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Alcohol use and internal migration in Nepal: a cross-sectional study

dc.creatorGhimire, Dirgha J.es_ES
dc.creatorCole, Faithes_ES
dc.creatorHermosilla, Sabrinaes_ES
dc.creatorAxinn, William G.es_ES
dc.creatorBenjet, Corinaes_ES
dc.date2023
dc.date.accessioned2025-05-29T16:40:16Z
dc.date.available2025-05-29T16:40:16Z
dc.date.issued2023
dc.identifierJC13DIEP23es_ES
dc.identifier.issn0143-005X
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8374
dc.identifier.urihttps://doi.org/10.1136/jech-2022-220030
dc.descriptionBackground: Alcohol use is a leading cause of disease. Although low- and middle-income countries (LMICs) have lower per capita alcohol consumption, the alcohol-attributable disease burden is high in these settings with consumption increasing. LMICs are also experiencing unprecedented levels of internal migration, potentially increasing mental stress, changing social restrictions on drinking, and increasing alcohol availability. We assessed the relationship between internal migration, opportunity to drink, and the transition from first use to regular alcohol use and alcohol use disorders (AUD) in Nepal, a low-income, South Asian country. Methods: A representative sample of 7435 individuals, aged 15-59 from Nepal were interviewed in 2016-2018 (93% response rate) with clinically validated measures of alcohol use and disorders and life history calendar measures of lifetime migration experiences. Discrete-time hazard models assessed associations between migration and alcohol use outcomes. Results: Net of individual sociodemographic characteristics, internal migration was associated with increased odds of opportunity to drink (OR 1.32, 95% CI 1.14 to 1.53), onset of regular alcohol use given lifetime use (OR 1.29, 95% CI 1.13 to 1.48) and AUD given lifetime use (OR 1.24, 95% CI 0.99 to 1.57). The statistically significant association between internal migration and opportunity to drink was specific to females, whereas the associations between migration and regular use and disorder were statistically significant for males. Conclusions: Despite high rates of internal migration worldwide, most research studying migration and alcohol use focuses on international migrants. Findings suggest that internal migrants are at increased risk to transition into alcohol use and disorders. Support services for internal migrants could prevent problematic alcohol use among this underserved population.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherBritish Medical Assnes_ES
dc.relation77(9):587-593
dc.rightsAcceso Cerradoes_ES
dc.titleAlcohol use and internal migration in Nepal: a cross-sectional studyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationPopulation Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
dc.contributor.emailnepdjg@umich.edu (Dirgha J. Ghimire)
dc.relation.jnabreviadoJ EPIDEMIOL COMMUNITY HEALTH
dc.relation.journalJournal of Epidemiology and Community Health
dc.identifier.placeInglaterra
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1470-2738
dc.identifier.doi10.1136/jech-2022-220030


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