Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

Soontaree Srikosai1, Sirisak Thitidilokrat2, Hathaichonnee Booncharoen3, Doungdaen Chainoy4, Apisak Wittayanookulluk5, Napatsorn Rungsiwaroj5, Lasita Srithammachart 5                

1Rajanagarindra Institute of Child Development, Department of Mental Health, Thailand; 2Srithanya Hospital, Department of Mental Health, Thailand; 3Mental Health Center Region; 4Department of Mental Health, Thailand; 4Suan Prung Psychiatric Hospital, Department of Mental Health, Thailand; 5Thanyarak Chiangmai Hospital, Department of Medicine, Thailand

International Journal of Addiction Research and Therapy

Background: After receiving in-patient treatment for alcohol abuse, alcohol-dependent patients (ADP) are at risk to return to heavy drinking. Little has been known regarding the correlates of socio-demographic and heavy drinking within 6-month after inpatient treatment.

Objectives: This study aims to examine the socio-demographic correlates of heavy drinking among Thai ADP after hospital discharge within six-months.

Methods: A prospective cohort study of 618 ADP who received inpatient treatment at two tertiary care hospitals in Northern Thailand between July and December 2014. Heavy drinking is defined by the World Health Organization as ≥5 standard drinks for men and ≥4 standard drinks for women per occasion. Heavy drinking data was collected using a Timeline Follow Back Calendar (TLFB) every month after discharge. Other measures included the Alcohol Use Disorder Identification Test (AUDIT), Rosenberg Self-esteem Scale, Alcohol Craving Control (ACC), Severity of Alcohol Dependence Questionnaire (SADQ), and demographic questionnaires.

Results: 618 participants present with a mean age of 43.28 (SD=10.01) years, 94.2% male, 216 (35%) reported that family members are drinkers, and 400 (70.7%) continue to exhibit heavy drinking behaviour. The logistic regression model revealed that age at onset of alcohol use was correlated with heavy drinking after hospital discharge within 6 months (p<.01).

Conclusions/Importance: Many socio-demographic factors were analysed as potential correlates of a return to heavy-drinking. The only relevant factor was the age at onset of drinking. This finding suggests that the development of adolescent alcohol prevention intervention is a priority of Thailand alcohol policy.

Keywords: alcohol dependence, heavy drinking, socio-demographic

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Soontaree Srikosai, Sirisak Thitidilokrat, Hathaichonnee Booncharoen, Doungdaen Chainoy, Apisak Wittayanookulluk, Napatsorn Rungsiwaroj, Lasita Srithammachart. Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up.International Journal of Addiction Research and Therapy, 2020, 3:18


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