{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T14:00:36Z","timestamp":1785074436602,"version":"3.55.0"},"reference-count":85,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the African Mental Health Research Initiative"},{"name":"the DELTAS Africa Initiative"},{"name":"the African Academy of Sciences (AAS)\u2019's Alliance for Accelerating Excellence in Science in Africa"},{"name":"the New Partnership for Africa\u2019's Development Planning and Coordinating Agency"},{"name":"the Wellcome Trust (DEL-15-01) and the UK government."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use: Research and Treatment"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Problematic alcohol use (PAU) negatively affects physical, psychological, and social well-being. This study aims to estimate the community-level prevalence of PAU and identify factors associated with PAU in Central Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community-based cross-sectional study was conducted in Debre Berhan, Ethiopia, in January and February 2022. We recruited 1,400 adults aged 18 years and older using multistage sampling, and 1,380 completed the study interview. PAU was assessed with the alcohol use disorder identification test (positive AUDIT score). We conducted multivariable logistic regression to identify factors associated with PAU, with predictors selected using least absolute shrinkage and selection operator (LASSO) regression, in the overall sample and in sex-stratified analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of PAU was 15.5% (95% CI: 13.7% \u201317.5%) overall, and 26.3% (95% CI: 23.2%\u201329.6%) and 3.4% (95% CI: 2.2%\u20135.1%) for men and women, respectively. For the overall sample, factors associated with PAU included being male (AOR = 7.83; 95% CI: 4.59\u201313.36), unemployment (AOR = 2.73; 95% CI: 1.29\u20135.78) or engaged in income-generating roles (AOR = 2.38; 95% CI: (1.23\u20134.58) compared to those in non-income generating roles like housewives and students, smoking (AOR = 5.24; 95% CI: 1.73\u201315.91), high blood pressure (AOR = 2.04; 95% CI: 1.30\u20133.21), only one or \u22652 stressful life events (AORs = 1.60 and 1.65; 95% CIs: 1.03\u20132.47 and 1.05\u20132.61, respectively), and family history of PAU (AOR = 4.04; 95% CI: 2.09\u20137.81). For men, smoking (AOR = 5.29; 95% CI: 1.66\u201316.81), high blood pressure (AOR = 2.33; 95% CI: 1.39\u20133.90), \u22652 stressful events (AOR = 1.71; 95% CI: 1.04\u20132.82), and family history of PAU (AOR = 4.10; 95% CI: 1.90\u20138.84) were associated with greater odds of PAU. For women, being 25-34 years compared to &gt;35 years old (AOR = 8.88; 95% CI: 1.56\u201350.63), being divorced (compared to married) (AOR = 5.72 95% CI: 1.27\u2013 25.72) were associated with greater odds of PAU, as were only one stressful life event (AOR = 4.05; 95% CI: 1.14\u201314.36), and family history of PAU (AOR = 10.98; 95% CI: 1.69\u201371.14).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PAU prevalence was high in this sample, significantly higher among men compared to women. Our study highlights the need to implement public health interventions that target risk factors for PAU in Ethiopia. Findings also highlight the need for selective PAU prevention interventions that target individuals with a family history of PAU or exposure to stressful life events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357261472422","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T11:59:02Z","timestamp":1784894342000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Problematic Alcohol Use in Debre Berhan, Ethiopia: A Community-Based Cross-Sectional Study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7272-6351","authenticated-orcid":false,"given":"Kefyalew","family":"Dagne","sequence":"first","affiliation":[{"name":"Addis Ababa University"},{"name":"Debre Berhan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Myers","sequence":"additional","affiliation":[{"name":"Curtin EnAble Institute"},{"name":"Substance Use and Tobacco Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merga","family":"Feyasa","sequence":"additional","affiliation":[{"name":"Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awoke","family":"Mihretu","sequence":"additional","affiliation":[{"name":"Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Teferra","sequence":"additional","affiliation":[{"name":"Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Global Status Report on Alcohol and Health 2014","author":"World Health Organization","year":"2014","unstructured":"World Health Organization. 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