Alcohol use disorder and associated factors among University of Gondar undergraduate students: A cross-sectional study

Abstract Background Alcohol use disorder among health science students is a problem throughout the world. Alcohol is accountable for many diseases, injury-related health conditions, poor academic performance, and dropout; and it is the fifth leading risk factor for premature death in the world. Despite this, we know little about the magnitude of alcohol use disorder among health science students in Ethiopia. Assessing alcohol use disorder and associated factors among this population will be paramount for future interventions. Objective To assess alcohol use disorder and associated factors among University of Gondar undergraduate students. Methods The research team conducted an institution-based cross-sectional study from April 18 to June 15, 2019. First, the study screened all students in the health science campus for alcohol use. To further study alcohol use disorder, the research team selected 424 students from alcohol users using a simple random sampling method. The team collected data through self-administered questionnaires. The study used an alcohol use disorders identification test to assess alcohol use disorder. The study team conducted bivariate and multivariate logistic regression analyses and used an adjusted odds ratio (AOR) at a 95% confidence interval (CI) to determine the independently associated factors of alcohol use disorder. Results The overall prevalence of alcohol use disorder among the students was 61.8%. Chewing khat (AOR = 3.26, CI (1.30, 8.15), male sex (AOR = 1.65, 95 CI (1.02, 2.67), and having intimate friends who use alcohol (AOR = 1.603, CI (1.03, 2.50) were significant factors associated with increased alcohol use disorder. Being a 2nd year student (AOR = 0.39, CI (0.17,0.94), 3rd year student (AOR = 0.30 CI (0.14,0.66), 4th year student (AOR = 0.39, CI (0.18, 0.85) were significantly associated with decreased alcohol use disorder. Conclusion The prevalence of alcohol use disorder was high among students. Interventions should be made available to students who use alcohol and khat to reduce use-related problems, and thereby improve their health, and functional and social well-being.