Alcohol and Alcoholism Advance Access originally published online on April 11, 2005
Alcohol and Alcoholism 2005 40(4):327-335; doi:10.1093/alcalc/agh152
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EPIDEMIOLOGY OF HEAVY ALCOHOL USE IN UKRAINE: FINDINGS FROM THE WORLD MENTAL HEALTH SURVEY
Department of Psychiatry, State University of New York at Stony Brook, USA, 1 Ukrainian Psychiatric Association, Kyiv, Ukraine and 2 Department of Psychiatry, Free University of Amsterdam, Amsterdam, The Netherlands
* Author to whom correspondence should be addressed at: Charles P. M. Webb, 147 Putnam Hall, South Campus Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, N.Y. 11794–8790. Tel.: +1(631) 632–7763; E-mail: cwebb{at}notes.cc.sunysb.edu
(Received 30 September 2004; first review notified 10 November 2004; in revised form 2 February 2005; accepted 8 March 2005)
Aims: To describe the epidemiology of heavy alcohol use in Ukraine, using data from the world mental health (WMH) survey in Ukraine. Methods: The WMH composite international diagnostic interview was administered in 2002 to a national probability sample of Ukrainian adults (n = 4725). An algorithm for classifying heavy use in the past year was developed from self-reports about the quantity and frequency of drinking, and its convergent validity was demonstrated. Prevalence rates and socio-demographic risk factors were examined separately for men and women. Results: The 12-month rates of heavy alcohol use were 38.7% in men and 8.5% in women (22.0% overall). Among heavy alcohol users, 92% of men and 52% of women consumed at least 80 g of ethanol in a typical drinking day on a monthly basis in the year before the interview. The most significant risk factors in men and women were age (26–54 years for men; 18–25 years for women), living in the Southeast region, being in the labour force whether employed or unemployed, and for men, low education and being the father of a young child. A highly significant linear relationship of number of risk factors with heavy alcohol use was found for both sexes. Conclusions: The rates for men were similar to those reported in a Russian national survey with the exception of Southeast Ukraine where the rate was >10% higher. The highest rates were among men who were middle-aged, fathers and unemployed. Future prospective studies are needed to assess the impact of heavy alcohol use on Ukrainian health, mental health and occupational and social functioning.
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