Prevalence of Alcohol Use Disorders and Associated Factors Among People with Schizophrenia at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia 2013 (original) (raw)
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SAGE Open Medicine
Background: Alcohol use disorder is one of the primary causes of avoidable death, illness, and injury in many societies throughout the world. Although alcohol use disorder can influence the natural history of a disease, disease recurrence, quality of life, and treatment adherence in psychiatric patients, the data on its magnitude is scarce. Objectives: This study was aimed to determine the magnitude of alcohol use disorder and its determinants among patients with schizophrenia attending a mental specialized hospital in Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study was conducted from May 15 to June 15, 2018. An alcohol use disorder identification test was employed among a sample of 414 randomly selected patients with schizophrenia. Alcohol use disorder was categorized as hazardous drinking (Alcohol Use Disorders Identification Test (AUDIT) score of 8–15), harmful drinking (AUDIT score of 16–19), and alcohol dependence (AUDIT score of 20 or above). The d...
Research Square (Research Square), 2020
Background Schizophrenia is a severe, chronic and disabling mental illness that places significant burden not only on the individuals, but also on their families and society. As per our knowledge there is no study conducted on prevalence and associated factors of disability in schizophrenic patients in Ethiopia. Their fore, this study aimed to assess the magnitude and associated factors of disability in patients with schizophrenia attending Gondar, Felegehiwot and Debretabor hospital, North West Ethiopia 2019 Methods An Institutional-based cross-sectional study was conducted among schizophrenic patients attending Gondar, Felegehiwot and Debretabor hospitals Amhara Ethiopia. A total of 420 participants were included in the study. Data were collected by face to face interview using systematic random sampling method. Disability was measured using World Health Organization Disability Assessment Scale 2.0. Coded variables were entered into Epi data V.4.4.2 and exported to SPSS V.24 for analysis. Bivariate and multivariate logistic regressions with OR and 95% CI were employed. The level of significance of association was determined at p-value < 0.05. Result A total of 420 participants were interviewed, with a response rate of 99.3%. The magnitude of disability in this study was 41.7% (95%CI: 36.9, 46.4). Current use of alcohol (AOR = 2.47,
Curationis, 2007
Frequent readmissions of people with schizophrenia pose considerable pressure on the psychiatric service provision of Amanuel Psychiatric Hospital. The purpose of the study was to ascertain factors mainly contributing to the rate of readmissions of people with schizophrenia. Descriptive survey methods and qualitative focus group interviews were employed to conduct the study. Random sampling techniques were used to select 43 respondents of people with schizophrenia from 231 people with schizophrenia who were readmitted for two or more times in the last two years and who gained access during the time of the study. Structured interviews were used for respondents of people with schizophrenia. Fourteen (N = 14) family members/caregivers were selected using purposive sampling methods for focus group discussions. Quantitative data was analyzed using the SPSS Version 11.00 program and the qualitative data was analyzed by generating themes and categories. The results suggest that alcohol and...
Alcohol use in schizophrenia: prevalence, patterns, correlates and clinical outcomes in Goa, India
The Psychiatrist, 2012
Aims and methodTo explore the patterns of alcohol consumption and its impact on clinical outcomes in schizophrenia in low- and middle-income countries. We performed a cross-sectional survey of 315 patients with schizophrenia and calculated the prevalence of alcohol consumption and alcohol use disorder. The patients' sociodemographic profiles and clinical outcomes, including Brief Psychiatric Rating Scale (BPRS) scores, were compared between abstainers and drinkers using the χ2- and t-tests.ResultsThe 1-year prevalence of drinking, hazardous drinking and alcohol dependence was 16.8% (95% CI 12.9–21.4), 5.7% (95% CI 3.4–8.9) and 2.5% (95% CI 1.1–4.9), respectively. Male gender, single or post-marital status, higher education and being economically active were significantly associated with alcohol consumption. Alcohol drinkers were significantly more likely to be on combination psychotropics compared with abstainers. The mean total BPRS score was significantly lower in alcohol drin...
Background: Worldwide, alcohol consumption caused 3.8 percent of all deaths and 4.5 percent of the total burden of disease in 2004. Alcohol use disorders (AUDs) are also a burden for individuals and society in Ethiopia. It is important to identify problematic alcohol use at an early stage, as this provides professionals with the opportunity to take preventive measures and, hence, reduce the problems caused by this consumption. The high prevalence of substance abuse problems among persons with psychiatric disorders calls for more effective alcohol and drug use assessment in psychiatric settings. Objectives: To assess prevalence of alcohol use disorders and its associated factors among psychiatric outpatients in Jimma University specialized hospital (JUSH) Methods: A university hospital based cross-sectional study of 365 psychiatric outpatients was conducted from 1st to 15th August 2013 in Jimma zone, south-west Ethiopia. The data were collected by interviewing all psychiatric outpatients coming for treatment at JUSH by using structured questionnaire. An alcohol use disorder was assessed using Alcohol Use Disorders Identification Test (AUDIT). All variables associated with AUDs with a p value ≤ 0.25 were included in the final multivariable model. Results: The estimated prevalence rate of AUD was 38.9%, with 23.3% hazardous drinking, 5.8% alcohol abuse and 9.8% alcohol dependence. In the final multiple logistic regression model AUD was significantly associated with Gender, Religion, Frequency of going to worship places and Cigarette smoking. Being female gender was less likely to develop AUD. Those who were orthodox religion followers, those who never went to the worship places and those who smoke cigarettes were more likely to have AUD. Conclusions: The high prevalence of AUDs detected in our facility-based survey of psychiatric outpatients in Ethiopia implies the need to design effective screening tools and feasible interventions for AUDs.
