Identification of alcohol use disorders among women in the Republic of Khakassia

The article presents results of a regional project to prevent and reduce the prevalence of alcohol consumption among women in the Republic of Khakassia (Eastern Siberia, Russian Federation). In addition to the main preventive goal of reducing alcohol consumption among groups of women covered by the project, there was an objective to conduct screening using the AUDIT test and provide motivational counseling in case of identifying alcohol-related problems. 691 women took part in screening, among them 202 at enterprises of the Republic of Khakassia, and 489 when seeking social/psychological support to the Khakass Republican Branch of the Russian Red Cross, as well as to local branches of the Red Cross in other cities of the Republic of Khakassia. Levels of risk related to alcohol use were identified, based on the results of the screening the studied groups of women. Depending on the risk level, three types of socio-psychological interventions were carried out: informing about harmful consequences of alcohol use and the need to maintain a healthy lifestyle; motivational counseling; motivating women for treatment of dependency.Majority of women who were screened at workplaces were more likely to use alcohol with low risk (78.2%), much smaller proportion of women had risky alcohol consumption (14.4%), alcohol consumption with harmful consequences (2.5%) or signs of alcohol dependency (2.0%). Among women who applied for social and psychological support to branches of the Russian Red Cross, prevalence of low-risk use was lower (43.4%), and risky alcohol use (31.3%), alcohol use with harmful consequences (10.6%) or signs of alcohol dependency (14.5%) were significantly higher.

Risk-taking behaviors in adolescent men who have sex with men (MSM): An association between homophobic victimization and alcohol consumption

Objective The aim of this study was to determine whether homophobic victimization was associated with alcohol consumption and riding with an intoxicated driver or driving a car while under the influence of alcohol or drugs among adolescent men who have sex with men (MSM). Methods Cross-sectional analysis used baseline data from a national HIV prevention trial (NCT03167606) for adolescent MSM aged 13–18 years (N = 747). Multivariable logistic regression models assessed associations between homophobic victimization (independent variable) and alcohol-related outcomes (dependent variables), controlling for age, parents’ education level, sexual orientation, health literacy, race, and ethnicity. Results Most participants (87%) reported at least one form of homophobic victimization in their lifetime, with verbal insults being the most frequently reported (82%). In the bivariate analysis, alcohol consumption and riding with an intoxicated driver or driving a car while under the influence were associated with many forms of victimization. Exposure to at least one form of victimization was associated with increased odds of alcohol consumption (OR: 2.31; 95% CI: 1.38–3.87) and riding with an intoxicated driver or driving a car while under the influence (OR: 2.25; 95% CI: 1.26–4.00), after controlling for covariates. Conclusion Increased risk of alcohol consumption and risky alcohol-related behaviors were found among adolescent MSM who experienced homophobic victimization. Interventions should address homophobic victimization and its impact on adolescent MSM, as well as disentangling motivations for underage drinking, riding with an intoxicated driver or driving a car while under the influence.

Consumo de alcohol en estudiantes de educación superior: análisis de redes sociales de amigos universitarios (Alcohol consumption in higher education students: analysis of social networks of university Friends)

Objetivo: identificar asociaciones entre las redes de amigos (densidad de la red de amigos, comportamiento de los amigos, popularidad y conglomerados de amigos), y los comportamientos relacionados con el consumo de alcohol en estudiantes universitarios. Métodos: estudio transversal de asociación. Se aplicaron mediciones sociodemográficas (sexo, edad, nivel socioeconómico, estructura familiar), consumo excesivo y riesgoso de alcohol, consumo de cigarrillo y variables de la red social. Mediante regresión logística se estiman OR e intervalos de confianza. Resultados: de las variables de la red social en mujeres, la densidad de la red se asoció al consumo riesgoso de alcohol, pertenecer al programa de Biología, al nivel socioeconómico alto y tener estructura familiar monoparental son factores que aumentan el consumo riesgoso de alcohol. En hombres aumentar la cantidad de amigos con consumo riesgoso de alcohol, tener estructura familiar monoparental y ser fumador, se asociaron al consumo riesgoso de alcohol. Respecto al consumo excesivo de alcohol en mujeres se encontró asociación con la cantidad de amigos con consumo excesivo de alcohol y pertenecer al programa de Biología. Conclusiones: el consumo riesgoso y excesivo de alcohol se asocia con la red social de amigos y es diferente por sexo. La red social de amigos universitarios es un medio en el que se comparten comportamientos no saludables, lo cual sugiere la importancia de indagar sobre el tema como un elemento que puede ayudar a combatir las enfermedades crónicas no transmisibles, esto ayudaría a definir perspectivas renovadas de promoción de la salud en universitarios. Abstract. Objective: identify associations between networks of friends (density of the network of friends, behavior of friends, popularity and friend clusters), and alcohol-related behaviors in college students. Methods: cross-sectional association study. Sociodemographic measurements (sex, age, socioeconomic level, family structure), excessive and risky alcohol consumption, cigarette consumption and variables of the social network were applied. Using logistic regression, OR and confidence intervals are estimated. Results: of the variables of the social network in women, the density of the network was associated with risky alcohol consumption, belonging to the Biology program, high socioeconomic status and having a single-parent family structure are factors that use risky alcohol consumption. In men, the number of friends with risky alcohol consumption increases, having a single-parent family structure and being a smoker, were associated with risky alcohol consumption. Regarding excessive alcohol consumption in women, an association was found with the number of friends with excessive alcohol consumption and belonging to the Biology program. Conclusions: the risky and excessive consumption of alcohol is associated with the social network of friends and is different by sex. The social network of university friends is a means in which unhealthy behaviors are shared, which suggests the importance of investigating the subject as an element that can help combat chronic non-communicable diseases, this would help define renewed perspectives of promotion of health in university students.

