title: Alarmingly high level of alcohol use among fishermen: A community based survey from a coastal area of south India.
abstract: BACKGROUND
  Though studies from western world have reported high prevalence of alcohol use among fishermen, there is lack of information from developing world. Hence this study was carried out among fishermen in a coastal area of southern India to 1) determine the prevalence of alcohol use among fishermen 2) describe the pattern of alcohol use 3) identify factors associated with alcohol use.
  
  
  METHODS
  A community based cross-sectional study was carried out among fishermen in a coastal village of Puducherry, India. House to hose survey was conducted, fishermen aged above 18 years and involved in catching fish at least once in last three months, were included. Data on age, marital status, education, monthly income, duration in fishing occupation, owning a boat or wager, frequency of fishing per month/week, number of hours spent in sea, alcohol use in past one year, age at initiation, type of alcohol drink and presence of alcohol users in family.
  
  
  RESULTS
  In total, 304 participants were interviewed. Mean (SD) age of the participants was 41 (11) and 82% were involved in fishing for more than 10 years. Of 304 participants, 241 (79%) reported alcohol use in past one year. Of 241 participants who used alcohol, 89% reported alcohol consumption during fishing activity. In multivariate analysis, alcohol use in other family members was independently associated with alcohol use (aRR 21.4; 95% CI 6.8-67.4).
  
  
  CONCLUSIONS
  Very high prevalence of alcohol use is seen among fishermen. Of those who consume alcohol, nine out of ten use during fishing activities.
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. Electronic address: palaniccm@gmail.com.
authors.forename: Palanivel
authors.initials: P
authors.lastname: Chinnakali
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: Pruthu
authors.initials: P
authors.lastname: Thekkur
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: A
authors.initials: A
authors.lastname: Manoj Kumar
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: Gomathi
authors.initials: G
authors.lastname: Ramaswamy
authors.affiliation: Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: Balaji
authors.initials: B
authors.lastname: Bharadwaj
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: Gautam
authors.initials: G
authors.lastname: Roy
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005190:Family; D005398:Fisheries; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009790:Occupations; D015995:Prevalence; D055815:Young Adult
keywords: Alcohol drinking; Fishermen; India; Occupations; Substance abuse