Prevalence and social determinants of alcohol use disorders in patients attending primary care clinics in Nairobi Kenya
Date of Award
Master of Medicine (MMed)
Dr. Gulnaz Mohamoud
Mr. James Orwa
Dr. Jacob Shabani
Family Medicine (East Africa)
Introduction: In Kenya, studies have been conducted at community levels aiming at understanding the determinants of Alcohol-Use and heavy episodic drinking which may include healthy people. However, limited studies have been done to find out social determinants of alcohol use disorders in patients at private primary care clinics in Nairobi County. The study aimed to find out the prevalence and social determinants of alcohol use disorders in patients attending primary care clinics in Nairobi.
Methods:A cross-sectional survey design was used and 389 respondents purposefully recruited into the study. Data was collected using a self-administered questionnaire adapted from the alcohol use disorder identification test tool (AUDIT). Alcohol use disorder is defined based on the sum score with a cut-off of 8 from this tool. Independent association between the explanatory variables and alcohol use disorder was determined using the chi-square test and any variable with a p-value
Results: The study determined that the prevalence of AUDs was 18.5%. The significant social determinants for Alcohol use disorders were; smoking marijuana AOR 2.892 CI(1.086-7.643), suffering from insomnia AOR 3.400 CI(1.515-7.695), and having relatives and siblings who consumed alcohol AOR 3.999 CI(1.862- 8.626)
Conclusion and Recommendations: Social determinants play a big role in encouraging people to engage in alcohol consumption. This can lead to Alcohol Use disorders. Further studies and institutional hospital-based surveys are recommended to establish the determinants that lead to AUDs in Kenya.