Risky Behaviours of Spanish University Students: Association with Mediterranean Diet, Sexual Attitude and Chronotype

The most common drugs that are consumed by young people are alcohol and tobacco, which are especially prevalent in universities. These risk behaviours can be determined by a series of intrinsic and extrinsic factors. The aim of this study was to evaluate the consumption of alcohol and tobacco by Spanish university students and the relationship between the Mediterranean diet, sexual attitudes and opinions, and chronotype. A multicentre observational study enrolled 457 students from two public universities in Spain. The study period was from December 2017 to January 2018. The majority of the participants consumed alcohol (90.2%), tobacco consumption was low (27.2%), with a high percentage of students (78.6%) having a low dependence on nicotine. The surveyed students demonstrated a high adherence to the Mediterranean diet, which was shown to be associated with less risky alcohol consumption. The Mediterranean diet is a part of healthy lifestyle, and avoiding heavy drinking results in the intention to maintain such a lifestyle. In addition, unhealthy eating habits (skipping breakfast, eating sweets and pastries daily, and fast-food consumption) had a tendency to induce risky alcohol consumption. Therefore, to promote healthy lifestyle habits, it is considered important to establish programs that promote healthy diets in university settings and to evaluate them periodically.

Multimorbidity, psychoactive substance use and psychological distress among acute medically ill patients: a cross-sectional study

BackgroundIn order to target the complex health needs of patients with multimorbidity using psychoactive substances, knowledge regarding the association between substance use and multimorbidity in an acute setting is needed.AimsExamine psychoactive substance use patterns among acute medically ill patients, and determine the association between multimorbidity and substance use, and psychological distress.DesignCross-sectional study.Setting and participants2874 acute medically ill patients admitted to a medical emergency department in Oslo, Norway.MeasurementsPrimary outcome: multimorbidity recorded by the presence of ≥2 International Classification of Diseases 10th revision—physical and/or mental health conditions per patient, extracted from medical records. Predictor variables: self-reported data on age, sex, occupational status, psychological distress (Hopkins Symptom Check List-5), alcohol use (Alcohol Use Disorder Identification Test-4) and results from blood samples on psychoactive medicinal and illicit drugs.FindingsOf all patients, 57.2% had multimorbidity. Of these, 62.6% reported psychological distress, 85.5% consumed either alcohol, medicinal and/or illicit drugs and 64.4% combined alcohol with psychoactive medicinal drugs. Patients with risky alcohol use were more likely to have multimorbidity compared with patients with low-risk alcohol use (OR 1.53; 95% CI 1.05 to 2.24). Patients using psychoactive medicinal drugs were more likely to have multimorbidity compared with non-users (OR 1.34; 95% CI 1.07 to 1.67).ConclusionMultimorbidity was associated with psychoactive medicinal drug and risky alcohol use, and psychological distress. Substance use was widespread, with alcohol and psychoactive medicinal drugs most frequently combined. Monitoring substance use among multimorbid patients is necessary to develop tailored treatments, and reduce burden on the healthcare system.

Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

Introduction. Underage drinking is associated with poor mental health. Early detection for risky alcohol use is recommended, although less implemented in adolescent care. The objective of this study was to investigate the prevalence of risky alcohol use and psychiatric comorbidity. Methods. Over a nine-month period, 145 eligible adolescents admitted to the child and adolescent emergency unit in Malmö, Sweden, were offered computerized screening with Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) and Drug Use Disorders Identification Test (DUDIT). Results. Ninety-six patients (73 girls and 23 boys) agreed to participate. The most common diagnoses were affective disorder (41%) and anxiety disorder (27%). Risky alcohol use was found among 33% of the girls and 22% of the boys ( p = 0.45 ) and did not differ between diagnostic categories. There was a positive correlation between AUDIT-C and DUDIT scores ( p = 0.019 ). Among adolescents with risky alcohol use, 33% of the girls and 60% of the boys also had a risky drug use. Conversely, 47% of the girls and 60% of the boys with risky drug use also had a risky alcohol use. Conclusion. In view of the poor prognosis of risky alcohol use in adolescents, alcohol and drug habits should be assessed when adolescents seek psychiatric emergency care.

Safai Karamchari (Sanitary Workers)/Scavenger Community and Risk of Coronavirus (COVID-19) Pandemic in India

Being a developing country with a large population with high density, India was on high alert for the COVID-19 pandemic. India overcame much difficulty from the first wave, but was soon after smacked by the second wave of the COVID-19 pandemic. Due to its contiguous nature, people were advised to stay in their home, but some people have to continue their work to maintain public health, law and order and provide necessary services. Sanitary workers are one of them; they maintain cleanliness and sanitise public places, communities, towns and cities to control the COVID-19 spread. It is essential to know and understand their situation in such a problematic condition of the COVID-19 pandemic. This paper will elaborate on their social, occupational, and living conditions and possible relation with COVID-19. The author collected quantitative data through a cross-sectional study in four towns (Ladwa, Indri, Thanesar and Radaur) of Haryana in 2017. Quantitative and qualitative data had collected from sanitary workers through structured interview and observation. During fieldwork, the researcher lived with the community and observed closely. Results show that their working conditions are risky, working timings and duration also risky, alcohol and tobacco use is high, protective gears are not available to them, job status primarily contractual, no or low educational standard, health conditions are down and the standard of living is low & living situation are congested. The results indicate that they are at high risk of COVID-19 infection, to develop severe acute illness from COVID-19 and community spread. While their sanitary workers come into contact with different kinds of waste and surfaces, so their chance of infection is high because COVID-19 can survive on any surface. Their occupational, educational, social, health, living standards and living conditions make them vulnerable to developing a severe acute illness, leading to a high death rate and community spread. Therefore we need to take some essential steps in this regard.

Assessing alcohol consumption patterns in Jinja and Masindi districts

BackgroundUganda National Association of Community and Occupational Health (UNACOH) implemented a workplace and community based alcohol control intervention in the districts of Masindi and Jinja in Uganda where alcohol is highly consumed. UNACOH therefore conducted an end-of year evaluation with a main focus on two of the project’ anticipated outcomes. These include:1) Reduced risky alcohol consumption patterns among the communities in the project area especially among vulnerable and high risk groups (elderly, youth, women, commercial motorcyclists and fisher folk) by 2021 and 2) Legal restrictions on density of alcohol outlets, accessibility to minors and availability are in place in Masindi and Jinja district by 2021 .The main objective was therefore to assess alcohol consumption patterns among drinkers, perceptions about community awareness of alcohol control regulations and their perceived effectiveness in the project area (Masindi and Jinja) in the year 2020.MethodsThis was a cross-sectional evaluation conducted among 310 respondents in selected villages within the intervention Sub Counties of the Districts in the project area. These included; These included Karujubu Division,Miirya and Pakanyi Sub Counties in Masindi District, and Bugembe Town Council,Walukuba- Masese Division and Budondo Sub County in Jinja District. The primary outcomes were; reduced risky alcohol consumption patterns among the communities and presence of legal restrictions on density of alcohol outlets, accessibility to minors and availability. Quantitative data were entered and cleaned using Epi-data version 4.6.0.2 analyzed using STATA version 12.0. Descriptive analysis was used to generate information on the alcohol consumption patterns.Results Findings indicated that majority drinkers were male (71.34%) with only 0.93% below the age of 18 years. Spirits were the commonest type of alcohol consumed (40.78%). Risky alcohol consumptions were reported by nearly half (48.71%) of the drinkers. Male drinkers (81.88%) and those in Jinja (58.97%) reported significantly higher alcohol consumption in comparison with female drinkers (18.12%) and those in Masindi (38.31%) respectively. (χ2 =15.74 and p value of 0.000 and χ2=13.24 and p = 0.000).ConclusionVariation in risky alcohol consumption between the project areas could be attributed to differences in implementation of alcohol control regulations. In some project areas, communities were aware of alcohol control regulations and thought these had been beneficial in reducing alcohol related harm. Risky consumption among drinkers remained relatively high. If these negative trends are not reversed they could significantly increase the non-communicable disease burden including mental health.