Document Type : Original Article


1 Department of Community Medicine, Maulana Azad Medical College, New Delhi

2 Department of Preventive and Social Medicine, JIPMER, Puducherry, India


CONTEXT: Harmful use of alcohol has led to 1.7 million deaths from noncommunicable diseases
and 1 million injury deaths including road traffic accidents, self‑harm, and interpersonal violence. The
opportunistic screening can be used to screen for substance abuse in outpatient department (OPD)
attendees of primary health‑care (PHC) settings in India.
AIMS: This study was conducted to determine the prevalence of willingness to quit alcohol use
among alcohol users and factors associated with it.
SUBJECTS AND METHODS: A facility‑based cross‑sectional study was conducted in urban PHCs
and willingness to quit alcohol was assessed among the alcohol users. Alcohol Use Disorder
Identification Test (AUDIT) scale was used to assess the alcohol use disorder score. Data were
entered using Epidata version 3.1 and analyzed using STATA version 14.
RESULTS: It is found that two‑third of the male OPD patients are using alcohol and 59% of the
alcohol users were willing to quit alcohol. Education (adjusted prevalence rate ratio [aPR] = 1.9;
95% confidence interval [CI]: 1.2–2.9), occupation (aPR = 1.4; 95% CI: 1.1–1.8), higher AUDIT
scores (aPR = 2.7; 95% CI: 2.2–3.5), frequency of alcohol use (aPR = 1.6; 95% CI: 1.2–2.0), and
positive family history of alcohol‑related illness times (aPR = 1.6; 95% CI: 1.3–2.0) were significantly
associated with willingness to quit alcohol.
CONCLUSION: Two‑third of the male OPD patients are using alcohol and 59% of the alcohol users
were willing to quit alcohol. Education, occupation, higher AUDIT scores, frequency of alcohol use,
and positive family history of alcohol‑related illness were significantly associated with willingness
to quit alcohol.


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