Determinants of Alcohol Use Disorder among Residents of Agaro Town, Jimma, Southwest, Ethiopia: A Cross-sectional Study

Introduction: Alcohol use disorder is a common mental disorder that is associated with substantial disease burden around the world. Globally alcohol consumption caused 3.8 percent of all deaths and 4.5 percent of the total burden of disease in 2004. Alcohol use disorder is also a burden for individuals and society in Ethiopia. It is important to identify problematic alcohol use at an early stage, as this provides professionals with the opportunity to take preventive measures and hence, reduce the problems caused by this consumption. Objective: Assessment of the prevalence and determinants of alcohol use disorder among residents of Agaro town, Jimma, Southwest Ethiopia, 2016. Method: Community based cross-sectional study was conducted from May-June 2016 among 845 residents living in Agaro town. Multistage sampling technique was used to select study participants and assessed for alcohol use disorder using self-reported questionnaire (AUDIT). The collected data was coded, entered in to EPI-INFO 7 software and analyzed by using SPSS version 20. Logistic regression analyses were computed to determine the association between factors and alcohol use disorder. Results: With 96.9% of response rate the prevalence of alcohol use disorder was found to be 12.4% with 95% confidence interval (9.3%, 15.8%). The likelihood of alcohol use disorder was higher in males (AOR=4.0 (1.58, 10.49). Also, high level mental distress (AOR=3.8 (1.35, 10.67)), Family history of alcohol use (AOR=3.4 (1.32, 9.17) and smoking cigarette (AOR=4 (1.26, 12.03)) were factors significantly associated with alcohol use disorder in Agaro town. Conclusion: This study had showed that the prevalence of alcohol use disorder among urban resident of Agro town were significant public health issues that require a great emphasis. This study indicates that alcohol use disorder goes along with use of other substances. Being male sex, family history of alcohol use disorder, history of cigarette smoking and having mental distress symptoms were significantly associated with alcohol use disorder.