期刊论文详细信息
BMC Public Health
Prevalence, patterns and correlates of alcohol consumption and its’ association with tobacco smoking among Sri Lankan adults: a cross-sectional study
David Matthews1  Rezvi Sheriff2  Nalika Karunaratne2  Amila Rathnapala2  Chathuranga Ranasinghe2  Prasad Katulanda2 
[1] Oxford Centre for Diabetes Endocrinology & Metabolism, Churchill Hospital, Old road, Headington, Oxford OX3 7LJ, UK;Faculty of Medicine, University of Colombo, PO box 25, Kynsey road, Colombo 10, Sri Lanka
关键词: Sri Lanka;    Prevalence;    Smoking;    Tobacco;    Alcohol;   
Others  :  1129300
DOI  :  10.1186/1471-2458-14-612
 received in 2014-01-26, accepted in 2014-06-13,  发布年份 2014
PDF
【 摘 要 】

Background

Most studies on alcohol consumption carried out in Sri Lanka are limited to single/few provinces in the island. The objective of this study was to determine the prevalence, patterns and correlates of alcohol consumption among a larger sample of adults in Sri Lanka.

Methods

This cross-sectional study was conducted in seven of all nine provinces in Sri Lanka, between 2005 and 2006. A nationally representative sample of 5000 adults aged ≥18 years was selected using multi-stage random cluster sampling. Data of 4532 participants were collected using an interviewer administered questionnaire. Data analysis included chi-squared test, multiple logistic regression analysis and Spearman correlation using Stata/SE 10.0 (StataCorp LP., Texas, USA) software package.

Results

Males were 40%; mean age was 46.1 years (±15.1). The overall, urban and rural prevalence (95% CI) of current drinking was 23.7% (21.7 – 25.7), 29.5% (25.7 – 33.3) and 22.2% (19.8 – 24.7) respectively (p = 0.001). Current (M: 48.1%, F: 1.2%, p < 0.0001) and former (M: 21.4%, F: 0.7%, p < 0.0001) drinking was much higher in males. The highest prevalence of drinking in males (58.9%) and females (2.2%) was in the 30 – 39 and <20 year age groups respectively. Lowest prevalence in men (24.6%) and women (0%) was in the >70 years age-group. Hazardous drinking was seen in 5.2% of men and 0.02% of women. Male sex, urban living and current smoking correlated with both current and hazardous drinking. Lower level of education, and age >70 years positively correlated with hazardous drinking.

Conclusions

Alcohol is predominantly a problem in Sri Lankan males. In males, both current and hazardous drinking positively correlated with urban living, white collar occupation, Burgher ethnicity and current smoking. Hazardous drinking positively correlated with lower level of education and older age. The data shown here are useful in planning interventions simultaneously targeting alcohol and tobacco.

