Socioeconomic impact of alcohol in patients with alcoholic liver disease in eastern India.

Abstract

The aim of this study is to estimate the socioeconomic impact of alcohol use on patients with alcoholic liver disease (ALD) and their families. The demographic and socioeconomic data were collected from hospitalized ALD patients and attendants using a self designed non validated questionnaire and analyzed. Study subjects included 100 consecutive ALD patients (all males). Sixty percent were between 30 and 50years. Most were married (96%), literate (63%), either businessmen (37%) or employed (30%) and belonged to middle socioeconomic class. Ninety percent started alcohol use before age 30years and half during teenage. Mean alcohol intake was 190mL/day (mean duration 23years); 60% consumed alcohol daily. Concomitant tobacco abuse was noted in 79%. Average expenditure on alcohol was Rs 3800/month. Average hospitalizations for ALD related problems was 2.6times/year with average expenditure of INR 30,000 (~440 US$) during each hospitalization. For treatment expenses, 86% of patients borrowed money from friends/relatives, 36% used saving deposits, and 4% sold personal belongings. Eleven percent lost their job, and 7% sold immovable property. In 43% of cases, children were deprived of education. Besides, 52% had disturbed social and family life, 34% abused their spouse, 20% suffered accidents, and 37% indulged in physical violence. Majority of ALD patients and their families had disturbed social and family life and incurred severe financial loss arising of alcohol use.