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Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India

Gupta, Adyya, Priya, B, Williams, J, Sharma, M, Gupta, R, Jha, DK, Ebrahim, S and Dhillon, PK 2015, Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India, BMC Public Health, vol. 15, no. 1, pp. 1-10, doi: 10.1186/s12889-015-1864-5.

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Title Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India
Author(s) Gupta, AdyyaORCID iD for Gupta, Adyya orcid.org/0000-0003-3900-9849
Priya, B
Williams, J
Sharma, M
Gupta, R
Jha, DK
Ebrahim, S
Dhillon, PK
Journal name BMC Public Health
Volume number 15
Issue number 1
Article ID 636
Start page 1
End page 10
Total pages 10
Publisher BMC
Place of publication London, Eng.
Publication date 2015-07-11
ISSN 1471-2458
Keyword(s) Alcohol
Depression
NCDs
India
Spouse
Suicidal attempt
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
PATIENT HEALTH QUESTIONNAIRE
POPULATION-BASED SURVEY
DEVELOPING-COUNTRIES
GENDER-DIFFERENCE
PHYSICAL VIOLENCE
DOMESTIC VIOLENCE
MAJOR DEPRESSION
PARTNER VIOLENCE
RISK-FACTORS
DISORDERS
Summary Background: Harmful effects of alcohol abuse are well documented for drinkers, and adverse effects are also reported for the physical and emotional well-being of family members, with evidence often originating from either drinkers or their families in clinic-based settings. This study evaluates intra-household associations between alcohol abuse in men, and depression and suicidal attempts in women, in community-based settings of Chennai, India. Methods: This community-based cross-sectional study of chronic disease risk factors and outcomes was conducted in n = 259 households and n = 1053 adults (aged 15 years and above) in rural and urban Chennai. The Alcohol Use Disorder Identification Test (AUDIT) score was used to classify alcohol consumption into 'low-risk', 'harmful', 'hazardous' and 'alcohol dependence' drinking and the Patient Health Questionnaire (PHQ-9) score to classify depression as 'mild', 'moderate', 'moderate-severe' and 'severe'. Multivariate logistic regression models estimated the association of depression in women with men's drinking patterns in the same household. Results: A significant 2.5-fold increase in any depression (PHQ-9 ≥ 5) was observed in men who were 'alcohol-dependent' compared to non-drinkers (OR = 2.53; 95 % CI: 1.26, 5.09). However, there was no association between men's drinking behavior and depression in women of the same household, although suicidal attempts approached a significant dose-response relationship with increasing hazard-level of men's drinking (p = 0.08). Conclusion: No significant intra-household association was observed between men's alcohol consumption and women's depression, though an increasing (non-significant) trend was associated with suicidal attempts. Complex relationships between suicidal attempts and depression in women and male abusive drinking require further exploration, with an emphasis on intra-household mechanisms and pathways.
Language eng
DOI 10.1186/s12889-015-1864-5
Indigenous content off
Field of Research 1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015 Gupta et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30133949

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.