An Interventional Study to Assess the Impact of Health Education on Alcohol Use among Adult Males in Bareilly, U.P.
Background: Alcoholic beverages have been a part of social life for millennia, yet societies have always found it difficult to understand or restrain their use. Apart from the health concerns, chronic alcoholism is one of the greatest causes for poverty in the country. Objective: To assess the impact of health education on alcohol use among adult males in Bareilly District, Uttar Pradesh. Material & Methods: A community based interventional study conducted in the Bareilly district among males aged >15 years during November 2015 to April 2017 taking a sample of 699 by 30 cluster sampling with PPS. Data was collected by home visit using WHO-AUDIT (Alcohol Use Disorder Identification Test) questionnaire. After data collection, health education was given to study population in form of speech, posters, short films and focus group discussion. One year after providing health education, AUDIT questionnaire was re-filled by current alcohol drinkers to know the impact of health education. Results: Prevalence of drinking alcohol is 30.47% i.e. 213 current drinkers. AUDIT Scores before and after Health education were positively correlated (r=.768, p=0.0001). There was a significant average difference between AUDIT Scores before and after Health education (t178=2.973, p=0.003). Conclusion: Health education has a positive impact on alcohol use therefore research focus should be on primary prevention by health education/behaviour change communication in primary and secondary care settings.
2. Heath, D.B., "Sociocultural Variants in Alcoholism," pp. 426-440 in Pattison, E.M., and Kaufman, E., eds., Encyclopedic Handbook of Alcoholism, Gardner Press, New York, 1982, pp. 429-430
3. World Health Organization. Global status report: alcohol policy.2014. Available from URL: http://www.who.int/substance_abuse/publications/global_alcohol_report/en/
4. Allsop, S.. Fanning the flames of prevention. Drug and Alcohol Review31 (6), 2012, 729–730.
5. Victorian Drug and Alcohol Prevention Council. 2009 Victorian Youth and Alcohol and Drug Survey. Victorian Government Department of Health, 2010.
6. National family Health Survey-3, 2005-2006, vol.1, table-13.10: 433.Available from URL: http://www.nfhsindia.org/nfhs3.html.
7. Census, 2011, Bareilly district. Available from URL: http://www.census2011.co.in/ census/district/ bareilly.html
8. Saunders J.B., Aasland O.G., Babor T.F., Juan R., Fuente D.L., Grant M; Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption — II. Addiction; 1993, June; 88 (6): 791–804.
9. Ewing, J. A. Detecting alcoholism: The CAGE Questionnaire. Journal of the American Medical Association, 1984, 252, 1905–1907.
10. Sampath S.K., Chand P.K., Murthy P. Problem Drinking among Male inpatients in a Rural General Hospital: Indian Journal of Community Medicine. 2007 Jan; 1(1).
11. D’costa G. Nazareth I., Naik D., Vaidya R., Levy G., Patel V.et al Harmful alcohol use in Goa, India, and its associations with violence: a study in primary care alcohol & alcoholism 2007; 4 (2): 131–137.
12. Brisibe S., Ordinioha B. Socio-demographic characteristics of alcohol abusers in a rural Ijaw community in Bayelsa State, South-South Nigeria. Annals of African Medicine 2011; 10 (2): 97-102.
13. Geshi M, Hirokawa K, Taniguchi T, Fujii Y, Kawakami N. Effects of alcohol-related health education on alcohol and drinking behavior awareness among Japanese junior college students. Acta Med Okayama. 2007 Dec;61(6):345-54.