The course and outcome of alcohol use disorders in men in Goa: A population- based follow-up study.
BACKGROUND
Research on the natural history and long-term outcomes of alcohol use disorders (AUD) is important to guide health policy. However, attrition is a major challenge in longitudinal studies and can affect validity of findings.


METHODS
A 4-year follow-up study was conducted on a randomly selected subgroup of a sample of men in rural and urban communities in Goa to assess attrition, preliminary estimates of AUD outcomes, and chronic disease risk factors.


RESULTS
Overall attrition rate was 16.7% with a higher attrition in AUD compared to abstainers or casual drinkers. Incidence of AUD at 4 years was 12.8% while the persistence rate of AUD was 53.9%. A trend for poorer health and health behaviors and higher blood pressure was observed in AUD.


CONCLUSIONS
The results of this study suggest a relatively low attrition rate despite the long follow-up period and support the feasibility of conducting a definitive cohort study with the entire sample.
Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK ; Sangath, Goa.
Abhijit
A
Nadkarni
Sangath, Goa.
Bhargav
B
Bhat
South Asia Network for Chronic Disease, Public Health Foundation of India, New Delhi, India ; Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Shah
S
Ebrahim
Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK ; Sangath, Goa.
Vikram
V
Patel
Alcohol use disorders; attrition; health outcomes; incidence