The Proportion of Binge Drinking Among Female Social Drinkers of Kalingalinga in Lusaka, Zambia: A Pilot Study

AbstractObjectivesAlcohol is a psychoactive substance with dependence-producing properties. Alcohol’s harmful use causes large burden diseases like social and economic burden in societies. Binge drinking is one of the commonest forms of alcohol misuse and has been on an increase among many young women, who find alcohol a source of pleasure and enjoyment when they have timeout with friends and peers. Since binge drinking involves consumption of alcohol on an irregular basis, it may not be viewed as a hazardous form of alcohol use by many drinkers. The present study is aimed at estimating the proportion of female binge drinkers in the population of female social drinkers in Kalingalinga township of Lusaka, the capital city of Zambia. We hypothesised that the proportion of binge drinking in the population of female social drinkers is significantly high.MethodsThrough snowball sampling, 100 questionnaires (i.e., Alcohol Use Disorders Identification Test-AUDIT) were successfully distributed to and collected from the female social drinkers aged 20–39 years between August and September, 2016. A two-fold process was followed in identifying the binge drinkers; screening for hazardous alcohol drinkers by identifying those that scored 8 points or above in the first place, and thereafter, identifying binge drinking characteristics from the hazardous drinkers by following scores from the first three questions on the AUDIT.ResultsThe results reviewed that 54 of the 100 participants had some form of hazardous alcohol use and 30 of the 54 hazardous drinkers possessed some binge drinking characteristics. The proportion of female binge drinkers in a population of female alcohol drinkers was estimated to be 0.556 (56.6%), while in the general population, it was estimated to be 0.094. This implies that 9.4% of women aged 20–39 years of Kalingalinga in Lusaka engage in alcohol binge drinking, consuming on average 7–9 drinks on occasion almost on a weekly basis. Further, if 56% of all female alcohol drinkers aged 20–39 years seem to engage in some form of alcohol binge drinking, it means that that binge drinking is the highest form of alcohol misuse among these female drinkers.ConclusionThe results of the present study suggest that there is more alcohol binge drinking among the female social drinkers of Kalingalinga in Lusaka, with an estimated proportion of 0.556 (55.6%) among the female alcohol drinkers and 0.094 (9.4%) in the general population of females aged between 20–39 years. The implication is that alcohol binge drinking seems to be the highest form of alcohol misuse among female drinkers in Kalingalinga.

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Abstract 13745: Hazardous Alcohol Use is a Common but Infrequently Addressed Problem Among Hospitalized Cardiovascular Patients

Circulation ◽

10.1161/circ.142.suppl_3.13745 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Kyle Gobeil ◽

Theodore Medling ◽

Paolo Tarvaez ◽

khalid sawalha ◽

Mohammed Abozenah ◽

...

Keyword(s):

Alcohol Use ◽

Binge Drinking ◽

Problem Drinking ◽

Drinking Behavior ◽

Hazardous Drinking ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol ◽

Audit Score ◽

National Estimates ◽

Excessive Alcohol

Introduction: Excessive alcohol intake and binge drinking behavior has known detrimental cardiovascular impacts. National estimates suggest that about 7% of U.S. adults has hazardous drinking behavior, but it is unclear if this is different among the inpatient cardiac population and, furthermore, how often this issue is addressed during hospitalization. Hypothesis: Prevalence of alcohol use is underappreciated in the cardiac population due to purported health benefits, and therefore, likely to be overlooked. Methods: Disorders Identification Test (AUDIT), among patients hospitalized for cardiac surgery, heart failure (HF) or myocardial infarction (MI) between June and September 2019. Problem drinking was defined as an AUDIT score of ≥8 with binge drinking defined as 5+ drinks for men or 4+ for women on a single occasion within the past 30 days. Hazardous drinking was defined as a combination of either problem or binge drinking behavior. Results: Of 300 patients approached, a total of 290 (96.7%) completed the survey (33% non-drinkers, age 69 ± 11 years, 70% male, 4% Spanish-speaking, 31% surgical). The rate (95% CI) of problem, binge, and hazardous drinking was 12% (9-16), 16% (12-20), and 18% (14-23), respectively. Irrespective of alcohol use, 58% of patients reported being asked about alcohol use during their admission, mostly by nurses (56%). Patients with hazardous drinking were counseled more frequently about their alcohol use compared to non-hazardous drinkers, (11% vs 3%, p = 0.03), but the large majority (89%) of hazardous drinkers received no advice about their alcohol use while hospitalized and only 34 (12%) patients reported having ever been given a recommendation about alcohol consumption by a cardiologist or cardiac surgeon. Conclusions: In patients hospitalized for acute cardiac illnesses, the prevalence of problem drinking was more than double national estimates. About half of patients with problem drinking behavior were asked about their alcohol, and only a minority of patients received counseling. Our findings suggest that hazardous alcohol use is more common that previously appreciated, and that there are substantial health-system gaps in screening and counseling for this important cardiovascular risk factor.

