Epidemiology, pattern and prevalence of alcohol consumption in India: need for public health action

Authors

  • Jagadeesan S. Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India http://orcid.org/0000-0003-3948-3604
  • Pranav Patel Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20211282

Keywords:

Alcohol, Dependence, Prevalence, Public Health, Intervention

Abstract

As we enter the year 2021, health and population related data related to the pattern, prevalence and epidemiological dimensions of alcohol consumption and its harmful use in Indian sub-continent needs time bound update. A non-systematic narrative review was attempted to identify consistent scientific and gray literature on the prevalence, pattern and repercussions on the alcohol consumption status among Indian adults and children. As the nation has no unified data system on the substance use behaviour of it's residents, the review involved inclusion of the latest research articles from each state/ union territory being collected from an active search from PubMed, Google scholar and Europe PMC. Prevalence of alcohol consumption in India ranged from 10% to 60% with a predominant male predilection in agreement with previous studies. Peer pressure was perceived to be the most influential factor in promoting alcohol use with social occasions, urban background, family celebrations and ‘staying away from family’ playing additional role. Mere awareness of alcohol related complications was not assessed in most of the research items. Public health and administrative policies need to be focussed strongly reducing the free availability of alcohol among diverse geographical regions of the country.  Policies and programmes are likely to be more effective if population heterogeneity is considered, and do address the wide range of modifiable risk and promoting factors at individual, community and social levels. Bringing public awareness with conventional and newer digital media will be contributive for both social and national productivity.

Author Biographies

Jagadeesan S., Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Post-Graduate in Internal Medicine

Pranav Patel, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Post-Graduate in Internal Medicine

References

Abbey A, Smith MJ, Scott RO. The relationship between reasons for drinking alcohol and alcohol consumption: An interactional approach. Addict Behav. 1993;18(6):659-70.

Ramanan Vv, Singh S. A study on alcohol use and its related health and social problems in rural Puducherry, India. J Fam Med Prim Care. 2016; 5(4):804.

Hydes T, Gilmore W, Sheron N, Gilmore I. Treating alcohol-related liver disease from a public health perspective. J Hepatol. 2019;70(2):223-36.

Chattopadhyay S, Fielding J. India: alcohol and public health. Addiction. 2005;100(8):1051-6.

Sharma HK, Tripathi BM, Pelto PJ. The evolution of alcohol use in India. AIDS Behav. 2010;14(S1):8-17.

Bennett LA, Gureje O. Alcoholic beverage consumption in India, Mexico, and Nigeria. Res World. 1998;22(4):10.

Manthey J. Quantifying the global contribution of alcohol consumption to cardiomyopathy. J Hepatol. 2017;9(2):45-9.

Daniel L, Krishnan G, Gupta S. A study to assess the prevalence and pattern of substance use among male adolescents in suburban area of Delhi. Indian J Soc Psychiatry. 2017;33(3):208.

A Cross-sectional study on pattern of alcohol consumption and body mass index among health institution students in Bagalkot. Available at: http://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2015&volume=9&issue=12&page=LC06&issn=0973-709x&id=6905. Accessed on 20 November 2020.

Pillai A, Nayak MB, Greenfield TK, Bond JC, Nadkarni A, Patel V. Patterns of alcohol use, their correlates, and impact in male drinkers: a population-based survey from Goa, India. Soc Psychiatry Psychiatr Epidemiol. 2013;48(2):275-82.

Bhagabati D, Das B, Das S. Alcohol consumption in India- An epidemiological review. J Family Med Prim Care. 2020;9(1):49-55.

Gupta PC. Alcohol consumption among middle-aged and elderly men: a community study from western India. Alcohol. 2003;38(4):327-31.

Khanna P, Vohra AK, Rajput R. Prevalence and pattern of alcohol and substance abuse in urban areas of rohtak city. Indian J Psychiatry. 2002;44(4):348-52.

