Unveiling Binge Drinking Trends and Triggers Among Army Personnel: A cross sectional study

Background: Military populations are known to have higher prevalence and heavier alcohol use compared to the general population globally. This has serious negative implications to the military. The objective of this study was to describe the prevalence, patterns and associated factors of binge drinking among male military personnel in the Sri Lanka Army. Methods: A cross sectional study was conducted among 1337 male army personnel in active service using multistage sampling. A self-administered questionnaire and the interviewer-administered Alcohol Use Disorders Identification Test which is a 10-item screening tool were used. Prevalence of binge drinking was summarised as a proportion with 95% Confidence Intervals (CI). Age specific prevalence rates and the age standardized prevalence rate of binge drinking were calculated. The standard measure of one unit of alcohol being equivalent to 10g of pure alcohol was used as a reference to calculate the units of alcohol consumption.Binary logistic regression analysis was used to determine the factors associated with binge drinking. Results: The overall prevalence of binge drinking was 51.2% (95% CI 48.5%-54.0%). The age standardized prevalence of binge drinking was 28.3%. The majority binge drank once a month (50.4%). Binge drinkers used 5.6 median units of alcohol on a typical day, 84% consumed arrack, 69.3% have ever thought or attempted to quit and median age of first alcohol consumption was 18 years. When controlled for confounding, those who had mental distress (AOR 2.46, 95% CI=1.72-3.53), had sex with a commercial sex worker (AOR 1.92, 95% CI= 1.21-3.06), were ever smokers (AOR 1.69, 95% CI=1.27-2.25), had serious consequences (AOR 1.58, 95% CI= 1.13-2.20), currently used cannabis (AOR 1.39, 95% CI= 1.02-1.89) and had combat exposure (AOR 1.37, 95% CI 1.00-1.87) were associated with a higher likelihood of binge drinking. Conclusions: The high prevalence of binge drinking warrants immediate advocacy to the highest level of command of the Sri Lanka Army for support to implement sustainable evidence-based alcohol prevention programmes.