Prevalence of and Associations With Papsak Wine Consumption Among Farm Workers in the Western Cape Province, South Africa
Prevalence of and Associations With Papsak Wine Consumption Among Farm Workers in the Western Cape Province, South Africa
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DOI：
10.15288/jsad.2013.74.879
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发表时间：
2013-11-01
影响因子：
3.4
通讯作者：
London, Leslie
中科院分区：
文献类型：
--
作者：
McLoughlin, Jo-Ann;Little, Francesca;London, Leslie
目的：在2007年被禁止之前，廉价的、非典型包装的葡萄酒，通俗地称为“papsak”，在较贫穷的南非社区很受欢迎，这些社区因酒精而遭受很高的疾病负担。本研究描述了西开普省农场工人中酒精和罂粟酒消费的流行程度、问题饮酒（由潜在问题CAGE评分>= 2定义）及其关联。方法：采用整群抽样的方法，在两个农区对农民工家庭进行横断面分析研究。对347名男性和114名女性受访者的访谈数据进行了分析。结果：在受访者中，69% （95% CI[63.1, 74.3]）是目前的饮酒者。在饮酒者中，50.6% （95% CI[41.9, 59.3]）的人偏爱papsak， 73% （95% CI[65.5, 79.3]）的人有潜在的CAGE评分问题（CAGE >= 2）。与饮用其他酒精饮料的人相比，饮用帕普萨克酒的人更有可能获得2分或更高的CAGE评分（校正优势比= 2.8,95% CI[1.4, 5.5]）。不断增加的社会经济剥夺水平预示着当前的饮酒和更喜欢的木瓜消费。另外，35岁或以上、已婚、有色人种以及居住在生产papsak的地区也是选择papsak的风险因素。结论：这些农场工人目前的饮酒和问题饮酒症状明显高于一般省级人口水平。女性农场工人的CAGE得分在2分及以上，比省级估计高出3.5倍。酗酒问题与木瓜包的消费密切相关，很可能是因为人们负担得起；然而，居住在罂粟籽生产地附近与偏好的罂粟籽消费之间的显著关联突出了容易获取的后果。对papsak的限制是有必要的，这可能有助于在边缘化社区预防与酒精有关的伤害。
Objective: Until it was banned in 2007, inexpensive, atypically packaged wine, colloquially termed "papsak," was popular in poorer South African communities, which suffer a high burden of disease from alcohol. This study describes the prevalence of alcohol and papsak consumption, problem drinking (defined by a potentially problematic CAGE score of >= 2), and their associations among farm workers in the Western Cape Province. Method: A cross-sectional analytical study was conducted in two farming areas using cluster sampling of farm worker households. Interview data from 347 male and 114 female respondents were analyzed. Results: Among respondents, 69% (95% CI [63.1, 74.3]) were current drinkers. Among drinkers, 50.6% (95% CI [41.9, 59.3]) preferred papsak and 73% (95% CI [65.5, 79.3]) had potentially problematic CAGE scores (CAGE >= 2). Papsak drinkers were more likely to have CAGE scores of 2 or more than drinkers of other alcoholic beverages (adjusted odds ratio = 2.8, 95% CI [1.4, 5.5]). Increasing levels of socioeconomic deprivation predicted both current drinking and preferred papsak consumption. Additional risk factors for preferring papsak were age 35 years or older, being married, being Coloured, and residing in the district in which papsak was produced. Conclusions: Current drinking and symptoms of problem drinking were substantially higher in these farm workers compared with general provincial population levels. CAGE scores of 2 or more among female farm workers exceeded provincial estimates by 3.5 times. Problem drinking was strongly associated with papsak consumption, most likely because of affordability; however, the significant association between residence near papsak production and preferred papsak consumption highlights the consequence of easy access. Restrictions on papsak were warranted and may contribute to the prevention of alcohol-related harm in marginalized communities.