Alcohol use in Tanzanians with chronic psychotic disorders and poor medication adherence
| Autor: | Martha Sajatovic, Kristin A. Cassidy, Godwin Njiro, Jessie Mbwambo, Michelle Aebi, Isaac Lema, Carol Blixen, Jennifer B. Levin, Emily Simon, Sylvia Kaaya |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
sub-Saharan Africa
medicine.medical_specialty lcsh:RC435-571 alcohol abuse Population Alcohol abuse ASSIST Audit treatment adherence lcsh:RZ400-408 03 medical and health sciences 0302 clinical medicine lcsh:Psychiatry Internal medicine medicine substance abuse Family history education Original Research education.field_of_study Alcohol Use Disorders Identification Test business.industry chronic psychotic disorders lcsh:Mental healing Audit risk medicine.disease 030227 psychiatry Substance abuse schizophrenia Psychiatry and Mental health Schizophrenia medication adherence AUDIT business 030217 neurology & neurosurgery |
| Zdroj: | South African Journal of Psychiatry, Volume: 27, Issue: 1, Pages: 1-10, Published: 2021 South African Journal of Psychiatry; Vol. 27 (2021) The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa South African Journal of Psychiatry, Vol 27, Iss 0, Pp e1-e10 (2021) |
| ISSN: | 2078-6786 1608-9685 |
| Popis: | Background: The burden of chronic psychotic disorders (CPDs) in sub-Saharan Africa (SSA) is significant. Poorly medically adherent patients are more likely to have worse outcomes and require more resources. However, factors impacting effective treatment of CPD in this population are unclear. Aim: Examine the relationship between alcohol use and disease management and compare alcohol risk stratification between the Alcohol Use Disorders Identification Test (AUDIT) and Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in poorly medication adherent Tanzanians with CPD. Setting: Muhimbili National Hospital and ambulatory clinics in Dar es Salaam, Tanzania. Methods: 100 Tanzanians with CPDs and suboptimal medication adherence were dichotomized into low and moderate-to-high risk alcohol use based on AUDIT scores and compared regarding medication attitudes, adherence and psychiatric symptoms. Patients completed the ASSIST for comparison to AUDIT risk stratification. Results: Moderate-to-high risk alcohol users had worse medication attitudes (p < 0.01), medication adherence (previous week, p = 0.01; previous month, p < 0.001), and psychiatric symptoms (p = 0.03). They were younger, predominately male and more likely to have a family history of alcohol abuse. A logistic regression analysis found age, gender and family history of abuse as significant predictors of hazardous alcohol use (p = 0.02, 0.02, < 0.01, respectively). Risk stratification between AUDIT and ASSIST aligned in 85% of participants. Conclusion: Alcohol use is an important consideration in treating poorly adherent Tanzanians with CPD. The ASSIST was comparable to the AUDIT in stratifying risky alcohol use with the additional benefit of screening for other substances. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|