Alcohol Use and Alcoholism Among Individuals with Schizophrenia in the North of Iran
Iranian Journal of Psychiatry and Behavioral Sciences
Background: Alcohol consumption is one of the most common problematic issues globally that usually causes high costs for the health system. Also, schizophrenia is a chronic psychiatric disorder responsible for a heavy burden on healthcare providers. Objectives: This study aimed to investigate alcohol use and alcoholism in schizophrenia in Iran. Methods: A cross-sectional (descriptive-analytical) study was conducted on 400 individuals with schizophrenia referred to the psychiatry hospital of Mazandaran University of Medical Sciences. History of alcohol consumption and the criteria of alcohol use disorder according to DSM-5-TR were sought during the interviews using the Alcohol Use Disorder Identification Test (AUDIT). Results: Of the patients, 45.5% had drunk alcohol at some point in their lives, 23% had low-risk alcohol consumption, and 10% experienced high-risk consumption. In addition, 1.5% of our sample suffered from alcoholism, according to the AUDIT. Conclusions: The results of...
Health and Quality of Life Outcomes
Background Schizophrenia was ranked as one of the top ten illnesses contributing to the global burden of disease. But little is known about the quality of life among people with schizophrenia, in particular in low-income countries. This study was aimed to examine the association of quality of life with current substance use, medication non-adherence and clinical factors of people with schizophrenia at Jimma University Medical Center, psychiatry clinic, Southwest Ethiopia. Methods Institution based cross-sectional study design was employed. Study participants were recruited using a systematic random sampling method and a sample fraction of two was used after the first person was identified by the lottery method. we used the World Health Organization Quality of Life Scale-Brief version (WHOQoL-BREF) and 4-item Morisky Medication Adherence Scale (MMAS-4) to assess the quality of life and medication non-adherence respectively. Data about current substance use was assessed by yes/no ques...
Neuropsychiatric Disease and Treatment, 2021
Background: Patients with mental disorders have high rates of co-existing alcohol use disorder and vice versa. Alcohol use disorder has emerged as a major challenge to intervene patients with severe mental disorders. It is under-recognized and has not been investigated well in low-income countries like Ethiopia. The aim of this study was to assess the prevalence and associate factors of alcohol use disorder among patients with severe mental disorders attending psychiatric follow-ups at the University of Gondar comprehensive specialized hospital, northwest Ethiopia. Methods: A total of 384 patients with severe mental disorders selected by a systematic random sampling technique took part in the interviews for this cross-sectional study. The alcohol use disorder identification test was used to assess the problem. Univariate and multivariate binary logistic regressions were computed to examine the associated factors. An adjusted odds ratio with a 95% confidence interval (CI) was used for reporting the result. Results: The prevalence of alcohol use disorder among patients with severe mental disorders was 36.2%. Of the participants, 23.5%, 8.6%, and 4.1% had hazardous, harmful alcohol drinking and alcohol dependency, respectively. In the multivariate analysis, male sex, younger age, psychotic and bipolar disorder diagnoses, having poor social support, moderate and high perceived stress, and current tobacco smoking were factors significantly associated with alcohol use disorder. Conclusion: The prevalence of alcohol use disorder among patients with severe mental disorders was found to be high. Early intervention and integrating treatment services for coexisting mental disorders and alcohol use disorder is important. The special treatment, where it is offered for young male patients and those with the diagnosis of psychotic and bipolar disorders, is recommended to promote the uptake of alcohol and mental health treatment services.
Risk Management and Healthcare Policy
Background: Alcohol use disorders occurring together with common mental disorders are common and have been recognized worldwide as a crucial public health concern. However, there is a scarcity of data about the correlation of alcohol use disorders with common mental disorders and its association with socio-demographic characteristics among community in Ethiopia, especially in the study area. The aim of the study is to assess the correlation of alcohol use disordesr with common mental disorders and its association with socio-demographic characteristics among adults of selected woredas of the Ilu Aba Bor zone. Methods: Community-based cross-sectional study was employed on 690 participants selected by using the multistage sampling technique. Data were collected by using the alcohol use disorder identification test (AUDIT) and self-reporting questionnaire (SRQ-20) scale. Data analysis were done using SPSS version 20. Pearson correlation was used to see the relation of two variables. The strength of the association was determined at p-value <0.005. Results: 14.1% of the study sample positive for alcohol use disorders and 27.2% for common mental disorders. There is a significant positive relationship between alcohol use disorders and common mental disorders, r(688)=0.314, p=0.001. From socio-demographic characteristics, multivariable logistic regression analysis revealed marital status being single, orthodox religion followers, and living in urban had a significant association with alcohol use disorders. Conclusion: In the Ilu Aba Bor zone, 14.1% of participants reported alcohol use disorders, and 27.2% have a common mental disorders. There is a significant positive relationship between alcohol use disorders and common mental disorders. Being single, orthodox religion, and living in urban had a significant association with alcohol use disorders. Detection and treatment of people with alcohol use disorders and common mental disorders in the community have been recommended at the same time through integrated treatment.
Alcohol use in Tanzanians with chronic psychotic disorders and poor medication adherence
The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa, 2021
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 Mo...