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    Shrutangi Vaidya
    This study assessed patterns of alcohol use among problem alcohol users in an urban slum in India. Participants were recruited using snowball sampling and assessed using the WHO-ASSIST and questionnaires about drinking habits. Results showed high rates of heavy episodic drinking despite lack of treatment receipt. Distinct regional patterns were found that may increase health risks. While providing valuable new data, the study had limitations such as selection bias and lack of a comparison group. Overall it highlighted the need for region-specific interventions and expanded treatment services for problem alcohol users.

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    Journal CLub

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    Shrutangi Vaidya
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    This study assessed patterns of alcohol use among problem alcohol users in an urban slum in India. Participants were recruited using snowball sampling and assessed using the WHO-ASSIST and questionnaires about drinking habits. Results showed high rates of heavy episodic drinking despite lack of treatment receipt. Distinct regional patterns were found that may increase health risks. While providing valuable new data, the study had limitations such as selection bias and lack of a comparison group. Overall it highlighted the need for region-specific interventions and expanded treatment services for problem alcohol users.

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    This study assessed patterns of alcohol use among problem alcohol users in an urban slum in India. Participants were recruited using snowball sampling and assessed using the WHO-ASSIST and questionnaires about drinking habits. Results showed high rates of heavy episodic drinking despite lack of treatment receipt. Distinct regional patterns were found that may increase health risks. While providing valuable new data, the study had limitations such as selection bias and lack of a comparison group. Overall it highlighted the need for region-specific interventions and expanded treatment services for problem alcohol users.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    16 views23 pages

    Journal CLub

    Uploaded by

    Shrutangi Vaidya
    This study assessed patterns of alcohol use among problem alcohol users in an urban slum in India. Participants were recruited using snowball sampling and assessed using the WHO-ASSIST and questionnaires about drinking habits. Results showed high rates of heavy episodic drinking despite lack of treatment receipt. Distinct regional patterns were found that may increase health risks. While providing valuable new data, the study had limitations such as selection bias and lack of a comparison group. Overall it highlighted the need for region-specific interventions and expanded treatment services for problem alcohol users.

