The prevalence and correlates of alcohol use and alcohol use disorders: a population based study in Colombo, Sri Lanka

BMC Psychiatry

Matthew Hotopf⁴  Frühling V. Rijsdijk⁵  Athula Sumathipala²  Michael T. Lynskey¹  Harriet A. Ball⁵  Sisira Siribaddana³  Helena M.S. Zavos⁵ 

[1] Addictions Department, Institute of Psychiatry, King’s College London, London SE5 8BB, UK;Research Institute for Primary Care & Health Sciences, Keele University, Keele, UK;Department of Medicine, Faculty of Medicine & Allied Sciences, Rajarata University of Sri Lanka Anuradhapura, Mihintale, Sri Lanka;Department of Psychological Medicine, Institute of Psychiatry, Kings College, London SE5 9RJ, UK;Social Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, Kings College, DeCrespigny Park, Denmark Hill, London SE5 8AF, UK

关键词: Comorbidity;    Sri Lanka;    Alcohol use disorders;    Alcohol use;   

Others  :  1219951
DOI  :  10.1186/s12888-015-0549-z

 received in 2014-11-13, accepted in 2015-07-06,  发布年份 2015

【 摘 要 】

Background

Alcohol use is increasing in non-Western countries. However, the effects of this increase on the prevalence of alcohol use disorders (AUD) remains unknown, particularly in South Asia. This study aimed to estimate the prevalence of alcohol use and AUD in the Colombo District, Sri Lanka. Environmental risk factors and psychiatric correlates were also examined.

Methods

The Composite International Diagnostic Interview was used to assess alcohol use and psychiatric disorders in a population based sample of 6014 twins and singletons in the Colombo region of Sri Lanka.

Results

Lifetime alcohol use on 12 or more occasions was estimated at 63.1 % (95 % CI: 61.3-64.9) in men and 3.7 % (95 % CI: 3.0-4.3) in women. Prevalence of lifetime alcohol abuse and alcohol dependence in men was 6.2 % (95 % CI: 5.3-7.1) and 4.0 % (95 % CI: 3.3-4.7) respectively. Lower standard of living was independently associated with alcohol use and dependence but not abuse. Significant associations between lifetime AUD and other psychiatric disorders were observed.

Conclusions

Lower prevalence of alcohol use and AUD was observed compared to Western countries. Prevalence of alcohol use and AUD were higher than previous reports. Socio-demographic and environmental risk factors appear to be similar across cultures as were associations between AUD and other psychiatric disorders.

【 授权许可】

   
2015 Zavos et al.

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