Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies

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dc.contributor.authorNalwadda, Oliva
dc.contributor.authorRathod, Sujit D
dc.contributor.authorNakku, Juliet
dc.contributor.authorLund, Crick
dc.contributor.authorPrince, Martin
dc.contributor.authorKigozi, Fred
dc.date.accessioned2018-05-07T14:52:05Z
dc.date.available2018-05-07T14:52:05Z
dc.date.issued2018-04-03
dc.date.updated2018-04-09T15:15:11Z
dc.description.abstractBackground Uganda has one of the highest per capita alcohol consumption rates in sub-Saharan Africa. However, the prevalence of alcohol use disorders (AUD) remains unknown in many areas, especially in rural districts. This study aimed to estimate the prevalence of alcohol consumption and of alcohol use disorder among men, and to describe the distribution of drinking intensity, among men in in Kamuli District, Uganda. Methods Men attending primary care clinics in Kamuli District were consecutively interviewed in a facility-based cross-sectional study, and a separate group of men were interviewed in a population-based cross-sectional study. In both studies the men were administered a structured questionnaire, which included the alcohol use disorder identification test (AUDIT) to screen for AUD, as well as sections about demographic characteristics, depression screening, internalized stigma for alcohol problems and treatment-seeking. Results Among the 351 men enrolled in the Community study, 21.8% consumed alcohol in the past 12 months, compared to 39.6% of 778 men in the Facility Survey. The proportion of men who screened positive for AUD was 4.1% in the community study and 5.8% in the facility study. AUDIT scores were higher among older men, men with paid/self-employment status and higher PHQ-9 score (Pā€‰<ā€‰0.05). Nearly half (47.5%) of the men with AUDIT-positive scores reported that alcohol use problems had ruined their lives. A majority (55.0%) of men with AUDIT-positive scores did not seek treatment because they did not think AUD was a problem that could be treated. Conclusions Internalized stigma beliefs among AUDIT-positive men impede treatment-seeking. As part of any efforts to increase detection and treatment services for alcohol use problems, routine screening and brief interventions for internalized stigma must be incorporated within the normal clinical routine of primary health care.
dc.identifier.apacitationNalwadda, O., Rathod, S. D., Nakku, J., Lund, C., Prince, M., & Kigozi, F. (2018). Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/28002en_ZA
dc.identifier.chicagocitationNalwadda, Oliva, Sujit D Rathod, Juliet Nakku, Crick Lund, Martin Prince, and Fred Kigozi "Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies." <i>International Journal of Mental Health Systems</i> (2018) http://hdl.handle.net/11427/28002en_ZA
dc.identifier.citationNalwadda, O., Rathod, S. D., Nakku, J., Lund, C., Prince, M., & Kigozi, F. (2018). Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. International journal of mental health systems, 12(1), 12.
dc.identifier.ris TY - Journal Article AU - Nalwadda, Oliva AU - Rathod, Sujit D AU - Nakku, Juliet AU - Lund, Crick AU - Prince, Martin AU - Kigozi, Fred AB - Background Uganda has one of the highest per capita alcohol consumption rates in sub-Saharan Africa. However, the prevalence of alcohol use disorders (AUD) remains unknown in many areas, especially in rural districts. This study aimed to estimate the prevalence of alcohol consumption and of alcohol use disorder among men, and to describe the distribution of drinking intensity, among men in in Kamuli District, Uganda. Methods Men attending primary care clinics in Kamuli District were consecutively interviewed in a facility-based cross-sectional study, and a separate group of men were interviewed in a population-based cross-sectional study. In both studies the men were administered a structured questionnaire, which included the alcohol use disorder identification test (AUDIT) to screen for AUD, as well as sections about demographic characteristics, depression screening, internalized stigma for alcohol problems and treatment-seeking. Results Among the 351 men enrolled in the Community study, 21.8% consumed alcohol in the past 12 months, compared to 39.6% of 778 men in the Facility Survey. The proportion of men who screened positive for AUD was 4.1% in the community study and 5.8% in the facility study. AUDIT scores were higher among older men, men with paid/self-employment status and higher PHQ-9 score (Pā€‰<ā€‰0.05). Nearly half (47.5%) of the men with AUDIT-positive scores reported that alcohol use problems had ruined their lives. A majority (55.0%) of men with AUDIT-positive scores did not seek treatment because they did not think AUD was a problem that could be treated. Conclusions Internalized stigma beliefs among AUDIT-positive men impede treatment-seeking. As part of any efforts to increase detection and treatment services for alcohol use problems, routine screening and brief interventions for internalized stigma must be incorporated within the normal clinical routine of primary health care. DA - 2018-04-03 DB - OpenUCT DP - University of Cape Town J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies TI - Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies UR - http://hdl.handle.net/11427/28002 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13033-018-0191-5
dc.identifier.urihttp://hdl.handle.net/11427/28002
dc.identifier.vancouvercitationNalwadda O, Rathod SD, Nakku J, Lund C, Prince M, Kigozi F. Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. International Journal of Mental Health Systems. 2018; http://hdl.handle.net/11427/28002.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s)
dc.sourceInternational Journal of Mental Health Systems
dc.source.urihttps://ijmhs.biomedcentral.com/
dc.subject.otherAlcohol use
dc.subject.otherAUDIT
dc.subject.otherInternalized stigma
dc.subject.otherHelp-seeking
dc.subject.otherMen
dc.subject.otherUganda
dc.titleAlcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
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