Rane PP, Narayanan P, Binu V, Unnikrishnan B. Prevalence of Tobacco and Alcohol Consumption among Fishermen in Udupi Taluk' Karnataka, India: a Cross-Sectional Study. Asian Pac J Cancer Prev. 2016;17(4):1733-7.

Rautela Y, Gupta A, Singh AK, Reddy BV. Smoking and alcoholism among adult population and its association with outlet density in a hilly area of North India. J Prev Med Hyg. 2019;6:E361 Pages.

Heravian A, Solomon R, Krishnan G, Vasudevan CK, Krishnan AK, Osmand T, et al. Alcohol consumption patterns and sexual risk behavior among female sex workers in two South Indian communities. Int J Drug Policy. 2012;23(6):498-504.

Hazarika NC, Biswas D, Phukan RK, Hazarika D, Mahanta J. Prevalence and pattern of substance abuse at bandardewa, a border area of assam and arunachal pradesh. Indian J Psychiatry. 2000;42(3):262-266.

Manimunda SP, Sugunan AP, Thennarasu K, Pandian D, Pesala KS, Benegal V. Alcohol consumption, hazardous drinking, and alcohol dependency among the population of andaman and Nicobar Islands, India. Indian J Public Health. 2017;61(2):8.

Jaisoorya TS, Beena KV, Beena M, Ellangovan K, Jose DC, Thennarasu K, et al. Prevalence and correlates of alcohol use among adolescents attending school in Kerala, India. Int J Drug Policy 2015;7:521-9.

Rathod SD, Nadkarni A, Bhana A, Shidhaye R. Epidemiological features of alcohol use in rural India: a population-based cross-sectional study. BMJ Open. 2015;5(12):e009802.

Avasthi A, Basu D, Subodh BN, Gupta PK, Sidhu BS, Gargi PD, et al. Epidemiology of substance use and dependence in the state of Punjab, India: Results of a household survey on a statewide representative sample. Asian J Psychiatry. 2018;33:18-29.

Ahmad A, Rahman I, Alagarajan M. Prevalence and pattern of substance use among sandstone mine workers in Rajasthan, India. Clin Epidemiol Glob Health. 2020;8(2):570-5.

Kumar S. Epidemiology of substance abuse in the population of Lucknow. J Oral Biol Craniofacial Res. 2015;6:59-65.

Sidhu BS, Gargi PD. Alcohol use-related problems among a rural Indian Population of West Bengal: An application of the alcohol use disorders identification test (AUDIT). Alcohol. 2016;51(2):9.

Kumar K, Kumar S, Singh AK. Prevalence and socio-demographic correlates of alcohol consumption: Survey findings from five states in India. Drug Alcohol Depend. 2018;185:381-90.

Qureshi AA, Acharya R, Sharma G, Sethia R, Shekhawat K, Kawatra A. An epidemiological study to assess prevalence and behavior related to substance abuse among urban Bikaner population Rajasthan. Int J Community Med Public Health. 2017;4(9):3338.

Dube S, Chaudhary A, Mahajan R, Purohit R, Chaudhary S, Saluja N, et al. Chavan BS, Arun P, Bhargava R, Singh GP. Prevalence of alcohol and drug dependence in rural and slum population of Chandigarh: A community survey. Indian J Psychiatry. 2007;49(1):44-8.

Medhi G, Hazarika N, Mahanta J. Tobacco and alcohol use among the youth of the agricultural tea industry in Assam, INDIA. Southeast Asian J Trop Med Public Health. 2006;37(3):7.

Pati S, Swain S, Mahapatra S, Hussain M, Pati S. Prevalence, pattern, and correlates of alcohol misuse among male patients attending rural primary care in India. J Pharm Bioallied Sci. 2017;9(1):66.

Jonas JB, Nangia V, Rietschel M, Paul T, Behere P, Panda-Jonas S. Prevalence of depression, suicidal ideation, alcohol intake and nicotine consumption in rural central India. PLoS ONE. 2014;9(11):e113550.

Nuken A, Singh LL. Risk-taking Behaviors among Youth in Dimapur, Nagaland. J Pharm Bioallied Sci. 2013;3(3):12.

