Impact of the lockdown on alcohol-dependant individuals and their families: a mixed-methods study in rural south India.

Background: Excessive alcohol consumption is the underlying cause of mortality and morbidity. In Tamil Nadu, South India, alcohol is available through government-regulated outlets, and during the lockdown, there was a ban on the sale of alcohol. This study was designed to explore the change in drink...

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Published in:Journal of Substance Use Vol. 29; no. 6; pp. 1015 - 1023
Main Authors: Jebaraj, Paul, Jacob, Amy Jane, Rose, Anuradha, Lall, Dorothy, Vinodh, Amala, Surenthiran, Natarajan, Jasper, Anish, Engles, Sam, Minz, Shantidani
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2024
Online Access:View this record in EBSCOhost
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      dt: Dec2024
      vid: 29
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14659891.2023.2232025
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        atl: Impact of the lockdown on alcohol-dependant individuals and their families: a mixed-methods study in rural south India.
      aug:
        au:
          Jebaraj, Paul
          Jacob, Amy Jane
          Rose, Anuradha
          Lall, Dorothy
          Vinodh, Amala
          Surenthiran, Natarajan
          Jasper, Anish
          Engles, Sam
          Minz, Shantidani
        affil: RUHSA Department, Christian Medical College, Vellore, India
      sug:
        subj:
          Stay-at-Home Orders Psychosocial Factors
          Alcohol Drinking
          Drinking Behavior Evaluation
          Behavioral Changes Evaluation
          Persons with Alcoholism Psychosocial Factors
          Family
          Communities
          Rural Areas India
          Human
          Funding Source
          Male
          Adult
          Middle Age
          India
          Multimethod Studies
          COVID-19 Pandemic Psychosocial Factors
          Spouses
          Alcohol Abstinence
          Survey Research
          Coping
          Distraction
          Activities of Daily Living
          Quality of Life
          Alcoholism Prevention and Control
          Substance Abuse Prevention and Control
          Clinical Assessment Tools
          Interviews
          Questionnaires
          Recognition (Psychology)
          Emotions Evaluation
          Purposive Sample
          Psychometrics Evaluation
          Walking Evaluation
          Scales
          Socioeconomic Factors
          Age Factors
          Geographic Factors
          Interview Guides
          T-Tests
          Educational Status
          Substance Withdrawal Syndrome
          Financial Stress
          Social Norms
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Background: Excessive alcohol consumption is the underlying cause of mortality and morbidity. In Tamil Nadu, South India, alcohol is available through government-regulated outlets, and during the lockdown, there was a ban on the sale of alcohol. This study was designed to explore the change in drinking pattern among known alcohol dependants as well as family and communities' response to the change. Methods: A mixed-methods study was conducted with quantitative data collection followed by in-depth interviews with alcohol dependants and their spouses and focus group discussions with family members and community leaders. Results: We found a significant change in abstinence from drinking among 68% surveyed. Coping mechanism most often used was distraction and involving self in household chores. Most spouses reported that the decreased access to alcohol improved family life during the lockdown. Leaders expressed poor societal ownership of alcoholism as a problem. And once the restrictions were lifted, a rebound phenomenon was observed. Conclusion: This study provides evidence of positive change in improved family life and decreased violence owing to the decrease in alcohol consumption. The community's inability to support reforming alcoholics is an important finding of the study. We recommend interventions to support them and also policies to restrict alcohol access.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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