Prevalence and pattern of alcohol consumption among women of reproductive age group in urban settings of Sikkim: a cross sectional study
Keywords:Alcohol, Reproductive age group women, Prevalence, Pattern, AUDIT, Public health
Background: Alcohol consumption by women of reproductive age group not only affects their health but can also cause multiple adverse birth outcomes. The objectives of the study were to assess the prevalence and pattern of alcohol consumption among women of reproductive age group in urban field practice areas of Sikkim Manipal Institute of Medical Sciences (SMIMS) by using a structured questionnaire and WHO tool, AUDIT (Alcohol Use Disorder Identification Test).
Methods: The study was a cross sectional study. A total of 284 women of reproductive age group (15-49 years) were interviewed using a structured questionnaire and AUDIT.
Results: The overall prevalence of alcohol consumption was 36.6%. Proportion of alcohol users was more among women of 25-34 years. Almost 95% of the women are current users (alcohol use in past 12 months). Beer was mostly preferred over other types of alcoholic beverages. Social customs (36.5%) and stress (25%) were the main reasons for consumption of alcohol. Based on AUDIT score, low risk drinking 68.6% was the predominant drinking pattern reported. However, one fourth of the women fall into hazardous pattern of drinking and 3 out of every 100 women had harmful and dependent pattern of drinking respectively.
Conclusions: The present study highlights the prevalence of alcohol consumption among women of reproductive age group in urban field practice areas of SMIMS. Socio-cultural factors and stressful life plays an influential role in consumption of alcohol. Although low risk drinking is the predominant pattern of alcohol use, an alarming 31% of women consuming alcohol are at risk of developing alcohol related harm.
WHO factsheet. Alcohol; 2018. Available at: https://www.who.int/news-room/fact-sheets/detail/ alcohol. Accessed 2 October 2019.
Smart L. Alcohol and human health. Oxford: Oxford University Press; 2007.
Taylor JL, Dolhert N, Friedman L. Alcohol elimination and simulator performance of male and female aviators: A preliminary report. Aviat Space Environ Med. 1996;67(5):407-13.
McHugh RK, Wigderson S, Greenfield SF. Epidemiology of substance use in reproductive-age women. Obstetrics and Gynecology Clinics. 2014;41(2):177-89.
World Health Organization, Public Health Problems caused by harmful use of alcohol. 58th World Health Assembly. Geneva: WHO press; 2007.
World Health Organization. A Summary of Global Status Report on Alcohol and Health, Management of Substance Dependence, Non-communicable Diseases, WHO; 2014.
State Fact sheets-Sikkim, National Family health Survey 4 (2015-2016). Available at: http://rchiips.org/nfhs/pdf/NFHS4/SK_FactSheet.pdf. Accessed 2 October 2019.
State Fact Sheets-Sikkim, National Family Health Survey 3 (2005-2006). Available:http://rchiips. org/nfhs/NFHS3%20Data/sk_state_report_printed_version.pdf. Accessed 2nd October 2019.
Girish N, Kavita R, Gururaj G, Benegal V. Alcohol use and implications for public health: patterns of use in four communities. Indian J Community Med. 2010;35(2):238-44.
Parry CD, Patra J, Rehm J. Alcohol consumption and non-communicable diseases: epidemiology and policy implications. Addiction. 2011;106(10):1718-24.
Thapa N, Aryal KK, Puri R, Shrestha S, Shrestha S, Thapa P, et al. Alcohol Consumption Practices among Married Women of Reproductive Age in Nepal: A Population Based Household Survey. PLoS ONE. 2016;11(4):e0152535.
Subady BN, Assanangkornchai S, Chongsuvivatwong V. Prevalence, patterns and predictors of alcohol consumption in a mountainous district of Bhutan. Drug and alcohol review. 2013;32(4):435-42.
Khosla V, Thankappan KR, Mini GK, Sarma PS. Prevalence & predictors of alcohol use among college students in Ludhiana, Punjab, India. Indian J Med Res. 2008;128(1):79-81.
Manimunda SP, Sugunan AP, Thennarasu K, Pandian D, Pesala KS, Benegal V. Alcohol consumption, hazardous drinking, and alcohol dependency among the population of Andaman and Nicobar Islands, India. Indian J Public Health 2017;61:105-11.
Deswal BS. Epidemiology of Alcohol Use among Residents of Remote Hills of Arunachal Pradesh, Indian Journal of Community Medicine 2006;31(2):88-9.
Niraula. Alcohol consumption among women. Health Renaissance. 2013;11(3):205-12.
Barik A, Kumar R, Chowdhury A, Alcohol Use-Related Problems Among a Rural Indian Population of West Bengal: An Application of the Alcohol Use Disorders Identification Test (AUDIT), Alcohol and Alcoholism, 2016;51(2):215–23.
Wangdi K, Jamtsho T. Prevalence and correlates of current alcohol use among Bhutanese adults: A nationally representative survey data analysis. Indian J Psychol Med. 2019;41:38-45.
Pandey SK, Datta D, Dutta S, Verma Y, Chakrabarti A. Socioeconomic characteristics of alcohol and other substance users, seeking treatment in Sikkim, North East India. J Pharm Bioall Sci. 2015;7:151-5.
Eashwar VMA, Gopalakrishnan S, Umadevi R, Geetha A. Epidemiology of alcohol consumption in an urban area of Kancheepuram district, Tamil Nadu. J Family Med Prim Care. 2019;8(3):1098-105.
Kumar G, Premarajan KC, Subitha L, Suguna E, Vinayagamoorthy VK. Prevalence and pattern of alcohol consumption using alcohol use disorders identification test (AUDIT) in rural Tamil Nadu, India. Journal of clinical and diagnostic research: JCDR. 2013;7(8):1637.
Verenkar YJ. Prevalence and pattern of alcohol consumption using alcohol use disorder identification test among students at a medical college in Goa, India, Int J Community Med Public Health. 2018;5(7):2935-8.
Hser YI, Anglin MD, Booth MW. Sex differences in addict careers 3. Addiction. Am J Drug Alcohol Abuse. 1987;13:231-51.
Randall CL, Roberts JS, Del Boca FK, Carroll KM, Connors GJ, Mattson ME. Telescoping of landmark events associated with drinking: A gender comparison. J Stud Alcohol. 1999;60:252-60.
Pradeep RJ, Dhilip AM, Mysore A. Do SADQ and AUDIT identify independent impacts of alcohol abuse - clinical and biochemical markers respectively? Indian J Psychiatry. 2015;57:278-83.