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A Model of Drinking Motives, Victimization, and Hazardous Alcohol Use Among Sexual Minority Women

PsycEXTRA Dataset ◽

10.1037/e510832018-001 ◽

2018 ◽

Author(s):

Alise Cogger ◽

Kristin J. Conover ◽

Tania Israel

Keyword(s):

Alcohol Use ◽

Sexual Minority ◽

Minority Women ◽

Drinking Motives ◽

Sexual Minority Women ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol

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Efficacy of Brief Intervention for harmful and hazardous alcohol use: a systematic review and meta‐analysis of studies from Low Middle‐Income countries

Addiction ◽

10.1111/add.15613 ◽

2021 ◽

Author(s):

Abhishek Ghosh ◽

Pranshu Singh ◽

Nileswar Das ◽

Pranbhat Mani Pandit ◽

Sauvik Das ◽

...

Keyword(s):

Systematic Review ◽

Alcohol Use ◽

Brief Intervention ◽

Meta Analysis ◽

Hazardous Alcohol Use ◽

Middle Income ◽

Middle Income Countries ◽

Low Middle Income Countries ◽

Hazardous Alcohol

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Cultural Adaptation of an Intervention to Reduce Hazardous Alcohol Use Among People Living with HIV in Southwestern Uganda

AIDS and Behavior ◽

10.1007/s10461-021-03186-z ◽

2021 ◽

Author(s):

Anna M. Leddy ◽

Judith A. Hahn ◽

Monica Getahun ◽

Nneka I. Emenyonu ◽

Sarah E. Woolf-King ◽

...

Keyword(s):

Alcohol Use ◽

Cultural Adaptation ◽

People Living With Hiv ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol ◽

Living With Hiv ◽

Southwestern Uganda

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Hazardous Alcohol Use in the Four Years Following Bariatric Surgery

Psychology Health & Medicine ◽

10.1080/13548506.2021.1930075 ◽

2021 ◽

pp. 1-7

Author(s):

Lisa R. Miller-Matero ◽

Julia Orlovskaia ◽

Leah M. Hecht ◽

Jordan M. Braciszeweski ◽

Kellie M. Martens ◽

...

Keyword(s):

Bariatric Surgery ◽

Alcohol Use ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol

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The association between medication or alcohol use and the incidence of frailty: a retrospective cohort study

BMC Geriatrics ◽

10.1186/s12877-020-01969-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Janja Jazbar ◽

Igor Locatelli ◽

Mitja Kos

Keyword(s):

Older Adults ◽

Cohort Study ◽

Alcohol Use ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Medication Use ◽

Reverse Causality ◽

Hazardous Alcohol Use ◽

Modifiable Factors ◽

Hazardous Alcohol

Abstract Background Understanding potentially modifiable factors that influence the risk of frailty is a key concern for the management of this urgent contemporary public health challenge. This study evaluates the association between the use of various medications or alcohol and the incidence of frailty among older adults. Methods This study was a retrospective cohort study on older adults (≥ 65 years) using data from the longitudinal Survey of Health, Ageing and Retirement in Europe (SHARE survey, 28 countries). Medication use was measured as taking several different groups of medications. Alcohol use was assessed with SHARE questions corresponding to AUDIT-C. The outcome measure was the incidence of frailty after two years, defined by frailty index (FI) and frailty phenotype (FP). A multiple logistic regression model was used to evaluate the association with adjustment for several potential confounding factors. Results Of the 14,665 FI-population participants, 1800 (12.3%) developed frailty within two years. Of the 8133 FP-population participants, 2798 (34.4%) developed pre-frailty and 247 (3.0%) developed frailty within two years of baseline. After adjustment for potential confounding variables, non-hazardous alcohol use (adjusted OR; 95% CI for the FI-population: 0.68; 0.60–0.77) and hazardous alcohol use (0.80; 0.68–0.93) are associated with lower incidence of frailty compared to no alcohol use. The odds of frailty are increased when taking medications; the largest effect size was observed in older adults taking medication for chronic bronchitis (adjusted OR; 95% CI for the FI-population: 2.45; 1.87–3.22), joint pain and other pain medication (2.26; 2.00–2.54), medication for coronary and other heart disease (1.72; 1.52–1.96), medication for diabetes (1.69; 1.46–1.96), and medication for anxiety, depression and sleep problems (1.56; 1.33–1.84). Additionally, the risk of frailty was increased with stroke, Parkinson’s disease and dementia. Conclusions Taking certain groups of medication was associated with increased incidence of frailty and pre-frailty, which might be due to either medication use or the underlying disease. Alcohol use was associated with a lower risk of pre-frailty and frailty compared to no alcohol use, which might be due to reverse causality or residual confounding. There was no significant interaction effect between medication groups and alcohol use on frailty incidence.

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