Prevalence of problem alcohol use among patients attending primary care for methadone treatment.

Hdl Handle:
http://hdl.handle.net/10147/208034
Title:
Prevalence of problem alcohol use among patients attending primary care for methadone treatment.
Authors:
Ryder, Niamh; Cullen, Walter; Barry, Joseph; Bury, Gerard; Keenan, Eamon; Smyth, Bobby P
Affiliation:
UCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dublin,, Ireland. niamh.ryder@ucd.ie
Citation:
BMC Fam Pract. 2009 Jun 11;10:42.
Journal:
BMC family practice
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208034
DOI:
10.1186/1471-2296-10-42
PubMed ID:
19519882
Abstract:
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 to determine 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.
Language:
eng
MeSH:
Adult; Alcoholism/*epidemiology/virology; Analgesics, Opioid/*therapeutic use; Cross-Sectional Studies; Female; HIV Seropositivity/epidemiology; Hepatitis C/epidemiology; Heroin Dependence/*epidemiology/*rehabilitation/virology; Humans; Ireland/epidemiology; Male; Methadone/*therapeutic use; Middle Aged; Prevalence; Primary Health Care/*methods; Social Class; Young Adult
ISSN:
1471-2296 (Electronic); 1471-2296 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorRyder, Niamhen_GB
dc.contributor.authorCullen, Walteren_GB
dc.contributor.authorBarry, Josephen_GB
dc.contributor.authorBury, Gerarden_GB
dc.contributor.authorKeenan, Eamonen_GB
dc.contributor.authorSmyth, Bobby Pen_GB
dc.date.accessioned2012-02-01T10:58:19Z-
dc.date.available2012-02-01T10:58:19Z-
dc.date.issued2012-02-01T10:58:19Z-
dc.identifier.citationBMC Fam Pract. 2009 Jun 11;10:42.en_GB
dc.identifier.issn1471-2296 (Electronic)en_GB
dc.identifier.issn1471-2296 (Linking)en_GB
dc.identifier.pmid19519882en_GB
dc.identifier.doi10.1186/1471-2296-10-42en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208034-
dc.description.abstractBACKGROUND: 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 to determine 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.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAlcoholism/*epidemiology/virologyen_GB
dc.subject.meshAnalgesics, Opioid/*therapeutic useen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHIV Seropositivity/epidemiologyen_GB
dc.subject.meshHepatitis C/epidemiologyen_GB
dc.subject.meshHeroin Dependence/*epidemiology/*rehabilitation/virologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMethadone/*therapeutic useen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshPrimary Health Care/*methodsen_GB
dc.subject.meshSocial Classen_GB
dc.subject.meshYoung Adulten_GB
dc.titlePrevalence of problem alcohol use among patients attending primary care for methadone treatment.en_GB
dc.contributor.departmentUCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dublin,, Ireland. niamh.ryder@ucd.ieen_GB
dc.identifier.journalBMC family practiceen_GB
dc.description.provinceLeinster-

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