PREVALENCE AND ASSOCIATED FACTORS OF ALCOHOLIC LIVER DISEASES AMONG CHRONIC LIVER DISEASE PATIENTS AT ST. PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE GI CLINIC IN ADDIS ABABA, ETHIOPIA, FEBRUARY , 2025

Abstract

Abstract Background; Alcoholic liver disease describes a group of liver disorders brought on by heavy alcohol usage. It includes a variety of liver disease, such as alcoholic cirrhosis, alcoholic hepatitis, and fatty liver. Chronic liver disease refers to a range of conditions that cause progressive damage to the liver over an extended period, greater than six months. One of the main causes of chronic liver disease is alcoholic liver disease. Despite the progress made in medical research, there is still a lack of evidence regarding the exact prevalence rates and risk factors of Alcoholic liver disease in individuals with chronic liver disease in Ethiopia and at our hospital, St. Paul’s Hospital Millennium Medical College. Objective: The aim of this study is to assess the prevalence and associated factors of alcoholic liver disease among chronic liver disease patients at St. Paul’s Hospital Millennium Medical College, Gastro-intestinal clinic, in Addis Ababa, Ethiopia December 4/2024 to February 4/2025 Methods: An institution based cross-sectional study was conducted among a sample of 417 chronic liver disease patients visiting St. Paul’s Hospital Millennium Medical College gastro-intestinal clinic from December 4/2024 to February 4/2025. Simple random sampling technique, lottery method, was used to select those individuals. A pretested structured Interviewer-administered questionnaire was used to collect data by three professional BSC nurses. The questionnaire was adapted from existing validated instruments and modified according to the local context. Data was fed on Epi data version 3.1 and exported to SPSS 25 for analysis. Descriptive & inferential analysis of data was conducted. Bi-variable and multivariable logistic regression was done to show an association between independent and dependent variables. Result: Of the total participants the prevalence of alcoholic liver disease among chronic liver disease patients was 10.1% (95% CI; 0.1003, 0.101). Age >= 45 years old were (AOR= 3.08, 95%CI: 1.75, 5.56), monthly income >= 20,000 birr were (AOR= 2.5, 95%CI: 1.73, 3.73) and those who live alone were (AOR= 7.4, 95%CI: 2.91, 18.87) significantly associated with alcoholic liver disease. Conclusion; According to this study 10.1% of study participants had alcoholic liver disease. Significant associations were identified between alcoholic liver disease and several demographic factors, including age, income level, and living arrangements