【 授权许可】

   
2014 Katulanda et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150226024531162.pdf 227KB PDF download
【 参考文献 】
  • [1]World Health Organization. Substance Abuse Dept: Global status report on alcohol 2004. Geneva: World Health Organization; 2004. http://www.who.int/substance_abuse/publications/global_status_report_2004_overview.pdf webcite
  • [2]WHO expert committee on problems related to alcohol consumption. Second report World Health Organ Tech Rep Ser 2007, (944):1-53. 55–57, back cover
  • [3]World Health Organization: Alcohol use and sexual risk behaviour: a cross-cultural study in eight countries. Geneva: World Health Organization; 2005.
  • [4]Wells S, Thompson JM, Cherpitel C, Macdonald S, Marais S, Borges G: Gender differences in the relationship between alcohol and violent injury: an analysis of cross-national emergency department data. J Stud Alcohol Drugs 2007, 68(6):824-833.
  • [5]Samarasinghe D: Sri Lanka: alcohol now and then. Addiction 2006, 101(5):626-628.
  • [6]Rehm J, Gmel G, Sempos CT, Trevisan M: Alcohol-related morbidity and mortality. Alcohol Res Health 2003, 27(1):39-51.
  • [7]D'Costa G, Nazareth I, Naik D, Vaidya R, Levy G, Patel V, King M: Harmful alcohol use in Goa, India, and its associations with violence: a study in primary care. Alcohol Alcohol 2007, 42(2):131-137.
  • [8]Department of Census and Statistics in Sri Lanka: Population Characteristics. Census of population and Housing 2001. Colombo; 2001.
  • [9]Hettige S, Paranagama D: Gender, alcohol and culture in Sri Lanka. In Alcohol, gender, and drinking problems: perspectives from low and middle income countries. Edited by Obot IS, Room R. Geneva: World Health Organization, Department of Mental Health and Substance Abuse; 2005:167-189.
  • [10]World Health Organization. Substance Abuse Dept: Country Profiles: South-East Region:Sri Lanka. In Global status report on alcohol 2004. Geneva: World Health Organization; 2004. [http://www.who.int/substance_abuse/publications/en/sri_lanka.pdf?ua=1 webcite]
  • [11]Perera B, Torabi MR: Preliminary study of smoking and alcohol use among students in southern Sri Lanka. Psychol Rep 2004, 94(3 Pt 1):856-858.
  • [12]Dissanayake P, Navaratne NM: 24% of male deaths alcohol related. Ceylon Med J 1999, 44(1):40.
  • [13]Samaraweera S, Sumathipala A, Siribaddana S, Sivayogan S, Bhugra D: Completed suicide among Sinhalese in Sri Lanka: a psychological autopsy study. Suicide Life Threat Behav 2008, 38(2):221-228.
  • [14]Whitehall JS, Yarlini , Arunthathy , Varan , Kaanthan , Isaivanan , Vanprasath : Snake bites in north east Sri Lanka. Rural Remote Health 2007, 7(4):751.
  • [15]van der Hoek W, Konradsen F: Risk factors for acute pesticide poisoning in Sri Lanka. Trop Med Int Health 2005, 10(6):589-596.
  • [16]Subramaniam P, Sivayogan S: The prevalence and pattern of wife beating in the Trincomalee district in eastern Sri Lanka. Southeast Asian J Trop Med Public Health 2001, 32(1):186-195.
  • [17]Jayasekara RS, Schultz T: Health status, trends, and issues in Sri Lanka. Nurs Health Sci 2007, 9(3):228-233.
  • [18]WHO country cooperation strategy 2006–2011 Sri Lanka. http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_lka_en.pdf webcite
  • [19]de Silva V, Samarasinghe D, Gunawardena N: Alcohol and tobacco use among males in two districts in Sri Lanka. Ceylon Med J 2009, 54(4):119-124.
  • [20]Katulanda P, Constantine GR, Mahesh JG, Sheriff R, Seneviratne RD, Wijeratne S, Wijesuriya M, McCarthy MI, Adler AI, Matthews DR: Prevalence and projections of diabetes and pre-diabetes in adults in Sri Lanka–Sri Lanka Diabetes, Cardiovascular Study (SLDCS). Diabet Med 2008, 25(9):1062-1069.
  • [21]Ferdinandis TG, De Silva HJ: Illicit alcohol consumption and neuropathy–a preliminary study in Sri Lanka. Alcohol Alcohol 2008, 43(2):171-173.
  • [22]Ashworth M, Gerada C: ABC of mental health. Addiction and dependence–II: Alcohol. BMJ 1997, 315(7104):358-360.
  • [23]Reid MC, Fiellin DA, O'Connor PG: Hazardous and harmful alcohol consumption in primary care. Arch Intern Med 1999, 159(15):1681-1689.
  • [24]Katulanda P, Wickramasinghe K, Mahesh JG, Rathnapala A, Constantine GR, Sheriff R, Matthews DR, Fernando SS: Prevalence and correlates of tobacco smoking in Sri Lanka. Asia Pac J Public Health 2011, 23(6):861-869.
  • [25]StataCorp: Stata statistical software: Release 10. College Station, Tex: StataCorp LP; 2007.
  • [26]Rehm J, Rehn N, Room R, Monteiro M, Gmel G, Jernigan D, Frick U: The global distribution of average volume of alcohol consumption and patterns of drinking. Eur Addict Res 2003, 9(4):147-156.
  • [27]Jiafang Z, Jiachun W, Yunxia L, Xiaoxia Q, Ya F: Alcohol abuse in a metropolitan city in China: a study of the prevalence and risk factors. Addiction 2004, 99(9):1103-1110.
  • [28]Neufeld KJ, Peters DH, Rani M, Bonu S, Brooner RK: Regular use of alcohol and tobacco in India and its association with age, gender, and poverty. Drug Alcohol Depend 2005, 77(3):283-291.
  • [29]Janghorbani M, Ho SY, Lam TH, Janus ED: Prevalence and correlates of alcohol use: a population-based study in Hong Kong. Addiction 2003, 98(2):215-224.
  • [30]Hao W, Su Z, Liu B, Zhang K, Yang H, Chen S, Biao M, Cui C: Drinking and drinking patterns and health status in the general population of five areas of China. Alcohol Alcohol 2004, 39(1):43-52.
  • [31]The NHS Information Centre, Lifestyles Statistics: Statistics on alcohol: England 2008. England; 2008.
  • [32]Berry JG, Pidd K, Roche AM, Harrison JE: Prevalence and patterns of alcohol use in the Australian workforce: findings from the 2001 National Drug Strategy Household Survey. Addiction 2007, 102(9):1399-1410.
  • [33]Chagas Silva M, Gaunekar G, Patel V, Kukalekar DS, Fernandes J: The prevalence and correlates of hazardous drinking in industrial workers: a study from Goa. India. Alcohol Alcohol 2003, 38(1):79-83.
  • [34]Hermand D, Mullet E, Coutelle B: Perception of the combined effect of smoking and alcohol on health. J Soc Psychol 1995, 135(2):167-174.
  • [35]Gordon T, Doyle JT: Alcohol consumption and its relationship to smoking, weight, blood pressure, and blood lipids. The Albany Study. Arch Intern Med 1986, 146(2):262-265.
  文献评价指标  
  下载次数:3次 浏览次数:6次