Drinking Motives and Socio-Demographic Influences on Alcohol Addiction: Evidence from Kerala, India

Abstract

Alcohol Use Disorders (AUDs) represent a significant public health challenge in Kerala, India. This study investigates the socio-economic determinants of AUDs in Kerala using a survey-based approach. A cross-sectional analysis of 210 members from various Alcoholics Anonymous (A.A.) groups was conducted using structured questionnaires. The study examined individual factors, drinking context, and socio-economic status as potential determinants of alcohol addiction. Results indicate that gender, family history of alcohol consumption, early age of onset, personal and social drinking motives, low education and income levels, and belonging to socially disadvantaged groups such as Scheduled Castes and Scheduled Tribes are significant risk factors for AUDs in Kerala. Nearly 80% of the respondents had a family history of alcohol consumption, and the average age of onset was 18 years. Personal problems, especially temptation, were the leading drinking motives, followed by social functions and family issues. Lower education levels and income were strongly associated with alcohol addiction, with 70% of addicts having only primary or secondary education and 78% earning under Rs. 1000 daily. Furthermore, alcohol addiction was more prevalent among socially and economically disadvantaged groups, with an overrepresentation of Scheduled Castes and Scheduled Tribes. The findings highlight the need for comprehensive, context-specific strategies to address AUDs in Kerala, incorporating targeted interventions for high-risk groups and addressing the root causes of alcohol addiction, such as improving education and economic opportunities for marginalized communities.