Prevalence, Pattern, and Correlates of Alcohol Misuse among Male Patients Attending Rural Primary Care in India

Background: There are limited data available on how the problem of alcohol use is detected in primary care setting in India. Particularly in Odisha, it has not been investigated yet. This study was conducted to determine the prevalence of drinking, drinking patterns, and quitting behavior among the male patients visiting a primary health-care facility in a district of Odisha. Methodology: A cross-sectional study was conducted among patients attending community health center (CHC), Buguda in the state of Odisha, India, from December 1, 2014, to February 31, 2015. Patients above 18 years of age, conscious, and willing to participate in the study were included in the study, while those with cognitive impairment and critically ill were excluded from the study. All eligible consecutive patients attending outpatient department of CHC were invited to participate while they came out after physician's consultation. A pilot study was conducted prior to the study. Informed verbal consent from each patient was obtained before the interview. The study was approved by the Institutional Ethics Committee of Indian Institute of Public Health, Bhubaneswar. Results: A total of 431 patients were interviewed. Our study showed 38% (95% confidence interval [CI]: 33.5%–42.7%) of respondents were alcoholic and of those 60% (95% CI: 51.4%–66.5%) were hazardous drinkers. One in five patients had a history of alcoholics in their family, and a similar proportion of participants were heavy workers. Smokers were eight times (adjusted odds ratio [AOR] =7.56; 4.03–14.52) more likely to be alcoholics as compared to nonsmokers (P < 0.001), whereas the prevalence of alcohol drinking was four times (AOR = 3.94; 2.25–6.92) higher in smokeless tobacco users compared to nonusers. Conclusion: Focusing only on counseling and treatment services will not reduce the piling burden of alcohol use. It is important to target the environment that leads to such habits.

[1]  Alan D. Lopez,et al.  A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[2]  Santanu Ghosh,et al.  Patterns of Alcohol Consumption among Male Adults at a Slum in Kolkata, India , 2012, Journal of health, population, and nutrition.

[3]  N. O’Flynn.  Harmful drinking and alcohol dependence: advice from recent NICE guidelines. , 2011, The British journal of general practice : the journal of the Royal College of General Practitioners.

[4]  S. Haddad,et al.  Alcohol use and its consequences in South India: views from a marginalised tribal population. , 2011, Drug and alcohol dependence.

[5]  Paul Cassidy,et al.  Intervention against Excessive Alcohol Consumption in Primary Health Care: A Survey of GPs' Attitudes and Practices in England 10 Years On , 2011, Alcohol and alcoholism.

[6]  E. Weiderpass.  Lifestyle and cancer risk. , 2010, Journal of preventive medicine and public health = Yebang Uihakhoe chi.

[7]  M. Ashok,et al.  Severity of alcoholism in Indian males: Correlation with age of onset and family history of alcoholism , 2010, Indian journal of psychiatry.

[8]  G. Gururaj,et al.  Alcohol Use and Implications for Public Health: Patterns of Use in Four Communities , 2010, Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine.

[9]  V. Patel,et al.  Detecting alcohol-related problems in developing countries: a comparison of 2 screening measures in India. , 2009, Alcoholism, clinical and experimental research.

[10]  N. Heather,et al.  Effectiveness of brief alcohol interventions in primary care populations. , 2007, The Cochrane database of systematic reviews.

[11]  V. Patel,et al.  Harmful alcohol use in Goa, India, and its associations with violence: a study in primary care. , 2006, Alcohol and alcoholism.

[12]  W. Miller,et al.  Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. , 2002, Addiction.

[13]  D. Mohan,et al.  Incidence estimates of substance use disorders in a cohort from Delhi, India. , 2002, The Indian journal of medical research.

[14]  N. Heather,et al.  Patient and practitioner characteristics predict brief alcohol intervention in primary care. , 2001, The British journal of general practice : the journal of the Royal College of General Practitioners.