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Missed opportunity for alcohol use disorder screening and management in primary health care facilities in northern rural Tanzania: A cross-sectional survey

Article scientifique 2022 Anglais

Résumé

Abstract Objective The study aimed to identify the missed opportunity for detection and management of alcohol use disorder by primary health care workers. Design A cross-sectional surveySetting Outpatient services in the six governmental primary health care facilities in Moshi district council in Tanzania.Participants 1604 adults were screened for alcohol use disorder (AUD) using the Alcohol Use Disorder Identification Test (AUDIT). Participants scoring 8 or above then provided details about their help-seeking behavior and barriers to seeking care. Participants’ records were reviewed to assess screening and management of AUD. Results In the last 12 months, 60.7% reported alcohol use, heavy episodic drinking (HED) was reported by 37.3%. AUD (AUDIT ≥8) was present in 23.9%. Males were more likely to have HED (aPR= 1.43;95% CI:1.3 to 1.4) or AUD (aPR=2.9; 95% CI 1.9 to 4.2). Both HED and AUD increased with age. Only one participant (0.3%) had documented AUD screening and management. Only 5% of participants screening positive for AUD had sought help. Reasons for not seeking care were thinking that the problem would get better by itself (55.0%), wanting to handle the problem alone (42.0%), or not being bothered by the problem (40.0%). Conclusion. While reported alcohol use, HED, and AUD are common among patients presenting to primary healthcare facilities in northern Tanzania, help-seeking behavior and detection are very low. Not screening for AUD in primary health care is a missed opportunity for early detection and management. There is an urgent need to develop interventions to increase detection of AUD by health care providers, while also addressing help-seeking behavior and barriers to seeking care.

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Mushi, D., Moshiro, C., Hanlon, C., Francis, J., Teferra, S. (2022). Missed opportunity for alcohol use disorder screening and management in primary health care facilities in northern rural Tanzania: A cross-sectional survey. https://doi.org/10.21203/rs.3.rs-1485402/v1

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Auteur(s)

Dorothy Mushi Candida Moshiro Charlotte Hanlon Joel M Francis Solomon Teferra

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