Determinants of alcohol use disorder among adults in Rolpa Municipality, Nepal: a community-based cross-sectional study.
6 affiliations
- 1Central Department of Public Health, Tribhuvan University, Kathmandu, Nepal.
- 2Department of Community Medicine and Public Health, Tribhuvan University, Kathmandu, Nepal.
- 3Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
- 4Department of Epidemiology and Biostatistics, Texas A&M University, College Station, Texas, USA.
- 5Ministry of Health, Public Health Office, Dhading, Bagmati Province, Nepal.
- 6Nepal Public Health and Education Group, Kathmandu, Nepal.
Abstract
Introduction
Alcohol use disorder (AUD) is a major global public health concern, with wide-ranging physical, psychological and social consequences. Socioeconomic challenges, family dynamics and harmful cultural and behavioural factors might play critical roles in the onset and progression of AUD in rural Nepal, such as Rolpa Municipality. This study aimed to estimate the prevalence of AUD and identify its sociodemographic, economic, cultural and behavioural determinants among adults in Rolpa Municipality.Methods
A community-based quantitative cross-sectional study design was carried out among 456 participants residing in Rolpa Municipality. Data were collected through an interview schedule using structured questionnaires. A stratified proportionate simple random sampling technique was used to select the participants. The Alcohol Use Disorders Identification Test was used to assess AUD, the Family Adaptability and Cohesion Evaluation Scale III to evaluate family dynamics and a validated financial well-being scale to measure the economic status of the participants. Bivariable and multivariable logistic regression were conducted to determine the association of problematic drinking with independent variables.Results
The prevalence of problematic drinking was 46.7%, with 22.4% identified as hazardous drinkers and 24.3% as alcohol-dependent. Participants with extreme family types (adjusted OR (AOR)=4.55, 95% CI 1.84 to 11.26, p=0.001) and financial difficulties (AOR=2.47, 95% CI 1.10 to 5.54, p=0.027) were more likely to have problematic drinking. Similarly, participants from households that brewed alcohol (AOR=5.25, 95% CI 2.23 to 12.32, p<0.001) and those with poor self-rated health (AOR=2.44, 95% CI 1.49 to 4.02, p<0.001) were also at higher risk of problematic drinking.Conclusions
This study found a considerable prevalence of AUD in Rolpa Municipality, with nearly half of the respondents classified as problematic drinkers. These findings highlight the significance of addressing family support, socioeconomic stability and awareness and health education programmes in reducing alcohol-related problems in this community.
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BibTeX
@article{magar2026determinants,
title = {{Determinants of alcohol use disorder among adults in Rolpa Municipality, Nepal: a community-based cross-sectional study.}},
author = {Nirdhoj Gharti Magar and Gambhir Shrestha and Bishow Kandel and Samikshya Badal and Jitendra Kumar Sah and Sudip Chiluwal and Amod K Poudyal},
journal = {BMJ public health},
year = {2026},
month = oct,
doi = {10.1136/bmjph-2025-003679},
url = {https://europepmc.org/article/MED/42968790},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Determinants of alcohol use disorder among adults in Rolpa Municipality, Nepal: a community-based cross-sectional study.
AU - Nirdhoj Gharti Magar
AU - Gambhir Shrestha
AU - Bishow Kandel
AU - Samikshya Badal
AU - Jitendra Kumar Sah
AU - Sudip Chiluwal
AU - Amod K Poudyal
PY - 2026
DA - 2026/10/30
JO - BMJ public health
DO - 10.1136/bmjph-2025-003679
UR - https://europepmc.org/article/MED/42968790
AB - Introduction Alcohol use disorder (AUD) is a major global public health concern, with wide-ranging physical, psychological and social consequences. Socioeconomic challenges, family dynamics and harmful cultural and behavioural factors might play critical roles in the onset and progression of AUD in rural Nepal, such as Rolpa Municipality. This study aimed to estimate the prevalence of AUD and identify its sociodemographic, economic, cultural and behavioural determinants among adults in Rolpa Municipality.Methods A community-based quantitative cross-sectional study design was carried out among 456 participants residing in Rolpa Municipality. Data were collected through an interview schedule using structured questionnaires. A stratified proportionate simple random sampling technique was used to select the participants. The Alcohol Use Disorders Identification Test was used to assess AUD, the Family Adaptability and Cohesion Evaluation Scale III to evaluate family dynamics and a validated financial well-being scale to measure the economic status of the participants. Bivariable and multivariable logistic regression were conducted to determine the association of problematic drinking with independent variables.Results The prevalence of problematic drinking was 46.7%, with 22.4% identified as hazardous drinkers and 24.3% as alcohol-dependent. Participants with extreme family types (adjusted OR (AOR)=4.55, 95% CI 1.84 to 11.26, p=0.001) and financial difficulties (AOR=2.47, 95% CI 1.10 to 5.54, p=0.027) were more likely to have problematic drinking. Similarly, participants from households that brewed alcohol (AOR=5.25, 95% CI 2.23 to 12.32, p<0.001) and those with poor self-rated health (AOR=2.44, 95% CI 1.49 to 4.02, p<0.001) were also at higher risk of problematic drinking.Conclusions This study found a considerable prevalence of AUD in Rolpa Municipality, with nearly half of the respondents classified as problematic drinkers. These findings highlight the significance of addressing family support, socioeconomic stability and awareness and health education programmes in reducing alcohol-related problems in this community.
SN - 2753-4294
ER -