Goel N, Khandelwal V, Pandya K, Kotwal A. Alcohol and tobacco use among undergraduate and postgraduate medical students in india: a multicentric cross-sectional study. Cent Asian J Glob Health. 2015;4(1):52-9..

John A, Barman A, Bal D, Chandy G, Samuel J, Thokchom M, et al. Hazardous alcohol use in rural southern India: nature, prevalence and risk factors. Natl Med J India. 2009;22(3):123-5.

Deswal BS, Jindal AK, Gupta KK. Epidemiology of Alcohol Use among Residents of Remote Hills of Arunachal Pradesh. Int J Community Med Public Health. 2006;31(2):3.

35. Joy N, Vijaykumar P, Thapa S, Singh V, Raghava V, Seshadri T A. Study on prevalence of alcohol consumption among higher secondary school students in Theni district, Tamil Nadu. Int J Basic Clin Pharmacol. 2020;9(2):226.

Monteiro MG. The road to a world health organization global strategy for reducing the harmful use of alcohol. Cent Asian J Glob Health. 2011; 34(2):4.

Rehm J, Room R, Graham K, Monteiro M, Gmel G, Sempos CT. The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview: Alcohol and global burden of disease. Addiction. 2003;98(9):1209-28.

Rossow I, Romelsjö A. The extent of the ‘prevention paradox’ in alcohol problems as a function of population drinking patterns. Alcohol. 2006;7:52-9.

Singh G, Chavan B, Arun P, Bhargava R. Prevalence of alcohol and drug dependence in rural and slum population of Chandigarh: A community survey. Indian J Psychiatry. 2007;49(1):44.

Gururaj G, Benegal V, Girish N, Kavita R. Alcohol use and implications for public health: Patterns of use in four communities. Indian J Community Med. 2010;35(2):238.

Dandona R, Pandey A, Dandona L. A review of national health surveys in India. Bull World Health Organ. 2016;94(4):286-96.

Hahn RA, Kuzara JL, Elder R, Brewer R, Chattopadhyay S, Fielding J, et al. Effectiveness of policies restricting hours of alcohol sales in preventing excessive alcohol consumption and related harms. Am J Prev Med. 2010;39(6):590-604.

Das A, Gjerde H, Gopalan SS, Normann PT. Alcohol, drugs, and road traffic crashes in india: a systematic review. Traffic Inj Prev. 2012;13(6):544-53.

Esser MB, Gururaj G, Rao GN, Jayarajan D, Sethu L, Murthy P, et al. Harms from alcohol consumption by strangers in five Indian states and policy implications: Harms from alcohol consumption by strangers. Drug Alcohol Rev. 2017;36(5):682-90.

Babu BV, Kar SK. Domestic violence in Eastern India: Factors associated with victimization and perpetration. Public Health. 2010;124(3):136-48.

Stephenson R, Koenig MA, Ahmed S. Domestic Violence and Symptoms of Gynecologic Morbidity Among Women in North India. Int Fam Plan Perspect. 2006;32(04):201-8.

Hassan F, Sadowski LS, Bangdiwala SI, Vizcarra B, Ramiro L, De Paula CS, et al. Physical intimate partner violence in Chile, Egypt, India and the Philippines. Inj Control Saf Promot. 2004;11(2):111-6.

D’Silva J. India’s problem with toxic alcohol. BMJ. 2015;25:h4536.

Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. Voracek M, editor. PLOS ONE. 2015;10(5): e0126870.

Saggurti N, Schensul SL, Singh R. Alcohol use, sexual risk behavior and stis among married men in Mumbai, India. AIDS Behav. 2010;14(S1):40-7.

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Published

2021-03-25

How to Cite

S., J., & Patel, P. (2021). Epidemiology, pattern and prevalence of alcohol consumption in India: need for public health action. International Journal Of Community Medicine And Public Health, 8(4), 2070–2076. https://doi.org/10.18203/2394-6040.ijcmph20211282

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Section

Review Articles