Cross-sectional study on the characteristics of unrecorded alcohol consumption in nine newly independent states between 2013 and 2017
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PROBST, Charlotte, MANTHEY, Jakob, FERREIRA-BORGES, Carina, NEUFELD, Maria, RAKOVAC, Ivo, ANDREASYAN, Diana, STURUA, Lela Z., NOVIK, Irina, HAGVERDIYEV, Gahraman, OBREJA, Galina, ALTYMYSHEVA, Nurila, ERGESHOV, Muhammet, SHUKROV, Shukhrat, SAIFUDDINOV, Safar, REHM, Jurgen T.. Cross-sectional study on the characteristics of unrecorded alcohol consumption in nine newly independent states between 2013 and 2017. In: BMJ Open, 2021, nr. 12(11), pp. 1-10. ISSN 2044-6055. DOI: https://doi.org/10.1136/bmjopen-2021-051874
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BMJ Open
Numărul 12(11) / 2021 / ISSN 2044-6055

Cross-sectional study on the characteristics of unrecorded alcohol consumption in nine newly independent states between 2013 and 2017

DOI:https://doi.org/10.1136/bmjopen-2021-051874

Pag. 1-10

Probst Charlotte123, Manthey Jakob4, Ferreira-Borges Carina5, Neufeld Maria4, Rakovac Ivo5, Andreasyan Diana6, Sturua Lela Z.7, Novik Irina8, Hagverdiyev Gahraman9, Obreja Galina10, Altymysheva Nurila11, Ergeshov Muhammet12, Shukrov Shukhrat13, Saifuddinov Safar14, Rehm Jurgen T.14
 
1 Centre for Addiction and Mental Health, Toronto,
2 University of Toronto,
3 University of Heidelberg,
4 Technische Universitat Dresden, Dresden,
5 World Health Organization European Office for Prevention and Control of Noncommunicable Diseases, Moscow,
6 National Institute of Health, Yerevan,
7 National Center for Disease Control and Public Health, Tbilisi,
8 Republican Scientific and Practical Center for Medical Technologies, Minsk,
9 Public Health and Reforms Center, Ministry of Health of Azerbaijan Republic, Baku,
10 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
11 Ministry of Health, Bishkek,
12 Ministry of Health and Medical Industry of Turkmenistan, Ashgabat,
13 Central Project Implementation Bureau of the "Health-3" Project of the Ministry of Health and the World Bank, Tashkent,
14 Ministry of Health and Social Protection, Dushanbe
 
 
Disponibil în IBN: 31 ianuarie 2022


Rezumat

Objectives As unrecorded alcohol use contributes to a substantial burden of disease, this study characterises this phenomenon in newly independent states (NIS) of the former Soviet Union with regard to the sources of unrecorded alcohol, and the proportion of unrecorded of total alcohol consumption. We also investigate associated sociodemographic characteristics and drinking patterns. Design Cross-sectional data on overall and unrecorded alcohol use in the past 7 days from WHO STEPwise Approach to NCD Risk Factor Surveillance (STEPS) surveys. Descriptive statistics were calculated at the country level, hierarchical logistic and linear regression models were used to investigate sociodemographic characteristics and drinking patterns associated with using unrecorded alcohol. Setting Nine NIS (Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Republic of Moldova, Tajikistan, Turkmenistan and Uzbekistan) in the years 2013-2017. Participants Nationally representative samples including a total of 36 259 participants. Results A total of 6251 participants (19.7%; 95% CI 7.9% to 31.5%) reported alcohol consumption in the past 7 days, 2185 of which (35.1%; 95% CI 8.2% to 62.0%) reported unrecorded alcohol consumption with pronounced differences between countries. The population-weighted average proportion of unrecorded consumption in nine NIS was 8.7% (95% CI 5.9% to 12.4%). The most common type of unrecorded alcohol was home-made spirits, followed by home-made beer and wine. Older (45-69 vs 25-44 years) and unemployed (vs employed) participants had higher odds of using unrecorded alcohol. More nuanced sociodemographic differences were observed for specific types of unrecorded alcohol. Conclusions This contribution is the first to highlight both, prevalence and composition of unrecorded alcohol consumption in nine NIS. The observed proportions and sources of unrecorded alcohol are discussed in light of local challenges in policy implementation, especially in regard to the newly formed Eurasian Economic Union (EAEU), as some but not all NIS are in the EAEU. 

Cuvinte-cheie
epidemiology, health policy, public health, Substance misuse