Abstract

BackgroundTo determine the patterns of alcohol use among households in Trinidad and Tobago (T&T) and to estimate the association between alcohol use and negative psychological, social, or physical events experienced by the household.MethodsA convenience sample of 1837 households across T&T. We identified bivariate correlates of alcohol use, and heavy episodic drinking using chi-square and t-test analyses and used multivariable logistic regression to estimate adjusted associations between household alcohol use and experiences within the past 12 months adjusted for sociodemographic covariates.ResultsOne thousand five hundred two households had complete data for all variables (82% response rate). Nearly two thirds (64%) of households included alcohol users; 57% of household that consumed alcohol also reported heavy episodic drinking. Households that reported alcohol consumption were significantly more likely to report illnesses within the households, relationship problems, and behavioral and antisocial problems with children. Among households where a member was employed, those who consumed alcohol were nearly twice as likely (OR = 1.98; 95% confidence interval (CI) 1.03, 3.82) to have a household member call in sick to work and 2.9 times as likely (OR = 2.9; CI 1.19, 7.04) to have a household member suffer work related problems compared with households who reported not consuming alcohol.ConclusionsApproximately two thirds of households in T&T reported using alcohol. These households were more likely to report psychological, physical, and social problems. These findings would support efforts to enforce current policies, laws, and regulations as well as new strategies to reduce the impact of harmful alcohol consumption on households in T&T.

Highlights

  • To determine the patterns of alcohol use among households in Trinidad and Tobago (T&T) and to estimate the association between alcohol use and negative psychological, social, or physical events experienced by the household

  • Alcohol use and its association with household experiences among employed In secondary analysis using data from households that reported having at least 1 individual employed (n = 1349), we found households that consumed alcohol were nearly twice as likely (OR = 1.98; 95% confidence interval (CI) 1.03, 3.82) to have a household member call in sick to work and 2.9 times more likely (OR = 2.9; 95% CI 1.19, 7.04) to have a household member suffer work related problems compared with households who reported not consuming alcohol, adjusted for sociodemographic covariates (Table 3)

  • Among the 954 households that reported any alcohol consumption within the past year, 797 households responded to the question of heavy episodic drinking (15% of the 954 households that reported alcohol use within the past year did not respond to this question and were excluded from the sub group analysis)

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Summary

Introduction

To determine the patterns of alcohol use among households in Trinidad and Tobago (T&T) and to estimate the association between alcohol use and negative psychological, social, or physical events experienced by the household. The literature is replete with evidence about high alcohol use in Trinidad and Tobago (T&T) [1,2,3,4,5,6,7], previous studies have focused only on the use and consequences of use for individuals and have neglected the potential impact of alcohol use on the larger household in which the users reside. The effects of alcohol are on the users [12], and can be experienced by the family as use may affect relationships within the household. We could find no studies that examined the effect of Maharaj et al BMC Public Health (2017) 17:347 alcohol on the household, including influence on intrahousehold relationships and employment for adult members of the household. There are impacts on the work place and employment, the roadways and in relationships with friends and acquaintances [14,15,16]

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