Original Research

Conjoint moderate or high risk alcohol and tobacco use among male out-patients in Thailand

Supa Pengpid, Karl Peltzer, Apa Puckpinyo, Kriengsak Thammaaphiphol
South African Journal of Psychiatry | Vol 22, No 1 | a763 | DOI: https://doi.org/10.4102/sajpsychiatry.v22i1.763 | © 2016 Supa Pengpid, Karl Peltzer, Apa Puckpinyo, Kriengsak Thammaaphiphol | This work is licensed under CC Attribution 4.0
Submitted: 06 February 2015 | Published: 22 March 2016

About the author(s)

Supa Pengpid, ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand; Department of Research Innovation and Development, University of Limpopo, Turfloop campus, South Africa
Karl Peltzer, ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand; Department of Research Innovation and Development, University of Limpopo, Turfloop campus, South Africa; Department of Psychology, University of Limpopo, Turfloop Campus, South Africa
Apa Puckpinyo, ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand
Kriengsak Thammaaphiphol, ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand


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Abstract

Objective: To better understand conjoint alcohol and tobacco use among male hospital out-patients, the purposes of this study were: (1) to assess the prevalence of conjoint use and (2) to determine the factors associated with the conjoint alcohol use and tobacco use.

Methods: In a cross-sectional survey, consecutive male out-patients from four district hospitals in Nakhon Pathom province in Thailand were assessed with the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Hospital Anxiety and Depression Scale (HADS), selfreported chronic conditions and health-seeking behaviour. The sample included 2208 study participants, with a mean age of 36.2 years (SD = 11.7) and an age range of 18–60 years.

Results: Overall, 34.5% of the male hospital out-patients were conjoint moderate or high-risk alcohol and tobacco users, and 31.1% were moderate or high-risk alcohol or tobacco users. In multivariate analysis, younger age, having primary or less education, being separated, divorced or widowed, not having diabetes and not being obese were associated with conjoint moderate or high-risk alcohol and tobacco use.

Conclusion: High prevalence and several risk factors of conjoint alcohol and tobacco use were found among hospital male out-patients. The findings of this study call for dual-intervention approaches for both alcohol and tobacco.


Keywords

comorbidity, alcohol, tobacco use, chronic conditions, lifestyle factors, male out-patients, Thailand

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Crossref Citations

1. Concurrent Tobacco Use and Binge Drinking Among University Students in 30 Countries in Africa, Asia, Latin America, and the Caribbean
Karl Peltzer, Supa Pengpid
International Journal of Mental Health and Addiction  vol: 16  issue: 1  first page: 164  year: 2018  
doi: 10.1007/s11469-017-9850-z