120
Views
1
CrossRef citations to date
0
Altmetric
Articles

Alcohol use disorders and associated factors among adults in rural communities in Enugu State, Nigeria: A cross-sectional survey

, &
Pages 1043-1062 | Published online: 05 Oct 2020
 

Abstract

Evidence has shown increasing rate of alcohol abuse among rural dwellers. At the same time little is known about the association between alcohol use disorders (AUD) and factors peculiar to this group of people. A cross-sectional study design was adopted to determine the prevalence of AUD and associated factors among adults in rural communities in Enugu State, Nigeria. Multi-stage random sampling technique was used to select 2,996 respondents from six rural communities in Enugu State. Respondents’ demographic, socioeconomic and clinical characteristics were documented. Data on alcohol use disorders were collected using the Alcohol Use Disorder Identification Test (AUDIT). AUDIT cutoff score of ≥ 8 signified presence of AUD. Logistic regression was used to determine the factors associated with the outcome variable, AUD calculating the crude and adjusted odds ratios and their respective confidence intervals (95% CI). The prevalence rates of alcohol use and AUD were 79.7% and 48.1%, respectively. The factors most strongly associated with AUD were eating once per day (OR= 8.59, 95% CI = 4.24–17.40), male gender (OR= 7.50, 95% CI = 6.30–8.93), being an artisan (OR= 5.92, 95% CI = 3.33–10.05), poor knowledge of health effects of alcohol abuse (OR= 4.26, 95% CI = 3.46–5.24), smoking (OR= 4.21, 95% CI = 3.24–5.47), low educational attainment and early age of alcohol initiation. Practicing Christianity, Islamic religion, being single and suffering from diabetes were some of the negative predictors of AUD. Multi-level interventions that encompass the associated factors are recommended to curtail harmful alcohol use in the rural communities.

Acknowledgments

We gratefully acknowledge the assistance we received from the research assistants in data collection. We are also grateful to the respondents who patiently completed the questionnaires and the community leaders who gave approval for the study.

Declaration of interest statement

The authors declare that they have no conflicts of interest.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 499.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.