Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia.
<h4>Background</h4>The evidence on alcohol use disorder among conflict-affected civilian populations remains extremely weak, despite a number of potential risk-factors. The aim of this study is to examine patterns of alcohol use disorder among conflict-affected persons in the Republic of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24865450/pdf/?tool=EBI |
| _version_ | 1819100702106976256 |
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| author | Bayard Roberts Adrianna Murphy Ivdity Chikovani Nino Makhashvili Vikram Patel Martin McKee |
| author_facet | Bayard Roberts Adrianna Murphy Ivdity Chikovani Nino Makhashvili Vikram Patel Martin McKee |
| author_sort | Bayard Roberts |
| collection | DOAJ |
| description | <h4>Background</h4>The evidence on alcohol use disorder among conflict-affected civilian populations remains extremely weak, despite a number of potential risk-factors. The aim of this study is to examine patterns of alcohol use disorder among conflict-affected persons in the Republic of Georgia.<h4>Methods</h4>A cross-sectional survey of 3600 randomly selected internally displaced persons (IDPs) and former IDPs. Two alcohol use disorder outcomes were measured: (i) having at least hazardous alcohol use (AUDIT score ≥ 8); (ii) episodic heavy drinking (consuming >60 grams of pure alcohol per drinking session at least once a week). Individual level demographic and socio-economic characteristics were also recorded, including mental disorders. Community level alcohol environment characteristics relating to alcohol availability, marketing and pricing were recorded in the respondents' communities and a factor analysis conducted to produce a summary alcohol environment factor score. Logistic regression analyses examined associations between individual and community level factors with the alcohol use disorder outcomes (among men only).<h4>Results</h4>Of the total sample, 71% of men and 16% of women were current drinkers. Of the current drinkers (N = 1386), 28% of men and 1% of women were classified as having at least hazardous alcohol use; and 12% of men and 2% of women as episodic heavy drinkers. Individual characteristics significantly associated with both outcomes were age and experiencing a serious injury, while cumulative trauma events and depression were also associated with having at least hazardous alcohol use. For the community level analysis, a one unit increase in the alcohol environment factor was associated with a 1.27 fold increase in episodic heavy drinking among men (no significant association with hazardous alcohol use).<h4>Conclusion</h4>The findings suggest potential synergies for treatment responses for alcohol use disorder and depression among conflict-affected populations in Georgia, as well as the need for stronger alcohol control policies in Georgia. |
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| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-22T01:06:58Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e0eca0051b7447a39bf26c82971cfb1e2022-12-21T18:44:03ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0195e9829910.1371/journal.pone.0098299Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia.Bayard RobertsAdrianna MurphyIvdity ChikovaniNino MakhashviliVikram PatelMartin McKee<h4>Background</h4>The evidence on alcohol use disorder among conflict-affected civilian populations remains extremely weak, despite a number of potential risk-factors. The aim of this study is to examine patterns of alcohol use disorder among conflict-affected persons in the Republic of Georgia.<h4>Methods</h4>A cross-sectional survey of 3600 randomly selected internally displaced persons (IDPs) and former IDPs. Two alcohol use disorder outcomes were measured: (i) having at least hazardous alcohol use (AUDIT score ≥ 8); (ii) episodic heavy drinking (consuming >60 grams of pure alcohol per drinking session at least once a week). Individual level demographic and socio-economic characteristics were also recorded, including mental disorders. Community level alcohol environment characteristics relating to alcohol availability, marketing and pricing were recorded in the respondents' communities and a factor analysis conducted to produce a summary alcohol environment factor score. Logistic regression analyses examined associations between individual and community level factors with the alcohol use disorder outcomes (among men only).<h4>Results</h4>Of the total sample, 71% of men and 16% of women were current drinkers. Of the current drinkers (N = 1386), 28% of men and 1% of women were classified as having at least hazardous alcohol use; and 12% of men and 2% of women as episodic heavy drinkers. Individual characteristics significantly associated with both outcomes were age and experiencing a serious injury, while cumulative trauma events and depression were also associated with having at least hazardous alcohol use. For the community level analysis, a one unit increase in the alcohol environment factor was associated with a 1.27 fold increase in episodic heavy drinking among men (no significant association with hazardous alcohol use).<h4>Conclusion</h4>The findings suggest potential synergies for treatment responses for alcohol use disorder and depression among conflict-affected populations in Georgia, as well as the need for stronger alcohol control policies in Georgia.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24865450/pdf/?tool=EBI |
| spellingShingle | Bayard Roberts Adrianna Murphy Ivdity Chikovani Nino Makhashvili Vikram Patel Martin McKee Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. PLoS ONE |
| title | Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. |
| title_full | Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. |
| title_fullStr | Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. |
| title_full_unstemmed | Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. |
| title_short | Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. |
| title_sort | individual and community level risk factors for alcohol use disorder among conflict affected persons in georgia |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24865450/pdf/?tool=EBI |
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