2002, Number 2
<< Back Next >>
salud publica mex 2002; 44 (2)
The prevalence of hazardous and harmful use of alcohol among the insured population of Instituto Mexicano del Seguro Social.
de-la-Cruz-Morales-García JI, Fernández-Gárate IH, Tudón-Garcés H, Escobedo-de la Peña J, Zárate-Aguilar A, Madrazo-Navarro M
Language: Spanish
References: 31
Page: 113-121
PDF size: 95.19 Kb.
ABSTRACT
Objective. To estimate the prevalence of hazardous and harmful alcohol consumption among the insured population of Instituto Mexicano del Seguro Social (Mexican Social Security Institute, IMSS).
Material and Methods. A crosssectional survey was conducted in 45,117 insured subjects from Mexico’s 36 political districts; study subjects were interviewed using a structured and self-applied questionnaire on alcohol consumption, using the ten-item screening instrument AUDIT (Alcohol Use Disorder Identification Test). The first three questions refer to the amount and frequency of drinking, the following three question to alcohol dependence, and the last four to alcohol-related problems. Each item has three to five options and each is scored progressively from zero to four. The prevalence of alcohol consumption was estimated with 95% confidence intervals.
Results. The prevalence of problem drinkers (hazardous and harmful) was 12.8% (IC 95% 12.5-13.2); it was higher in men (22.2%; IC 95% 21.7-22.8) than in women (3.4%; IC 95% 3.1-3.6). An age effect was observed in men, while in women alcohol consumption was more homogeneous. In both genders consumption was higher in productive-age groups.
Conclusions. The prevalence of hazardous and harmful alcohol consumption is high in the insured population of the IMSS in Mexico. There is a need to implement health policies and health programs to diminish this serious health problem.
REFERENCES
Lieber CS. Medical disorders of alcoholism. N Engl J Med 1995;33: 1058-1065.
Romelsjö A, Karlsson G, Henningsohn L, Jakobsson SW. The prevalence of alcohol-related mortality in both sexes: Variation between indicators, Stockolm, 1987. Am J Public Health 1993;83:838-844.
Harford TC. Family history of alcoholism in the United States: Prevalence and demographic characteristics. Br J Addiction 1992;87:931-935.
Grant BF. Alcohol consumption, alcohol abuse and alcohol dependence. The United States as an example. Addiction 1994;89:1357-1365.
Umbricht-Schneiter A, Santora P, Moore RD. Alcohol abuse: Comparison of two methods for assessing its prevalence and associated morbidity in hospitalized patients. Am J Med 1991;91:110-118.
Yates DW, Hadfield JM, Peters K. The detection of problem drinkers in the accident & emergency department. Br J Addiction 1987;82:163-167.
Secretaría de Salud. Encuesta Nacional de Adicciones. México 1998. México, D.F: SSA, 1999:12-18.
Secretaría de Salud. Encuesta Nacional de Adicciones. México 1993. México, D.F: SSA, 1994:34,38.
Tapia R, Medina-Mora ME, Sepúlveda J, De la Fuente JR, kumate J. La Encuesta Nacional de Adicciones de México. Salud Publica Mex 1990; 32:507-522.
Conigrave KM, Saunders JB, Rezink RB. Predictive capacity of the AUDIT questionnaire for alcohol - related harm. Addiction 1995;90: 1479-1485.
Babor TF, De la Fuente JR, Saunders J, Grant M. AUDIT the alcohol use disorders identification test: Guidelines for use in primary health care. Ginebra: World Health Organization, Division of Mental Health, 1989:5,12-15.
Conigrave KM, Hall WD, Saunders JB. The AUDIT questionnaire: Choosing a cut-off score. Addiction 1995; 90:1349-1356.
Claussen B, Aasaland OG. The alcohol use disorders identification test (AUDIT) in a routine health examination of long - term unemployed. Addiction 1993;88:363-368.
Doll R, Peto R, Hall E, Wheatley K, Gray R. Mortality in relation to consumption of alcohol: 13 years’ observations on male British doctors. BMJ 1994;309:911-918.
Bohn MJ, Babor TF, Kranzler HR. The alcohol use disorders identification test (AUDIT): Validation of a screening instrument for use in medical settings. J Stud Alcohol 1995;56:423-432.
Reid MC, Fiellin DA, O’Connor PG. Hazardous and harmful alcohol consumption in primary care. Arch Intern Med 1999;159:1681-1689.
Medina-Mora E, Carreño S, De la Fuente JR. Experience with the alcohol use disorders identification test (AUDIT) in Mexico. Recent Dev Alcohol 1998;14:383-396.
Saunders JB, Aasaland OG, Amundsen A, Grant M. Alcohol consumption and related problems among primary health care patients: WHO Collaborative project on early detection of persons with harmful alcohol consumption-I. Addiction 1993;88:349-362.
Volk RJ, Steinbauer JR, Cantor SB, Holzer CH. The alcohol use disorders identification test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. Addiction 1997; 92:197-206.
Steinbauer JR, Cantor SB, Holzer CE 3rd, Volk RJ. Ethic and sex bias in primary care screening tests for alcohol use disorders. Ann Intern Med 1998; 129:353-362.
Rehm J, Greenfield TK, Walsh G, Xie X, Robson L, Single E. Assessment methods for alcohol consumption, prevalence of high risk drinking and harm: A sensitivity analysis. Int J Epidemiol 1999;28:219-224.
Saunders JB, Aasaland OG, Babor TF, De la Fuente JR. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption- II. Addiction 1993;88:791-804.
Bradley KA, Boyd-Wickizer J, Powell Sh, Bruman ML. Alcohol screening questionnaires in women. JAMA 1998;280(2):166-171.
Borges G, Medina ME, Cherpitel Ch, Casanova L, Mondragón L, Romero M. Consumo de bebidas alcohólicas en pacientes de los servicios de urgencias de la ciudad de Pachuca, Hidalgo. Salud Publica Mex 1999; 41:3-6.
Quinlan KP, Brewer RD, Sleet DA, Dellinger AM. Characteristics of child passenger deaths and injuries involving drinking drivers. JAMA 2000;283(17):2249-2252.
Margolis LH, Foss RD, Tolbert WG. Alcohol and motor vehicle – related deaths of children as passengers, pedestrians, and bicyclists. JAMA 2000;283(17):2245-2248.
Rojas E, Medina-Mora ME, Juárez F, Carreño S, Villatoro J, Berenzon S et al. El consumo de bebidas alcohólicas y variables asociadas entre los estudiantes de México. Salud Mental 1995;3:23-25.
Hart CL, Smith GD, Hole DJ, Hawthorne VM. Alcohol consumption and mortality from all causes, coronary heart disease, and stroke: From a prospective cohort study of Scottish men with 21 years of follow up. BMJ 1999;318:1725-1729.
Narro-Robles J, Gutiérrez-Avila H, López-Cervantes M, Borges G, Rosovsky H. La mortalidad por cirrosis hepática en México II. Exceso de mortalidad y consumo de pulque. Salud Publica Mex 1992;34:388-405.
Adams WL, Yuan Z, Barboriak JJ, Rimm AA. Alcohol-related hospitalizations of elderly people. JAMA 1993;270:1222-1225.
Rimm EB, Klatsky A, Grobbee S, Stampfer MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: Is the effect due to beer, wine, or spirits? BMJ 1996:312:731-736.