Harmful Alcohol Consumption Among Community-Dwelling Aborigines in Southern Taiwan: Prevalence and Risk Factors

Monday, 30 July 2012

Mei-Sang Yang, RN, PhD1
Mei-Hua Wang, RN, MSN1
Cheng-Fang Yen, MD, PhD2
Chien-Yu Lai, RN, PhD1
Ke-Hsin Chueh, RN, PhD3
(1)College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
(2)Department of Psychiatry, Kaohsiung Medical University, Kaohsiung, Taiwan
(3)Department of Nursing, Fu Jen Catholic University, New Taipei City, Taiwan

Learning Objective 1: The learner will be able to understand the prevalence and risk factors of harmful drinking among community-dwelling aborigines in Taiwan.

Learning Objective 2: The learner will be able to understand the adverse consequences of harmful drinking among community-dwelling aborigines in Taiwan.

Purpose: Harmful drinking can lead to coronary heart disease, liver disease, hypertension, cancer, cognitive impairment, and tumbling accidents. It is an important health problem in the aboriginal communities. The aims of this study were to estimate the prevalence and to detect the risk factors of harmful drinking among community-dwelling aborigines.

Methods: A cross-sectional survey was conducted and 449 study participants were recruited into the study from community-dwelling aborigines in southern Taiwan. Alcohol Use Disorders Identification Test (AUDIT) was used to collect information regarding harmful alcohol drinking. Personal characteristics and related risk factors were assessed by a self-developed questionnaire. Multiple logistic regressions were used to estimate the association of harmful drinking and socio-demographic variables. 

Results: The results showed that the prevalence of harmful drinking in community-dwelling aborigines was 59.69% (95% CI 57.38%- 62%). Multiple logistic regression analysis revealed that participants that were male gender, less participated religious activity,  had significant pressure event, with smoking or betel chewing habits were more likely to have harmful drinking. It also revealed that the common negative consequences of harmful alcohol drinking were “quarreled with others”, “has an accident”, and “unable to work” among aborigines.

Conclusion: Harmful drinking would result in negative health consequences. About sixty percent of the study participants had harmful drinking. This finding suggested that harmful drinking in community-dwelling aborigines would be highly concerned by the professional of primary care. And primary caregivers need to develop an effective intervention to reduce harmful alcohol consumption in the community.