Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India

BMC Public Health

Research Article

Mona Sharma¹  Shah Ebrahim²  Adyya Gupta³  Ruby Gupta⁴  Dilip Kumar Jha⁴  Preet K. Dhillon⁴  Bavani Priya⁵  Joseph Williams⁵ 

[1] Centre for Mental Health, Public Health Foundation of India, National Capital Region, India;Centre for Chronic Conditions and Injuries, Public Health Foundation of India, National Capital Region, India;Department of Non Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK;South Asia Network for Chronic Disease (SANCD), Public Health Foundation of India, National Capital Region, India;South Asia Network for Chronic Disease (SANCD), Public Health Foundation of India, National Capital Region, India;Centre for Chronic Conditions and Injuries, Public Health Foundation of India, National Capital Region, India;Voluntary Health Services, Chennai, India;

关键词: Alcohol;    Depression;    Suicidal attempt;    Spouse;    India;    NCDs;   

DOI  :  10.1186/s12889-015-1864-5

 received in 2015-01-19, accepted in 2015-05-22,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundHarmful effects of alcohol abuse are well documented for drinkers, and adverse effects are also reported for the physical and emotional well-being of family members, with evidence often originating from either drinkers or their families in clinic-based settings. This study evaluates intra-household associations between alcohol abuse in men, and depression and suicidal attempts in women, in community-based settings of Chennai, India.MethodsThis community-based cross-sectional study of chronic disease risk factors and outcomes was conducted in n = 259 households and n = 1053 adults (aged 15 years and above) in rural and urban Chennai. The Alcohol Use Disorder Identification Test (AUDIT) score was used to classify alcohol consumption into ‘low-risk', ‘harmful’, ‘hazardous’ and ‘alcohol dependence’ drinking and the Patient Health Questionnaire (PHQ-9) score to classify depression as ‘mild’, ‘moderate’, ‘moderate-severe’ and ‘severe’. Multivariate logistic regression models estimated the association of depression in women with men’s drinking patterns in the same household.ResultsA significant 2.5-fold increase in any depression (PHQ-9 ≥ 5) was observed in men who were ‘alcohol-dependent’ compared to non-drinkers (OR = 2.53; 95 % CI: 1.26, 5.09). However, there was no association between men’s drinking behavior and depression in women of the same household, although suicidal attempts approached a significant dose–response relationship with increasing hazard-level of men’s drinking (p = 0.08).ConclusionNo significant intra-household association was observed between men’s alcohol consumption and women’s depression, though an increasing (non-significant) trend was associated with suicidal attempts. Complex relationships between suicidal attempts and depression in women and male abusive drinking require further exploration, with an emphasis on intra-household mechanisms and pathways.

【 授权许可】

Unknown   
© Gupta et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.