IMPACT OF ALCOHOL DEPENDENCE ON VOCATION: A PROSPECTIVE CROSS SECTIONAL STUDY.
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Background - Alcoholism results from interplay between psychological, social, and environmental factors. Continued and excessive consumption of alcohol can lead dependence and withdrawal syndrome when its consumption is ceased or reduced. It has a substantial impact on vocation and income. In severe cases alcohol dependence negatively affects the quality of life. The present study aimed to assess the impact of alcohol dependence on vocation. Methods: A descriptive, cross sectional study was conducted at Department of Psychiatry, Gandhi Medical College, Bhopal, using non random opportunity sampling to select newly diagnosed patients with symptoms of alcohol dependence. The WHO-Alcohol Use Disorders Identification Test (WHO-AUDIT) was used as screening tool, to assess the risk of alcohol dependence. Multiple logistic regressions was used to study the co-relationship of alcohol dependence with various aspects of vocation. Result: The study included 213 patients, of whom 21.1% had high and 62% had very high AUDIT scores. There was a statistically significant association between very high AUDIT scores and a decrease in work efficiency (P=0.022) and impaired concentration ability (P=0.001).This resulted in absenteeism from work (P=0.007) and monetary loss (P=0.001). Conclusion: Alcohol has an adverse effect on vocation as it reduces workplace performance and productivity. The patients have significant absences from work which can trigger bad behavior at the workplace and cause significant monetary losses.
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