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

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    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
    Issue Date
    2012-02-01T10:58:19Z
    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
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    Citation
    BMC Fam Pract. 2009 Jun 11;10:42.
    Journal
    BMC family practice
    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
    ISSN
    1471-2296 (Electronic)
    1471-2296 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2296-10-42
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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