Skip to main content
Top
Published in: BMC Psychiatry 1/2015

Open Access 01-12-2015 | Research article

The prevalence and correlates of alcohol use and alcohol use disorders: a population based study in Colombo, Sri Lanka

Authors: Helena M.S. Zavos, Sisira Siribaddana, Harriet A. Ball, Michael T. Lynskey, Athula Sumathipala, Frühling V. Rijsdijk, Matthew Hotopf

Published in: BMC Psychiatry | Issue 1/2015

Login to get access

Abstract

Background

Alcohol use is increasing in non-Western countries. However, the effects of this increase on the prevalence of alcohol use disorders (AUD) remains unknown, particularly in South Asia. This study aimed to estimate the prevalence of alcohol use and AUD in the Colombo District, Sri Lanka. Environmental risk factors and psychiatric correlates were also examined.

Methods

The Composite International Diagnostic Interview was used to assess alcohol use and psychiatric disorders in a population based sample of 6014 twins and singletons in the Colombo region of Sri Lanka.

Results

Lifetime alcohol use on 12 or more occasions was estimated at 63.1 % (95 % CI: 61.3-64.9) in men and 3.7 % (95 % CI: 3.0-4.3) in women. Prevalence of lifetime alcohol abuse and alcohol dependence in men was 6.2 % (95 % CI: 5.3-7.1) and 4.0 % (95 % CI: 3.3-4.7) respectively. Lower standard of living was independently associated with alcohol use and dependence but not abuse. Significant associations between lifetime AUD and other psychiatric disorders were observed.

