ReviewGlobal mental health (Cambridge, England)2023
Closing the treatment gap for alcohol use disorders in low- and middle-income countries.
Review in Global mental health (Cambridge, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Alcohol use disorder and associated factors among individuals with severe mental illnesses in Africa: a systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- The impacts of policies controlling the spatial availability of take-away alcohol on consumption and harms: A systematic narrative review.Addiction (Abingdon, England) · 2025Pooled it
- Efficacy of A Virtual Agent-Based Digital Intervention (Echo App V2.0) for Patients With Alcohol Use Disorder: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Engagement in alcohol-free activities, community-level economic disadvantage, and heavy drinking following alcohol treatment.Journal of the experimental analysis of behavior · 2026Trial
- Family-centered interventions for people with substance use disorders in low-and middle-income country settings: a scoping review.The International journal on drug policy · 2026Article
- A scoping review of barriers and facilitators to implementing tele-mental health solutions for rural, remote and underserved populations in low- and middle-income countries.PLOS digital health · 2026Article
- Service user and healthcare-worker perspectives on Substance Use Disorder treatment journeys, relapse, and recovery in Sub-Saharan Africa: Evidence from Uganda.PLOS global public health · 2026Article
- Prevalence, predictors, correlates, and dynamic changes in the NIAAA-defined "recovery" definition.Alcohol, clinical & experimental research · 2025Article
- The impact and experience of a culturally adapted brief intervention for harmful alcohol use in an emergency care setting (PPKAY: Punguza Pombe Kwa Afya Yako): A case series.medRxiv : the preprint server for health sciences · 2025Article
- Inertia or unanticipated bottlenecks? Exploring stakeholder perspectives on the implementation determinants of the national alcohol policy five years post-enactment in Zambia.Archives of public health = Archives belges de sante publique · 2025Article
- Barriers to treatment and stigma in alcohol dependent patients from a private rehabilitation centre in North India.Journal of family medicine and primary care · 2025Article
- Review
- Contextual factors and implementation strategies for a biomarker-augmented alcohol screening with brief intervention and referral to treatment (SBIRT) program for HIV-affected adolescents in Zambia: a qualitative study guided by RE-AIM / PRISM.medRxiv : the preprint server for health sciences · 2025Article
- Two-year outcome of a treatment program for alcohol use disorder in regional and rural India.Indian journal of psychiatry · 2025Article
- Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Economic evaluation of evidence-based strategies to reduce unhealthy alcohol use: a resource allocation guide.Frontiers in public health · 2025Article
- Acceptability and feasibility of CHANGE, a non-specialist worker delivered intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda: a qualitative study.Journal of migration and health · 2025Article
- Face-to-face, confidential and health worker-led: Understanding the preferences for behavioral health services among people with HIV in Lesotho.Global mental health (Cambridge, England) · 2025Article
- Digital interventions for alcohol use and alcohol use disorders in low- and-middle-income countries: a systematic review.Oxford open digital health · 2025Review
- Current state of mental health and substance use in Toledo, Belize: A mixed methods study.Global mental health (Cambridge, England) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The alcohol-attributable disease burden is greater in low- and middle-income countries (LMICs) as compared to high-income countries. Despite the effectiveness of interventions such as health promotion and education, brief interventions, psychological treatments, family-focused interventions, and biomedical treatments, access to evidence-based care for alcohol use disorders (AUDs) in LMICs is limited. This can be explained by poor access to general health and mental health care, limited availability of relevant clinical skills among health care providers, lack of political will and/or financial resources, historical stigma and discrimination against people with AUDs, and poor planning and implementation of policies. Access to care for AUDs in LMICs could be improved through evidence-based strategies such as designing innovative, local and culturally acceptable solutions, health system strengthening by adopting a collaborative stepped care approach, horizontal integration of care into existing models of care (e.g., HIV care), task sharing to optimise limited human resources, working with families of individuals with AUD, and leveraging technology-enabled interventions. Moving ahead, research, policy and practice in LMICs need to focus on evidence-based decision-making, responsiveness to context and culture, working collaboratively with a range of stakeholders to design and implement interventions, identifying upstream social determinants of AUDs, developing and evaluating policy interventions such as increased taxation on alcohol, and developing services for special populations (e.g., adolescents) with AUDs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.