Factors affecting the permanent cessation of alcohol consumption among Diamond Heart people in 10 provinces in the Lower North.

Abstract

  This study was a mixed-methods research aimed to examine ecological factors affecting permanent alcohol cessation among the Diamond Heart group. Quantitative data were collected from 395 Diamond Heart members who met the inclusion criteria, and qualitative data were collected from 72 individuals across 6 provinces. Quantitative data were analyzed using descriptive statistics and binary logistic regression, while qualitative data were analyzed through content analysis. The results showed that the majority were male (55.95%). The person who spent the most time with Diamond Heart members during their intention to quit drinking was their spouse (68.67%), and the method used was gradual reduction leading to permanent cessation (65.06%). Three variables were found to significantly affect permanent alcohol cessation among the Diamond Heart group at the 0.05 significance level: outcome expectancy of quitting drinking (ORadj= 0.62, 95%CI: 0.42-0.92, p-value = 0.017), organizational-level factors promoting cessation (ORadj= 0.59, 95%CI: 0.42-0.82, p-value = 0.002), and policy-level factors promoting cessation (ORadj= 1.67, 95%CI: 1.25-2.22, p-value < 0.001). Findings from content analysis included interpersonal factors and community-level factors. Therefore, an integrated alcohol cessation policy should be developed based on the 5-level ecological framework, and provincial coordination centers should be established.