Prevalence of problem alcohol use among patients attending primary care for methadone treatment
| Autor: | Walter Cullen, Eamon Keenan, Bobby P Smyth, Gerard Bury, Joseph Barry, Niamh Ryder |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Methadone maintenance Cross-sectional study Population MEDLINE Heroin Young Adult HIV Seropositivity Prevalence medicine Humans Young adult Psychiatry education education.field_of_study lcsh:R5-920 Primary Health Care Heroin Dependence business.industry Alcohol dependence Middle Aged Hepatitis C Analgesics Opioid Alcoholism Cross-Sectional Studies Social Class Female Family Practice business lcsh:Medicine (General) Ireland Methadone Research Article medicine.drug |
| Zdroj: | BMC Family Practice, Vol 10, Iss 1, p 42 (2009) BMC Family Practice |
| ISSN: | 1471-2296 |
| Popis: | Background Problem alcohol use is associated with adverse health outcomes among current or former heroin users and primary care is providing methadone treatment for increasing numbers of this population. This study aimed todetermine the prevalence of problem alcohol use among current or former heroin users attending primary care for methadone treatment and to describe the socio-demographic characteristics and health service utilisation characteristics associated with problem alcohol uses. Methods We conducted a cross sectional survey of patients sampled from a national database of patients attending general practice for methadone treatment. Participants were recruited by their general practitioner and data was collected using an interviewer-administered questionnaire, which included the Alcohol Use Disorders Identification Test ('AUDIT'), with a score of >7 considered abnormal (ie 'AUDIT positive cases') and socio-demographic, medical and substance use characteristics. Results We interviewed 196 patients (71% of those invited, 31% of those sampled, 11% of the national database). The median age was 32 years, 55% were hepatitis C positive, 79% had used illicit drugs in the previous month and 68% were male. Sixty-eight 'AUDIT positive' cases were identified (prevalence of 35%, 95% CI = 28–41%) and these were more likely to have attended a local Emergency Department in the previous year (p < 0.05) and less likely to have attended a hospital clinic in the previous year (p < 0.05). Twenty-seven (14%) scored 20 or higher indicating possible alcohol dependence. Conclusion Problem alcohol use has a high prevalence among current or former heroin users attending primary care for methadone treatment and interventions that address this issue should be explored as a priority. Interventions that address problem alcohol use in this population should be considered as a priority, although the complex medical and psychological needs of this population may make this challenging. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink