title: Alcohol use disorders among pulmonary tuberculosis patients under RNTCP in urban Pondicherry, India.
abstract: BACKGROUND
  Alcohol use is implicated in a wide variety of diseases and disorders including TB.
  
  
  OBJECTIVE
  To study the prevalence and pattern of alcohol use among the PTB patients registered under RNTCP in urban Pondicherry and the association of various socio-demographic variables with alcohol drinking during treatment.
  
  
  METHODS
  A cross-sectional study was conducted among 235 PTB patients from 6 randomly selected urban PHCs of Pondicherry from Jan 2013 to March 2014. Alcohol Use Disorder Identification Test (AUDIT) was used for screening the PTB patients for their severity of alcohol use. Data were entered in Epi-data v3.1 and was analyzed by SPSS v20. Chi-square test and multiple-logistic regression were used.
  
  
  RESULTS
  Prevalence of alcohol use among PTB patients at the time of diagnosis was 59% and during treatment was 31.5%. Around 54% PTB patients had alcohol use disorders (AUD) during diagnosis, whereas the same during treatment was 26.4%. Among drinkers at the time of diagnosis (n=139), 80% modified and 20% did not modify their alcohol use even after TB diagnosis. Male gender was significantly associated with alcohol use (p≤0.001). Univariate analysis showed that lower level of education, lower SES, unemployed/unskilled/semiskilled/skilled occupational group, and Category II were significantly associated with alcohol use among male patients (p<0.05). Multivariate analysis showed that none of the variables were associated.
  
  
  CONCLUSIONS
  One-third of PTB patients were drinking alcohol during the treatment. Though 80% modified alcohol use after TB diagnosis, the rest 20% did not modify. Necessary interventions need to be planned to screen for alcohol use.
authors.affiliation: Department of Preventive and Social Medicine (P&SM), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India. Electronic address: dr.veera10@gmail.com.
authors.forename: A M
authors.initials: AM
authors.lastname: Veerakumar
authors.affiliation: Department of Preventive and Social Medicine (P&SM), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
authors.forename: Swaroop Kumar
authors.initials: SK
authors.lastname: Sahu
authors.affiliation: Department of Preventive and Social Medicine (P&SM), Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
authors.forename: Sonali
authors.initials: S
authors.lastname: Sarkar
authors.affiliation: Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
authors.forename: Shivanand
authors.initials: S
authors.lastname: Kattimani
authors.affiliation: State Tuberculosis Officer, Puducherry, India.
authors.forename: S
authors.initials: S
authors.lastname: Govindarajan
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking; D019973:Alcohol-Related Disorders / Q000453:epidemiology*; D000995:Antitubercular Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007194:India; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000523:psychology*; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents
keywords: AUDIT; Alcohol use disorder; Pondicherry; Pulmonary tuberculosis; Urban