16.1% -24.2%). Medical comorbidity (AOR = 2.44, 95% CI: 1.29–4.62), length of illness (>=12 months) (AOR = 2.88, 95% CI: 1.03–3.04), and being male (AOR = 2.10, 95% CI: 1.17–3.77) were found to be significant predictors of hazardous alcohol drinking after controlling for potential confounders.Conclusion: A high prevalence of hazardous alcohol drinking was observed among patients with tuberculosis. Therefore, routine screening for alcohol use and a holistic treatment approach for patients with tuberculosis are crucial.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Solomon Teferra ◽  
Girmay Medhin ◽  
Medhin Selamu ◽  
Arvin Bhana ◽  
Charlotte Hanlon ◽  
...  

2020 ◽  
Author(s):  
Yigrem Ali Chekole

Abstract Introduction Compared to other deadly communicable diseases, Psychoactive Substance use is among the leading cause of death. Repeated use linked to addiction, dependence and predisposition for criminal and antisocial behaviors. Even though drug use in Africa relatively is short; however the abuse of drug in Africa is escalating rapidly. Substances use is also one of the most burning and growing public health problems in Ethiopia, as in many developing countries; alcohol is the most frequently used substance. Objective To Assess the Prevalence of alcohol Use and Associated factors among Dilla University undergraduate students in Southern Ethiopia. 2018. Methods An Institution based cross -sectional study was conducted at Dilla University among undergraduate regular students from January-February. Systematic random sampling technique was used to get a total of 803 samples of students from each year and department of the university. The collected data was coded, entered in to EPI-INFO version7.1 and analyzed by using SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P- value <0.05. Result A total of 803 participants were interviewed with a response rate of 91.7%. Among the Participants, alcohol use was found to be 67.6%. (41.8%; n=336). Being 4 th year students (AOR =2.66, 95% CI: 1.64, 4.31), having friends who use substance (AOR=1.53, 95% CI: 1.09, 2.1), being Khat user (AOR= 1.48, 95% CI: 1.05, 2.09) and being Cigarette smoker (AOR=1.76, 95% CI: 1.09, 2.84) were found to be significantly associated with alcohol use. Conclusion Half of the participants found to have alcohol use. Therefore, early prevention, detection and alleviating of alcohol use should be implemented among students in the university.


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015058 ◽  
Author(s):  
Lion Shahab ◽  
Jamie Brown ◽  
Gareth Hagger-Johnson ◽  
Susan Michie ◽  
Joanna Semlyen ◽  
...  

ObjectivesTo assess the association between tobacco and hazardous alcohol use and sexual orientation and whether such an association could be explained by other sociodemographic characteristics.DesignCross-sectional household survey conducted in 2014–2016.SettingEngland, UK.ParticipantsRepresentative English population sample (pooled n=43 866).Main outcomesSexual orientation identity (lesbian/gay, bisexual, heterosexual, prefer-not-to-say); current tobacco and hazardous alcohol use (defined as Alcohol Use Disorders Identification Test Score ≥8). All outcomes were self-reported.ResultsDue to interactions between sexual orientation and gender for substance use, analyses were stratified by gender. Tobacco use prevalence was significantly higher among lesbian/gay (women: 24.9%, 95% CI 19.2% to 32.6%; men: 25.9%, 95% CI 21.3% to 31.0%) and bisexual participants (women: 32.4%, 95% CI 25.9% to 39.6%; men: 30.7%, 95% CI 23.7% to 30.7%) and significantly lower for prefer-not-to-say participants in women (15.5%, 95% CI 13.5% to 17.8%) but not men (22.7%, 95% CI 20.3% to 25.3%) compared with heterosexual participants (women: 17.5%, 95% CI 17.0% to 18.0%; men: 20.4%, 95% CI 19.9% to 21.0%; p<0.001 for omnibus test). Similarly, hazardous alcohol use was significantly more prevalent for lesbian/gay (women: 19.0%, 95% CI 14.0% to 25.3%; men: 30.0%, 25.2%–35.3%) and bisexual participants (women: 24.4%, 95% CI 18.7% to 31.3%; men: 24.3%, 95% CI 17.9% to 32.1%) and lower for prefer-not-to-say participants (women: 4.1%, 95% CI 3.0% to 5.4%; men: 13.7%; 95% CI 11.8% to 16.0%) compared with heterosexuals (women: 8.3%, 95% CI 7.9% to 8.7%; men: 18.4%, 95% CI 17.9% to 18.9%; p<0.001 for omnibus test). However, after adjusting for sociodemographic confounders, tobacco use was similar across all sexual orientation groups among both women and men. By contrast, sexual orientation differences in hazardous alcohol use remained even after adjustment among women but not for bisexual and gay men.ConclusionsIn England, higher rates of tobacco use among sexual minority men and women appear to be attributable to other sociodemographic factors. Higher rates of hazardous alcohol use among sexual minority men may also be attributable to these factors, whereas this is not the case for sexual minority women.


2014 ◽  
Vol 36 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Rodrigo da Rosa Silveira ◽  
Betina Lejderman ◽  
Pedro Eugênio Mazzucchi Santana Ferreira ◽  
Gibsi Maria Possapp da Rocha

Objectives: To evaluate the prevalence of methylphenidate (MPH) use among 5th and 6th year medical students, to discriminate MPH use with and without medical indication, and to correlate MPH use with alcohol intake. Methods: This is a cross-sectional study in which medical students were invited to answer a questionnaire to evaluate academic and socioeconomic status, MPH use patterns, and attitudes towards neuroenhancing drugs. The Alcohol Use Disorders Identification Test (AUDIT) was used to assess alcohol intake; a score ≥ 8 suggests potentially hazardous alcohol use. Results: Fifty-two participants (34.2%) had already used MPH, of which 35 (23.02%) had used it without medical indication. The number of 6th year students who had used MPH was more than twice higher than that of their 5th year counterparts (32.89 vs. 13.15%, respectively; p = 0.004). Also, 43.6% (p = 0.031) of the users of MPH had an AUDIT score ≥ 8; 33.3% (p = 0.029) of non-medical users of MPH had an AUDIT score ≥ 8. Conclusions: In this study, the use of MPH without medical indication was prevalent. Our findings also confirmed the association between non-medical use of MPH and potentially hazardous alcohol use.