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    You are on page 1of 23

    Pattern of alcohol use among problem

    alcohol users in a community-based


    setting in India: A cross-sectional study
    Journal: Journal of Substance Use
    Authors: Snehil Gupta, Rakesh Lal, Ravindra Rao, Ashwani Kumar Mishra & Atul Ambekar
    Published online: 22 Sep 2017
    DOI: 10.1080/14659891.2017.1366557
    Outline
    • About the journal
    • Reasons for choosing the paper
    • Background
    • Paper Summary
    • Summary of Methods
    • Results
    • Discussion
    • Conclusion
    • Critical Appraisal
    • Significance and relevance of findings
    • Strengths
    • Weaknesses
    • Overall critique
    About the Journal:
    • Title: Journal of Substance Use
    • Publishing House:
    • Frequency: bimonthly
    • Aim and Scope: wide spectrum of issues relating to the use of legal
    and illegal substances.
    • Impact Factor: 0.895 (2021)
    • Indexing: Cambridge Scientific Abstracts, CINAHL, EMBASE
    Reasons for choosing the paper:
    • Easy to understand study design and statistics
    • A naïve researcher’s perspective
    • Well-written – can serve as a template
    Background
    • Impact of an average volume of alcohol consumption on mortality or
    morbidity is partly moderated by the way alcohol is consumed.
    • Patterns of alcohol drinking:
    • heavy episodic drinking (HED) or binge drinking
    • associated with two fold mortality than their non-HED counterparts.
    • Poor prognosis of myocardial infarction than their non-HED counterparts.
    • type of alcoholic beverage consumed (beer, CML, IMFL)
    • the time of drinking
    • place of drinking
    • Community setting – ‘raw data’
    Background
    • Few studies have focused on assessing the pattern of alcohol
    consumption among alcohol users in India - restricted to the south
    and eastern regions.
    • This study was conducted with an aim to assess the pattern of
    drinking among problem alcohol users in a community setting in
    North India.
    Paper Summary
    Summary of Methods:
    • Study design: cross-sectional, observational – in an urban slum of a
    metropolitan city of India.
    • How were participants recruited?
    • Snowballing method
    Summary of Methods:
    • Who were the study participants?
    • Males aged 18 years or more, not received treatment for alcohol-related
    problem in the past three months, problem alcohol use (defined as those with
    scores greater than 11 as assessed by WHO-ASSIST) and residing in the
    community.
    • Mode of Conduction of study?
    • By interview style – Each interview lasted for about 60 minutes by psychiatry
    trained personnel.
    Summary of Methods:
    • Assessment tools used:
    • Alcohol, smoking, and substance involvement screening test (WHO-ASSIST)
    • screening tool to identify those with substance use problems for referral to treatment.
    • Validated Hindi version used for the current study.
    • Was used to identify and include alcohol users in the moderate- to high-risk category as well as to
    exclude those who reported consuming any other substances (except nicotine) in the past three
    months.
    • Semi-structured questionnaire
    • to collect socio-demographic data, alcohol-use details.
    • Quantity-Frequency (QF) approach
    • To estimate the quantity of alcohol consumed by the subject in the past three months.
    • Asks the overall frequency of drinking during a reference period and the usual number of drinks
    consumed on days when drinking took place.
    • Each subject was asked whether he had any episode of HED in the past three months.
    Summary of Methods:
    • Statistical analysis:
    • For continuous data: (alcohol intake duration)
    • mean (for variables that were less or moderately skewed)
    • Median with Interquartile Range (IQR) (for characteristics that were more skewed)
    • For categorical data: (sociodemographic, alcohol-related clinical details, and
    drinking contexts)
    • frequency distribution
    • Average quantity of alcohol (in gram) consumed by an individual subject per
    day:
    • By converting the amount of alcohol consumed into number of standard drinks (one
    standard drink = 10 g of absolute alcohol)
    • Frequency distribution of HED
    Results:
    • Participant screening and reasons for exclusion given
    • Subheadings for different types of findings
    • Succinctly presented demographic details
    • Only key findings presented in text to minimise repetition
    Discussion:
    • Summarizes key results in relation to study objectives
    • Emphasized the need to expand treatment services for problem alcohol
    users
    • Have compared their results with other studies in India - highlight the
    importance of regional studies to understand diverse patterns of drinking.
    • Emphasised need of pattern specific interventions
    • Discussed limitations - convenience sampling and referral bias.
    Conclusion:
    • Among men drinking in a moderate- or high-risk pattern, a sizeable
    proportion has high rates of HED and yet they are nonrecipient of
    treatment.
    • demonstrate some distinct pattern of alcohol consumption, which is
    likely to place them at risk of various adverse acute and long-term
    consequences of alcohol use.
    Critical Appraisal
    Significance and Relevance of Findings:
    • Urgent need to expand treatment services for people suffering from
    substance-use disorders, including problem alcohol users – as
    addiction treatment services are woefully short.
    • Increases importance of conducting awareness drives in such areas.
    • Pattern specific interventions can be implemented.
    • Brings to notice the importance of conducting similar research in
    other parts of the country – would further allow comparison of
    patterns and help carry out region specific interventions.
    According to STROBE guidelines –
    Strengths:
    • Follows majority of the STROBE guidelines.
    According to STROBE guidelines -
    Weaknesses
    • Study Variables – potential confounders
    • Bias – social desirability bias, recall bias, selection bias
    • Lack of Sample size calculation
    • Limited generalizability
    • Lack of a comparison group
    • Missing data not addressed
    • Funding and acknowledgement not mentioned
    Weaknesses of the Study:
    • Sampling method may introduce selection bias
    • Lack of sample size calculation
    • Limited generalizability
    • Lack of a comparison group
    • Reliance on self-reported data – recall bias and social desirability bias
    Overall critique:
    • Valuable insights into alcohol consumption patterns
    • Credible data collection methods
    • Consideration of study limitations is necessary
    Thank You!

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