A regionally specific drinking custom 'Otori' and its association with alcohol consumption/alcohol use disorders: a cross-sectional study.
BMJ Open
; 11(5): e041738, 2021 05 13.
Article
em En
| MEDLINE
| ID: mdl-33986038
ABSTRACT
OBJECTIVES:
The primary objective was to describe the characteristics of Otori, a regionally specific drinking custom in the Miyakojima region of Okinawa, Japan, and its participants. The secondary objective was to clarify the distribution of alcohol consumption/alcohol use disorders as measured by the Alcohol Use Disorders Identification Test (AUDIT) and its association with the frequency of engagement in Otori per month.DESIGN:
Cross-sectional study.SETTING:
Tarama Island, a remote island in Okinawa, Japan.PARTICIPANTS:
Individuals who lived on Tarama Island, participated in a mass general health check or mass influenza vaccination programme, were aged ≥20 years and had decision-making capacity were eligible to participate. PRIMARY OUTCOMEMEASURES:
Alcohol consumption/alcohol use disorders as measured by the AUDIT, frequency of engagement in Otori per month, settings in which people engage in Otori and attitudes toward Otori.RESULTS:
Among 478 eligible participants, 401 answered the questionnaire. Approximately 15% reported attitudes toward Otori of 'like' or 'somewhat like'; around 80% of these participants were middle-aged to older adult men. Compared with the national average, a higher percentage of people (9.2% and 40.9% of women and men, respectively) had AUDIT scores indicating 'hazardous drinking or more', which was associated with 'low or intermediate frequency' and 'high frequency' of engagement in Otori per month (ORs of 7.626 and 20.321, respectively).CONCLUSIONS:
Social obligation generated by some community members could pressure most of the population into participating in Otori, possibly leading to a higher percentage of people engaging in hazardous/harmful alcohol consumption and alcohol dependence. However, healthcare professionals should carefully consider the beneficial and detrimental effects of the custom on biomedical and social conditions and avoid advocating to promote or abolish the custom by only highlighting one aspect.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Alcoolismo
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Japão
País de publicação:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM