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Alcohol use and health care utilization in rural Liberia: Results of a community-based survey for basic public health indicators

机译:利比里亚农村地区的酒精使用和医疗保健利用:基于社区的基本公共卫生指标调查结果

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Weil, A., Cameron, C., Soumerai, J., Dierberg, K., Mouwon, A., Kraemer, D., Lewy, D., Lee, P., Kraemer, J., & Siedner, M. (2014). Alcohol use and health care utilization in rural Liberia: Results of a community-based survey for basic public health indicators. The International Journal Of Alcohol And Drug Research, 3 (2), 169-181. doi: http://dx.doi.org/10.7895/ijadr.v3i2.147 Aim: To measure the association between alcohol use and health-seeking behavior in post-conflict Liberia. Design: Cross-sectional survey. Setting: A community in rural southeast Liberia, from January 11 to January 16, 2010 Participants: 600 heads-of-household. Measures: Logistic regression models for estimation of associations between alcohol use and indicators of healthcare utilization. Frequent alcohol use was defined as drinking more than seven days out of the last two weeks. Findings: Frequent alcohol use was reported by 14.9% of participants. These respondents were less likely to attend clinic for chronic cough (Adjusted Odds Ratio, AOR 0.40, 95% CI 0.18-0.87), to have had an HIV test ( AOR 0.39, 95% CI 0.19-0.77), and to have accessed prenatal care ( AOR = 0.26, 95% CI 0.12-0.54). Approximately 25% of all respondents had no access to latrines, and half reported going to sleep hungry in the past week. Conclusions: Within households in post-conflict Liberia, there is an association between reduced health care utilization and frequent alcohol use self-reported by a head of household or primary caregiver.
机译:Weil,A.,Cameron,C.,Soumerai,J.,Dierberg,K.,Mouwon,A.,Kraemer,D.,Lewy,D.,Lee,P.,Kraemer,J.,&Siedner,M. (2014)。利比里亚农村地区的酒精使用和卫生保健利用:基于社区的基本公共卫生指标调查结果。国际酒精与药物研究杂志,3(2),169-181。 doi:http://dx.doi.org/10.7895/ijadr.v3i2.147目的:衡量冲突后利比里亚的饮酒与寻求健康行为之间的关联。设计:横断面调查。地点:利比里亚东南部农村地区的一个社区,2010年1月11日至1月16日。参与者:600个户主。度量:Logistic回归模型,用于估计饮酒与医疗保健利用指标之间的关联。频繁饮酒被定义为在过去两周中饮酒超过7天。调查结果:14.9%的参与者报告了经常饮酒。这些受访者不太可能因慢性咳嗽而去诊所(调整后的赔率,AOR 0.40,95%CI 0.18-0.87),接受过HIV检测(AOR 0.39,95%CI 0.19-0.77),并且接受过产前检查护理(AOR = 0.26,95%CI 0.12-0.54)。大约25%的受访者无法使用厕所,并且一半的受访者表示在过去一周内饿着肚子睡觉。结论:在冲突后利比里亚的家庭中,医疗保健利用率的降低与家庭或主要看护者的负责人自我报告的频繁饮酒之间存在关联。

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