risky alcohol use among reproductive-age men, not women, in mae la refugee camp, thailand, 2009冒险使用酒精在生育年龄男性,而不是女性,在梅拉难民营,泰国,2009年.pdfVIP

Ezard et al. Conflict and Health 2012, 6:7 /content/6/1/7 RESEARCH Open Access Risky alcohol use among reproductive-age men, not women, in Mae La refugee camp, Thailand, 2009 1,2 3 3,4,5 1,6 3,4,5* Nadine Ezard , Supan Thiptharakun , François Nosten , Tim Rhodes and Rose McGready Abstract Background: Globally, alcohol use contributes to close to 4% of all deaths and is a leading cause of ill health and premature death among men of reproductive age. Problem alcohol use is an unaddressed public health issue among populations displaced by conflict. Assessing the magnitude of the problem and identifying affected groups and risk behaviours is difficult in mobile and unstable populations. Methods: From 15–28 December 2009 we conducted a simple rapid screening test of risky alcohol use using the single item modified Short Assessment Screening Questionnaire (mSASQ) by all women currently enrolled in the antenatal care clinic in Mae La refugee camp, a long standing displaced setting on the Thai Burma border. Women self- reported and gave a secondary report of their male partners. Gender differences in alcohol use were further explored in semi-structured interviews with camp residents on attitudes, behaviours, and beliefs regarding alcohol and analysed thematically. Results: Of 636 women screened in the antenatal clinic, almost none (0.2%, 95CI 0.0-0.9%) reported risky alcohol use prior to pregnancy, whereas around a quarter (24.4%, 95CI 21.2-27.9%) reported risky alcohol use by their male partners. Interviews with 97 camp residents described strong social controls against women’s alcohol use and men’s drinking to intoxication, despite a dominant perception that the social co