Alcohol consumption in the Western Province of Sri Lanka: Prevalence, patterns, and health implications

IF 3.5 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2026-02-01 Epub Date: 2026-01-15 DOI:10.1016/j.drugalcdep.2026.113049

Prasad Katulanda , Sanduni Gamage , Tharindu Bandara , Akhila Imantha Nilaweera , Desha Rajni Fernando , Gaya Wijeweera Katulanda , Vithanage Pujitha Wickramasinghe , Eranga Wijewickrama

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Abstract

Introduction

Alcohol contributes to global morbidity and mortality. This study aimed to describe the prevalence and patterns of alcohol use, its correlates with health related quality of life (HRQoL) and chronic medical conditions in the Western Province of Sri Lanka.

Methods

A cross-sectional study (2018–2020) was conducted in Western Province recruited 1800 adults (>20 years) via multi-stage stratified cluster sampling. Data collection included interviewer-administered questionnaires, physiological, anthropometric, and biochemical measurements. Alcohol consumption patterns were assessed with Alcohol Use Disorders Identification Test and CAGE tools, and HRQoL with RAND-36.

Results

A total of 1333 adults participated. Alcohol consumption at any point in their life was reported by 25.5 % of participants (95 %CI:18.9–32.1), and 21.3 % (95 %CI:16.8–25.7) had consumed alcohol in the past year. The prevalence was highest among males (56.8 %;95 %CI:46.2–67.4), those aged 40–49 (27.9 %;95 %CI:20.9–34.6), residents of Gampaha district (33.2 %;95 %CI:21.4–44.9), rural dwellers (27.9 %;95 %CI:18.3–37.6), and those earning $300–400 monthly (46.5 %;95 %CI:28.4–64.6). Daily consumption was 5.2 % (95 %CI:1.9–8.3), harmful alcohol use was 28.1 % (95 %CI:19.5–36.7), and clinical alcoholism was 26.6 % (95 %CI:19.5–33.8) among alcohol consumers. Those without clinical alcoholism had higher quality of life than those with the condition. Comorbidities among consumers included dyslipidemia (81.3 %, undiagnosed:58.5 %), hypertension (61.6 %, undiagnosed:33.9 %), diabetes (41.4 %, undiagnosed:11.3 %), and prediabetes (33.8 %).

Conclusions

One-fourth of Western Province adults reported alcohol consumption, highest among middle-aged, middle-income, and residents in Gampaha district. Cardio-metabolic diseases were high among individuals who consume alcohol, many remaining undiagnosed. Non-communicable diseases programs should focus high-risk screening, alcohol control, and preventive community initiatives.

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斯里兰卡西部省的酒精消费：流行、模式和健康影响

酒精导致全球发病率和死亡率。本研究旨在描述斯里兰卡西部省酒精使用的流行程度和模式，及其与健康相关生活质量（HRQoL）和慢性医疗状况的相关性。方法：采用多阶段分层整群抽样的方法，在西部省开展横断面研究（2018-2020年）。数据收集包括访谈者填写的问卷、生理、人体测量和生化测量。使用酒精使用障碍识别测试和CAGE工具评估酒精消费模式，使用RAND-36评估HRQoL。结果：共有1333名成年人参与。25.5%的参与者（95% CI:18.9-32.1）报告在他们生命中的任何时候饮酒，21.3% （95% CI:16.8-25.7）在过去一年中饮酒。患病率最高的人群为男性（56.8%,95% CI:46.2-67.4）、40-49岁人群（27.9%,95% CI:20.9-34.6）、甘帕哈区居民（33.2%,95% CI:21.4-44.9）、农村居民（27.9%,95% CI:18.3-37.6）和月收入300-400美元的人群（46.5%,95% CI:28.4-64.6）。在饮酒者中，每日饮酒量为5.2% (95% CI:1.9-8.3)，有害饮酒为28.1% (95% CI:19.5-36.7)，临床酒精中毒为26.6% （95% CI:19.5-33.8）。那些没有临床酒精中毒的人比那些有这种情况的人生活质量更高。消费者的合并症包括血脂异常（81.3%，未确诊：58.5%）、高血压（61.6%，未确诊：33.9%）、糖尿病（41.4%，未确诊：11.3%）和前驱糖尿病（33.8%）。结论：西部省份四分之一的成年人报告饮酒，在Gampaha区的中年、中等收入和居民中最高。在饮酒者中，心脏代谢疾病的发病率很高，其中许多尚未被诊断出来。非传染性疾病项目应注重高风险筛查、酒精控制和预防性社区倡议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.