|Titre :||Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach (2020)|
|Auteurs :||M. COSTA ; T. BARRE ; M. COSTE ; I. YAYA ; C. BERENGER ; M. TANTI ; C. CUTARELLA ; M. MORA ; P. POLOMENI ; M. MAYNARD ; D. TEUMA ; M. BAZIN ; G. MARADAN ; P. ROUX ; P. M. CARRIERI|
|Type de document :||Article : Périodique|
|Dans :||BMC Public Health (Vol.20, n°1, 2020)|
|Article en page(s) :||art. 358|
|Discipline :||SHS (Sciences humaines et sociales / Humanities and social sciences)|
Thésaurus TOXIBASEALCOOL ; ETUDE QUALITATIVE ; ACCES AUX SOINS ; ETUDE TRANSVERSALE ; MESURES QUANTITATIVES ; FAMILLE
BACKGROUND: The widespread under-screening and under-treatment of alcohol use disorder (AUD) contributes to its health and socioeconomic burden. We conducted a mixed-methods (qualitative and qualitative) study in people with alcohol use disorder (PWAUD) to explore their expectations, as well as barriers and levers to AUD care.
METHODS: Individuals with AUDIT > 15 (N = 179) were interviewed using computer-assisted interviews in several medical and non-medical sites (e.g., bars) (quantitative substudy). We also conducted semi-structured face-to-face interviews with 36 PWAUD (qualitative substudy). Using logistic regression, we explored factors associated with having previously received/sought care for AUD. Three major themes were identified in the qualitative textual analysis using a descending hierarchical classification.
RESULTS: Not socializing with heavy drinkers (AOR [95%CI]:3.84[1.66-8.85]), regular smoking (9.72[3.91-24.15]) and feeling discriminated against (2.35[1.10-5.05]) were independent levers to having sought/received care for AUD, while being aged CONCLUSION: These results underline the need for interventions targeting families and the social network to increase awareness about AUD and related care. Simplified and novel comprehensive care trajectories are urgently needed to reduce the clinical and public health burden of AUD.
|Domaine :||Alcool / Alcohol|
|Affiliation :||Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Sante & Traitement de l'Information Medicale, Marseille, France|