Conclusions

Lower prevalence of alcohol use and AUD was observed compared to Western countries. Prevalence of alcohol use and AUD were higher than previous reports. Socio-demographic and environmental risk factors appear to be similar across cultures as were associations between AUD and other psychiatric disorders.
Literature
1.
go back to reference Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.CrossRefPubMed Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.CrossRefPubMed
2.
go back to reference de Silva V, Samarasinghe D, Gunawardena N. Alcohol and tobacco use among males in two districts in Sri Lanka. Ceylon Med J. 2009;54:119–24.CrossRefPubMed de Silva V, Samarasinghe D, Gunawardena N. Alcohol and tobacco use among males in two districts in Sri Lanka. Ceylon Med J. 2009;54:119–24.CrossRefPubMed
3.
go back to reference WHO. Global status report on alcohol. Geneva: World Health Organisation; 2011. WHO. Global status report on alcohol. Geneva: World Health Organisation; 2011.
4.
go back to reference Teesson M, Baillie A, Lynskey M, Manor B, Degenhardt L. Substance use, dependence and treatment seeking in the United States and Australia: a cross-national comparison. Drug Alcohol Depend. 2006;81(2):149–55.CrossRefPubMed Teesson M, Baillie A, Lynskey M, Manor B, Degenhardt L. Substance use, dependence and treatment seeking in the United States and Australia: a cross-national comparison. Drug Alcohol Depend. 2006;81(2):149–55.CrossRefPubMed
5.
go back to reference Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2007;64(7):830–42.CrossRefPubMed Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2007;64(7):830–42.CrossRefPubMed
6.
go back to reference WHO. Global status report on alcohol. Geneva: World Health Organization; 2014. WHO. Global status report on alcohol. Geneva: World Health Organization; 2014.
7.
go back to reference Obot I, Room R. Alcohol, gender and drinking problems: perspectives from low and middle income countries. Division of Mental Health, Geneva: World Health Organisation; 2005. Obot I, Room R. Alcohol, gender and drinking problems: perspectives from low and middle income countries. Division of Mental Health, Geneva: World Health Organisation; 2005.
8.
go back to reference Wilsnack RW, Wilsnack SC, Kristjanson AF, Vogeltanz-Holm ND, Gmel G. Gender and alcohol consumption: patterns from the multinational GENACIS project. Addiction. 2009;104(9):1487–500.CrossRefPubMedPubMedCentral Wilsnack RW, Wilsnack SC, Kristjanson AF, Vogeltanz-Holm ND, Gmel G. Gender and alcohol consumption: patterns from the multinational GENACIS project. Addiction. 2009;104(9):1487–500.CrossRefPubMedPubMedCentral
9.
go back to reference Subramanian SV, Nandy S, Irving M, Gordon D, Davey Smith G. Role of socioeconomic markers and state prohibition policy in predicting alcohol consumption among men and women in India: a multilevel statistical analysis. Bull World Health Organ. 2005;83(11):829–36.PubMedPubMedCentral Subramanian SV, Nandy S, Irving M, Gordon D, Davey Smith G. Role of socioeconomic markers and state prohibition policy in predicting alcohol consumption among men and women in India: a multilevel statistical analysis. Bull World Health Organ. 2005;83(11):829–36.PubMedPubMedCentral
10.
11.
go back to reference Chagas Silva M, Gaunekar G, Patel V, Kukalekar DS, Fernandes J. The prevalence and correlates of hazardous drinking in industrial workers: a study from Goa. India Alcohol Alcohol. 2003;38(1):79–83.CrossRefPubMed Chagas Silva M, Gaunekar G, Patel V, Kukalekar DS, Fernandes J. The prevalence and correlates of hazardous drinking in industrial workers: a study from Goa. India Alcohol Alcohol. 2003;38(1):79–83.CrossRefPubMed
12.
go back to reference Farrell M, Howes S, Bebbington P, Brugha T, Jenkins R, Lewis G, et al. Nicotine, alcohol and drug dependence and psychiatric comorbidity. Results of a national household survey. Br J Psychiatry. 2001;179:432–7.CrossRefPubMed Farrell M, Howes S, Bebbington P, Brugha T, Jenkins R, Lewis G, et al. Nicotine, alcohol and drug dependence and psychiatric comorbidity. Results of a national household survey. Br J Psychiatry. 2001;179:432–7.CrossRefPubMed
