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Alcohol-related harm among university students in Hanoi, Vietnam
Pham Bich Diep1, Ronald A Knibbe, Kim Bao Giang
1Institute of training of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam. phambichdiep@hmu.edu.vn
Insights
Alcohol-related harm is prevalent among Vietnamese medical students, particularly men. Prevention efforts should target drinking patterns and specific groups based on gender and age.
Area of Science:
- Public Health
- Medical Education
- Substance Abuse Research
Background:
- Alcohol-related harm is a significant public health issue globally.
- Understanding prevalence and risk factors among student populations is crucial for targeted interventions.
- Medical students face unique stressors that may influence alcohol consumption and related harms.
Purpose of the Study:
- To determine the prevalence of alcohol-related harm among medical students at Hanoi Medical University.
- To identify risk factors associated with alcohol-related harm, considering drinking patterns and socio-demographic variables.
- To categorize the types of alcohol-related harm experienced by these students.
Main Methods:
- A cross-sectional study surveyed 1216 medical students from 1st to 6th year.
- Data collected via questionnaires covered five categories of alcohol-related harm.
- Logistic and Poisson regression models analyzed predictors of harm and its extent.
Main Results:
- Prevalence of alcohol-related harm was 81.8% in men and 60.4% in women.
- 'Loss of control, acute consequences, and withdrawal' was the most common harm for both genders.
- Risk factors included gender, age, living situation (men), and drinking frequency/quantity.
Conclusions:
- Alcohol-related harm is a serious public health concern in this young, educated Vietnamese population.
- Prevention strategies should address drinking patterns and focus on at-risk subpopulations.
- Gender, age, and living situation are key factors for targeted prevention.
Introduction And Aim:
This study examines the prevalence of and risk factors for alcohol-related harm and types of harm among medical students from Hanoi Medical University (Vietnam). Risk factors include aspects of drinking patterns and relevant socio-demographic variables.
Study Design And Methods:
A cross-sectional study involving 1st to 6th year students (N=1216; response rate 96.5%). Of these, 210 students from each academic year were randomly selected from a sampling frame covering all students from each academic year. Data were collected using a questionnaire distributed in class by researchers. Drinkers completed 23 questions on alcohol-related harm categorized into: 1) 'negative influence on daily activities'; 2) 'social conflict'; 3) 'loss of control, acute consequences, and withdrawal'; 4) 'mental health conditions'; and 5) 'physical and medical health problems'. Logistic and Poisson regression models were used to identify the predictors of alcohol-related harm and the amount of harm, respectively.
Results:
The prevalence of alcohol use associated with at least one or more of the five types of harm was higher in men (81.8%) than in women (60.4%). In female and male students, the most common harm category was 'loss of control, acute consequences, and withdrawal' (51.8 and 75.6%, respectively), followed by 'negative influence on daily activities' (29.4 and 55.8%, respectively). Age, living away from home, and average number of standard drinks per occasion among male drinkers, and age and frequency of drinking per week among female drinkers were associated with alcohol-related harm.
Conclusions:
These data suggest that alcohol-related harm represents a serious public health problem among young educated individuals in Vietnam. The risk factors indicate that prevention should be aimed at aspects of drinking patterns and specific subpopulations defined by gender, age, and (for men only) type of living situation.
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