Treatment gap, help-seeking, stigma and magnitude of alcohol use disorder in rural Ethiopia

Selamawit Zewdu*, Charlotte Hanlon, Abebaw Fekadu, Girmay Medhin, Solomon Teferra

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

BACKGROUND: Although alcohol use disorders contribute a high proportion of population disease burden, the treatment gap is large, especially in low- and middle-income countries. To narrow this gap, contextually relevant evidence is needed to inform service development in low- and middle-income country settings. The aim of this study was to assess the magnitude of the treatment gap for alcohol use disorder, help-seeking behavior, stigma and barriers to care among people with alcohol use disorder in rural Ethiopia.METHODS: A cross-sectional, house-to-house survey was conducted in Sodo district, south Ethiopia. A sample of 1500 adults was selected using simple random sampling from a census of households and screened for alcohol use disorder using the alcohol use disorders identification tool (AUDIT). Help-seeking, barriers to care and internalized stigma were investigated among people with moderately severe alcohol use disorder (AUDIT score ≥ 16). Poisson regression with robust variance was used to examine factors associated with alcohol use disorder.RESULTS: The prevalence of alcohol use disorder (AUDIT ≥8) in the past 12 months was 13.9% (25.8% in men and 2.4% in women, p-value
Original languageEnglish
JournalSubstance Abuse Treatment, Prevention, and Policy
Volume14
Issue number1
Early online date18 Jan 2019
DOIs
Publication statusE-pub ahead of print - 18 Jan 2019

Keywords / Materials (for Non-textual outputs)

  • Alcohol use disorder
  • Barriers
  • Community-survey
  • Help-seeking
  • PRIME-Ethiopia
  • Prevalence ratio
  • Stigma

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