13.
go back to reference Patel V. Alcohol use and mental health in developing countries. Ann Epidemiol. 2007;17(5):S87–92.CrossRef Patel V. Alcohol use and mental health in developing countries. Ann Epidemiol. 2007;17(5):S87–92.CrossRef
14.
go back to reference Abeyasinghe R, Gunnell D. Psychological autopsy study of suicide in three rural and semi-rural districts of Sri Lanka. Soc Psychiatry Psychiatr Epidemiol. 2008;43(4):280–5.CrossRefPubMed Abeyasinghe R, Gunnell D. Psychological autopsy study of suicide in three rural and semi-rural districts of Sri Lanka. Soc Psychiatry Psychiatr Epidemiol. 2008;43(4):280–5.CrossRefPubMed
15.
go back to reference Siribaddana SH, Ball HA, Hewage SN, Glozier N, Kovas Y, Dayaratne D, et al. Colombo Twin and Singleton Study (CoTASS): a description of a population based twin study of mental disorders in Sri Lanka. BMC Psychiatry. 2008;8:49.CrossRefPubMedPubMedCentral Siribaddana SH, Ball HA, Hewage SN, Glozier N, Kovas Y, Dayaratne D, et al. Colombo Twin and Singleton Study (CoTASS): a description of a population based twin study of mental disorders in Sri Lanka. BMC Psychiatry. 2008;8:49.CrossRefPubMedPubMedCentral
16.
go back to reference Siribaddana SH, Siriwardane WD, Hewage SN, Athukorale AD, Sumathipala A, Hotopf M. Update from Sri Lankan Twin Registry: establishment of a population-based twin register and ongoing project on common mental disorders, alcohol abuse and suicidal ideations. Twin Res Human Genet. 2006;9(6):868–74.CrossRef Siribaddana SH, Siriwardane WD, Hewage SN, Athukorale AD, Sumathipala A, Hotopf M. Update from Sri Lankan Twin Registry: establishment of a population-based twin register and ongoing project on common mental disorders, alcohol abuse and suicidal ideations. Twin Res Human Genet. 2006;9(6):868–74.CrossRef
17.
go back to reference WHO. Composite International Diagnostic Interview (CIDI). Geneva: World Health Organisation, Division of Mental Health; 1990. WHO. Composite International Diagnostic Interview (CIDI). Geneva: World Health Organisation, Division of Mental Health; 1990.
18.
go back to reference SPSS: SPSS Base 14.0 User’s Guide. SPSS Inc. 2005. SPSS: SPSS Base 14.0 User’s Guide. SPSS Inc. 2005.
19.
go back to reference StataCorp. Stata statistical software: release 10. College Station, TX: StataCorp LP; 2007. StataCorp. Stata statistical software: release 10. College Station, TX: StataCorp LP; 2007.
20.
go back to reference Rogers WH. Regression standard errors in clustered samples. Stata Tech Bull. 1993;13:19–23. Rogers WH. Regression standard errors in clustered samples. Stata Tech Bull. 1993;13:19–23.
21.
go back to reference Williams RL. A note on robust variance estimation for cluster-correlated data. Biometrics. 2000;56(2):645–6.CrossRefPubMed Williams RL. A note on robust variance estimation for cluster-correlated data. Biometrics. 2000;56(2):645–6.CrossRefPubMed
22.
go back to reference Rahav G, Wilsnack R, Bloomfield K, Gmel G, Kuntsche S. The influence of societal level factors on men’s and women’s alcohol consumption and alcohol problems. Alcohol Alcohol Suppl. 2006;41(1):i47–55.CrossRefPubMed Rahav G, Wilsnack R, Bloomfield K, Gmel G, Kuntsche S. The influence of societal level factors on men’s and women’s alcohol consumption and alcohol problems. Alcohol Alcohol Suppl. 2006;41(1):i47–55.CrossRefPubMed
23.
go back to reference Perera B, Torabi MR. Preliminary study of smoking and alcohol use among students in southern Sri Lanka. Psychol Rep. 2004;94(3 Pt 1):856–8.CrossRefPubMed Perera B, Torabi MR. Preliminary study of smoking and alcohol use among students in southern Sri Lanka. Psychol Rep. 2004;94(3 Pt 1):856–8.CrossRefPubMed
25.
go back to reference Samarasinghe DS, Dissanayake SA, Wijesinghe CP. Alcoholism in Sri Lanka: an epidemiological survey. Br J Addict. 1987;82(10):1149–53.CrossRefPubMed Samarasinghe DS, Dissanayake SA, Wijesinghe CP. Alcoholism in Sri Lanka: an epidemiological survey. Br J Addict. 1987;82(10):1149–53.CrossRefPubMed
26.
