Screening and care for alcohol use disorder in France : expectations, barriers and levers using a mixed-methods approach

Autor: Danielle Teuma, Perrine Roux, Tangui Barré, Marc Tanti, Pierre Polomeni, Gwenaëlle Maradan, Cyril Berenger, Michaël Bazin, Issifou Yaya, Marie Costa, Marianne Maynard, Patrizia Carrieri, Marion Mora, Marion Coste, Christophe Cutarella
Přispěvatelé: Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille] (ORS PACA), Centre d'épidémiologie et de santé publique des armées [Marseille] (CESPA), Service de Santé des Armées, Clinique Saint Barnabé - Ramsay Santé [Marseille] (CSB-RS), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL), Hôpitaux du Bassin de Thau, Centre Hospitalier d'Allauch, Hôpitaux du Bassin de Thau (Sète), Dupuis, Christine
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Family support
media_common.quotation_subject
[SDV]Life Sciences [q-bio]
Psychological intervention
030508 substance abuse
Context (language use)
Access to care
Alcohol use disorder
Semi-structured interviews
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
mental disorders
medicine
Humans
Mass Screening
Textual analysis
030212 general & internal medicine
Psychiatry
Survey
Qualitative Research
media_common
Motivation
Mixed-methods
business.industry
Public health
Addiction
lcsh:Public aspects of medicine
Alcohol dependence
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Middle Aged
medicine.disease
3. Good health
[SDV] Life Sciences [q-bio]
Alcoholism
Socioeconomic Factors
Female
France
Biostatistics
0305 other medical science
business
Research Article
Zdroj: BMC Public Health
BMC Public Health, 2020, 20 (1), pp.358. ⟨10.1186/s12889-020-08495-x⟩
BMC Public Health, BioMed Central, 2020, 20 (1), pp.358. ⟨10.1186/s12889-020-08495-x⟩
BMC Public Health, Vol 20, Iss 1, Pp 1-15 (2020)
ISSN: 1471-2458
Popis: BackgroundThe widespread under-screening and under-treatment of alcohol use disorder (AUD) contributes to its health and socioeconomic burden. We conducted a mixed-methods (qualitative and qualitative) study in people with alcohol use disorder (PWAUD) to explore their expectations, as well as barriers and levers to AUD care.MethodsIndividuals with AUDIT > 15 (N = 179) were interviewed using computer-assisted interviews in several medical and non-medical sites (e.g., bars) (quantitative substudy). We also conducted semi-structured face-to-face interviews with 36 PWAUD (qualitative substudy). Using logistic regression, we explored factors associated with having previously received/sought care for AUD. Three major themes were identified in the qualitative textual analysis using a descending hierarchical classification.ResultsNot socializing with heavy drinkers (AOR [95%CI]:3.84[1.66–8.85]), regular smoking (9.72[3.91–24.15]) and feeling discriminated against (2.35[1.10–5.05]) were independent levers to having sought/received care for AUD, while being aged ConclusionThese results underline the need for interventions targeting families and the social network to increase awareness about AUD and related care. Simplified and novel comprehensive care trajectories are urgently needed to reduce the clinical and public health burden of AUD.
Databáze: OpenAIRE
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