Journal of Child and Adolescent Health

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Research Article - Journal of Child and Adolescent Health (2021) Volume 5, Issue 6

How age of initiation of alcohol use influences severity of alcohol consumption: An observation from Nepal

Introduction: With the ever -increasing prevalence of AUD in Nepal, there arises an increasing need to better understand the complexities of factors that influence alcohol use. The objective of this paper is to evaluate the association between several alcohol use characteristics and severity of alcohol use disorder. Methods: A cross-sectional study was conducted in 8 alcohol and drug rehabilitation centers (residential treatment centers) of Kathmandu, Nepal, involving 225 male patients. The AUDIT test was used to screen patients with AUD. A self-report questionnaire was developed to measure sociodemographic characteristics and alcohol use characteristics (which included age of initiation of alcohol use, previous admission at rehabilitation centers/hospitals for alcohol-related problems, and previous abstinence attempts). Results: Among the patients screened positive for AUD, 75% were screened to have alcohol dependence while 25% were screened to have harmful use. Thirty- two percent of the patients initiated alcohol use before the age of 18, 90% had previous abstinence attempts and over 50% had previous admission at rehabilitation centers or hospitals due to alcohol-related problems. A statistically significant association was found between the age of initiation of alcohol use and severity of alcohol use disorder where those who initiated alcohol use before the age of 18 were assessed to be more likely to develop severe AUD (alcohol dependence). Discussion: Early age of initiation of alcohol use is associated more severe AUD later on in life. However, further studies may be needed to consolidate the findings from this study

Author(s): Pranab Dahal

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