go back to reference Schuckit MA, Smith TL, Danko GP, Kramer J, Godinez J, Bucholz KK, et al. Prospective evaluation of the four DSM-IV criteria for alcohol abuse in a large population. Am J Psychiatry. 2005;162(2):350–60.CrossRefPubMed Schuckit MA, Smith TL, Danko GP, Kramer J, Godinez J, Bucholz KK, et al. Prospective evaluation of the four DSM-IV criteria for alcohol abuse in a large population. Am J Psychiatry. 2005;162(2):350–60.CrossRefPubMed
27.
go back to reference Nelson CB, Rehm J, Ustun TB, Grant B, Chatterji S. Factor structures for DSM-IV substance disorder criteria endorsed by alcohol, cannabis, cocaine and opiate users: results from the WHO reliability and validity study. Addiction. 1999;94(6):843–55.CrossRefPubMed Nelson CB, Rehm J, Ustun TB, Grant B, Chatterji S. Factor structures for DSM-IV substance disorder criteria endorsed by alcohol, cannabis, cocaine and opiate users: results from the WHO reliability and validity study. Addiction. 1999;94(6):843–55.CrossRefPubMed
28.
go back to reference Hasin DS, Beseler CL. Dimensionality of lifetime alcohol abuse, dependence and binge drinking. Drug Alcohol Depend. 2009;101(1–2):53–61.CrossRefPubMed Hasin DS, Beseler CL. Dimensionality of lifetime alcohol abuse, dependence and binge drinking. Drug Alcohol Depend. 2009;101(1–2):53–61.CrossRefPubMed
29.
go back to reference de Silva V, Samarasinghe D, Hanwella R. Association between concurrent alcohol and tobacco use and poverty. Drug Alcohol Rev. 2011;30(1):69–73.CrossRefPubMed de Silva V, Samarasinghe D, Hanwella R. Association between concurrent alcohol and tobacco use and poverty. Drug Alcohol Rev. 2011;30(1):69–73.CrossRefPubMed
30.
go back to reference Ball HA, Siribaddana SH, Kovas Y, Glozier N, McGuffin P, Sumathipala A, et al. Epidemiology and symptomatology of depression in Sri Lanka: a cross-sectional population-based survey in Colombo District. J Affect Disord. 2010;123(1–3):188–96.CrossRefPubMedPubMedCentral Ball HA, Siribaddana SH, Kovas Y, Glozier N, McGuffin P, Sumathipala A, et al. Epidemiology and symptomatology of depression in Sri Lanka: a cross-sectional population-based survey in Colombo District. J Affect Disord. 2010;123(1–3):188–96.CrossRefPubMedPubMedCentral
31.
go back to reference True WR, Xian H, Scherrer JF, Madden PA, Bucholz KK, Heath AC, et al. Common genetic vulnerability for nicotine and alcohol dependence in men. Arch Gen Psychiatry. 1999;56(7):655–61.CrossRefPubMed True WR, Xian H, Scherrer JF, Madden PA, Bucholz KK, Heath AC, et al. Common genetic vulnerability for nicotine and alcohol dependence in men. Arch Gen Psychiatry. 1999;56(7):655–61.CrossRefPubMed
32.
go back to reference Lyons MJ, Schultz M, Neale M, Brady K, Eisen S, Toomey R, et al. Specificity of familial vulnerability for alcoholism versus major depression in men. J Nerv Ment Dis. 2006;194(11):809–17.CrossRefPubMed Lyons MJ, Schultz M, Neale M, Brady K, Eisen S, Toomey R, et al. Specificity of familial vulnerability for alcoholism versus major depression in men. J Nerv Ment Dis. 2006;194(11):809–17.CrossRefPubMed
33.
go back to reference Kendler KS, Prescott CA, Myers J, Neale MC. The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Arch Gen Psychiatry. 2003;60(9):929–37.CrossRefPubMed Kendler KS, Prescott CA, Myers J, Neale MC. The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Arch Gen Psychiatry. 2003;60(9):929–37.CrossRefPubMed
34.
go back to reference Fergusson DM, Boden JM, Horwood LJ. Tests of causal links between alcohol abuse or dependence and major depression. Arch Gen Psychiatry. 2009;66(3):260–6.CrossRefPubMed Fergusson DM, Boden JM, Horwood LJ. Tests of causal links between alcohol abuse or dependence and major depression. Arch Gen Psychiatry. 2009;66(3):260–6.CrossRefPubMed
Metadata
Title
The prevalence and correlates of alcohol use and alcohol use disorders: a population based study in Colombo, Sri Lanka
Authors
Helena M.S. Zavos
Sisira Siribaddana
Harriet A. Ball
Michael T. Lynskey
Athula Sumathipala
Frühling V. Rijsdijk
Matthew Hotopf
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2015
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-015-0549-z

Other articles of this Issue 1/2015

BMC Psychiatry 1/2015 Go to the issue