2021 ◽  
pp. 026988112110326
Author(s):  
Anna Powell ◽  
Harry Sumnall ◽  
Cecil Kullu ◽  
Lynn Owens ◽  
Catharine Montgomery

Background: Dependent alcohol drinkers exhibit differences in the structure and function of the brain, and impairments in cognitive function, including executive functions (EFs). Less is known about the impact of non-dependent but hazardous use (that which raises the risk of harm), and it is also unclear to what extent executive impairments in this cohort affect real-world function. The current study examines the relationship between alcohol use, EF and alcohol-related problems, in the general population. Methods: A between-groups cross-sectional design assessed EF across two levels of drinking; hazardous (Alcohol Use Disorders Identification Test (AUDIT) score of ⩾8) and non-hazardous. Alcohol drinkers ( n = 666; 136 male; 524 female; six not disclosed; aged 28.02 ± 10.40 years) completed validated questionnaires online assessing subjective EF, alcohol use and alcohol-related problems. Results: Organisation, Strategic Planning, Impulse Control and overall function were significantly impaired in hazardous drinkers. Furthermore, the effect of alcohol on EF, partially mediated the relationship between alcohol use and alcohol-related problems. Conclusion: Hazardous drinking was associated with lower subjective EF, and this mediated the effect of alcohol on alcohol-related problems. This may be due to changes in prefrontal brain regions, which could indicate greater risk for the development of alcohol dependence (AD). Future research should use additional means to assess EF in hazardous drinkers, including recovery of function, development of AD and the relationship between cognition and alcohol-related daily problems.


2020 ◽  
Vol 27 (1) ◽  
pp. 33-41
Author(s):  
Yannic van Gils ◽  
Erik Franck ◽  
Eva Dierckx ◽  
Sebastiaan P.J. van Alphen ◽  
Geert Dom

<b><i>Introduction:</i></b> Drinking motives seem to be the most proximal predictors of alcohol outcomes. Consequently, these are an essential factor to consider as they may influence the extent to which alcohol is used in a risky way, even in older adults. <b><i>Objective:</i></b> We studied the moderating effect of distress on the relationship between drinking motives and drinking behaviour in a community-dwelling older adult sample. <b><i>Method:</i></b> In a retrospective cross-sectional research study, participants were community-dwelling older adults aged 65 years and older. All respondents completed a questionnaire covering the Drinking Motives Questionnaire (DMQ), the Alcohol Use Disorders Identification Test (AUDIT), and the General Severity Index (GSI) of the Brief Symptom Inventory (BSI). <b><i>Results:</i></b> In this sample of 1,148 older adults, drinking motives and hazardous alcohol use were associated (enhancement motives <i>r</i> = 0.478, <i>p</i> &#x3c; 0.001; coping motives <i>r</i> = 0.367, <i>p</i> &#x3c; 0.001; and social motives <i>r</i> = 0.235, <i>p</i> &#x3c; 0.001). Furthermore, moderation analysis showed that older adults drinking predominantly for enhancement or coping motives (respectively, β = 0.433, CI [95%] = 2.557–3.222 and β = 0.327, CI [95%] = 1.077–1.491, <i>p</i> &#x3c; 0.001), and older adults who had higher levels of psychological distress (β = 2.518, CI [95%] = 2.017–3.019, <i>p</i> &#x3c; 0.001) were more likely to report higher degree of hazardous alcohol use. <b><i>Conclusion:</i></b> The relations between coping drinking motives and enhancement drinking motives on hazardous drinking depended on the level of distress. The associations between drinking for coping and drinking for enhancement were stronger in high levels of distress. Although causality cannot be interpreted from cross-sectional data, tackling psychological distress and drinking to cope with negative affect or to enhance positive affect might have strong effects on reducing hazardous drinking behaviour among older adults.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Birhanie Mekuriaw ◽  
Zelalem Belayneh ◽  
Tinsae Shemelise ◽  
Robel Hussen

Abstract Objectives The aim of this study was to assess the prevalence and associated factors of alcohol use among women attending Antenatal Care in Gedeo zone rural health centers (Southern Ethiopia). This was a cross-sectional study conducted among randomly selected 718 pregnant women attending Antenatal Care. Alcohol Use Disorder Identification Test-C was used to assess alcohol consumption. Variables with p-values of < 0.05 in the multivariable logistic regression were considered as having a statistically significant association with alcohol use. Results The prevalence of alcohol use among pregnant women attending antenatal care service was 8.1% with 95% CI (6.3–10.0). Unplanned pregnancy [AOR = 2.12, 95% CI (1.20, 3.73)], abortion history [AOR = 2.40, 95% CI (1.16, 4.96)], pre pregnancy alcohol use [AOR 2.17, 95% CI (1.18, 4.00)] and mental distress [AOR = 3.50, 95% CI (1.99, 6.15)] were variables found to have a statistically significant association with alcohol use. This calls a holistic and multi modal approach for the prevention, early identification and intervention of alcohol use during pregnancy. More emphasis should also be given for pregnant women with unplanned pregnancy, history of abortion, pre pregnancy alcohol use and mental distress.


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