COUNTRY PROFILES REGION OF THE AMERICAS BOLIVIA Recorded adult per capita consumption (age 15+) 6 Litres of pure alcohol 5 4 Total Beer 3 Spirits Wine 2 1 0 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 2001 Year Sources: FAO (Food and Agriculture Organization of the United Nations), World Drink Trends 2003 Last year abstainers Female 44.6% Male 23.8% Total 34.2% Estimates from key alcohol experts showing proportion of adult males and females who had been abstaining (last year before the survey). Data is for after year 1995.1 It is estimated that in 1998, 10.01% (approximately 800 785 persons) and 7.8% (approximately 626 247 persons) of the Bolivian population are heavy drinkers and alcohol dependents respectively.2 Youth drinking (last year prevalence) 1999 survey of students aged 3 between 12 and 21 years of age. Total 54.5% WHO Global Status Report on Alcohol 2004 © World Health Organization 2004 1 COUNTRY PROFILES REGION OF THE AMERICAS The same survey also found the rate of lifetime prevalence of alcohol use to be 60.8% and the rate of last month alcohol use to be 31.5%.3 Traditional alcoholic beverages Chicha is a clear, yellowish, effervescent, alcoholic beverage prepared from maize. It has a flavour similar to that of cider. Chicha has been consumed by the Andean Indians for centuries. When prepared from pigmented maize varieties, its colour varies from red to purple. The alcoholic content of chicha varies between 2 and 12% (v/v). The traditional production of chicha is a somewhat unique fermentation process in which saliva serves as the source of amylase for converting starch to fermentable sugars. Malting (germination) of maize kernels to produce the amylase required for starch conversion is an alternative procedure which is widely used in modern day processing. Frequently, salivation is combined with malting to yield chichi.4 Unrecorded alcohol consumption The unrecorded alcohol consumption in Bolivia is estimated to be 3.0 litres pure alcohol per capita for population older than 15 for the years after 1995 (estimated by a group of key alcohol experts).1 Morbidity, health and social problems from alcohol use A study by the Department of Hygiene and Industrial Safety in three factories in La Paz found that 7.3% of absenteeism in the first two days of the work week and 1.2% of work-related accidents were directly related to the consumption of alcohol.5 According to statistics collected by the La Paz Traffic Department, in 1980, intoxication was the second most common cause of traffic accidents, being involved in 12.7% of the total number of traffic accidents. This figure increased to 18.6% in 1986.5 A study conducted in El Alto found that approximately one third of the women surveyed had been forced by their partner to have sexual intercourse, usually after the man had been drinking. The women claimed that one of the biggest problems at home is that the men drink too much. Alcohol abuse was identified by the women surveyed as being a major problem at home, linked to incidences of domestic violence and coercive sex.6 Country background information Total population 2003 8 808 000 Adult (15+) 5 372 880 % under 15 39 Probability of dying under age 5 per 1000 (2002) Male Urban 63 Gross National Income per capita 2002 Rural 37 Life expectancy at birth (2002) Population distribution 2001 (%) Male 61.8 Female 64.7 78 Female 73 US$ 900 Sources: Population and Statistics Division of the United Nations Secretariat, World Bank World Development Indicators database, The World Health Report 2004 References 1. 2. 3. 4. 5. 6. Alcohol per capita consumption, patterns of drinking and abstention worldwide after 1995. Appendix 2. European Addiction Research, 2001, 7(3):155–157. Pages JA. WHO Representative in Bolivia. Personal communication. 29 March 2004. Del Castillo FA. El uso indebido de drogas en estudiantes de Bolivia 1993–1996–1999. Psicoactiva, 2000, 18:53–70. Haard NF et al. Fermented cereals: a global perspective. Rome, Food and Agriculture Organization of the United Nations, 1999 (http://www.fao.org/docrep/x2184e/x2184e07.htm, accessed 25 September 2004). Pan American Health Organization. Epidemiologic report on the use and abuse of psychoactive substances in 16 countries of Latin America and the Caribbean. Bulletin of the Pan American Health Organization, 1990, 24(1):97–139. Camacho A. Bolivia: Fertility regulation and its relationship to stability of the couple, sexuality and quality of life. Proyecto Integral de Salud (www.fhi.org/en/RH/Pubs/wsp/fctshts/Bolivia3.htm, accessed 24 February 2004). WHO Global Status Report on Alcohol 2004 © World Health Organization 2004 2
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