ArticleSubstance abuse treatment, prevention, and policy2019
Treatment gap, help-seeking, stigma and magnitude of alcohol use disorder in rural Ethiopia.
Article in Substance abuse treatment, prevention, and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05545904 (A Pilot Study to Evaluate the Feasibility & Acceptability of a Peer-mentor Delivered Substance Use Screening and Brief Intervention for Adolescents in Kenya), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Pilot Study to Evaluate the Feasibility & Acceptability of a Peer-mentor Delivered Substance Use Screening and Brief Intervention for Adolescents in Kenya
Who cites it
62 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment outcomes for substance use disorders across the African continent: a systematic review.BMC psychology · 2025Pooled it
- Siyakhana: A hybrid type 2 effectiveness-implementation stepped-wedge trial to reduce stigma towards substance use and depression among community health workers in HIV/TB care in South Africa.Journal of substance use and addiction treatment · 2025Trial
- Trial
- Regional perspectives: Substance use related problems in Ethiopia.Addiction (Abingdon, England) · 2026Review
- Exploring Phosphatidylethanol Cutoffs for Self-Reported Unhealthy Alcohol Use: An International Multi-Site Analysis.Alcohol, clinical & experimental research · 2026Article
- Intersectional Stigma and Health of People Living with HIV on ART Who Use Alcohol in Southwestern Uganda.AIDS and behavior · 2026Article
- Personalizing ecological momentary intervention for substance use disorders through data-driven decision rules.Frontiers in psychiatry · 2026Review
- Charting neuroethics discourse in Africa: A scoping review of ethical issues of neuroscience research in Africa.IBRO neuroscience reports · 2025Article
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- Exploring the perspectives of adolescents in high school in Northern Ghana on barriers to accessing substance use services.Discover mental health · 2025Article
- Criterion Validity of the Problematic Khat Use Screening Tool (PKUST-17) in Ethiopia.BJPsych open · 2025Article
- Utilization of mental health services and associated factors among residents of southern Ethiopia; a community based cross-sectional study.BMC health services research · 2025Article
- Pathway to care and time to treatment among patients attending psychiatry service at Dilla, Ethiopia, a cross-sectional study.PLOS mental health · 2025Article
- Substance use among young people in the West Arsi Zone, Ethiopia: A cross-sectional study.PloS one · 2025Article
- Article
- Epidemiology of alcohol use disorder in the general population of Togo and Benin: the ALCOTRANS study.BMC public health · 2024Article
- A pilot study of implementing an adapted model for integration of interventions for people with alcohol use disorders in Tanzanian primary healthcare facilities.BMC health services research · 2024Article
- Scoping review of assessment tools for, magnitudes of and factors associated with problem drinking in population-based studies.BMJ open · 2024Article
- Suicidal behavior and associated factors among holy water users at Northwest, Ethiopia, 2023: an institution based cross-sectional study.Frontiers in psychiatry · 2024Article
- Validation of a brief screener for broad-spectrum mental and substance-use disorders in South Africa.Global mental health (Cambridge, England) · 2024Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
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Abstract
backgroundAlthough 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.
methodsA 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.
resultsThe 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 < 0.001). People with alcohol use disorder had increased disability (adjusted prevalence ratio (aPR) 1.03, 95% confidence interval (CI) 1.01, 1.03) and higher depressive symptom scores (aPR 1.02, 95% CI 1.01, 1.04). The treatment gap was very wide, about 87.0% (only 13% sought help) of participants with an AUDIT score ≥ 16 had never sought help for their alcohol problems and 70.0% reported high internalized stigma. Major barriers to seeking help were wanted to handle the problem on their own, believing that it would get better by itself and being unsure about where to go.
conclusionsAlthough alcohol use disorders are common problems in Ethiopian community, the unmet need for treatment is substantial. An integrated care approach has the potential to address this need, but stigma and low awareness may be major barriers to help-seeking. Interventions to reduce stigma and enhance community awareness are recommended.
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