Screening and care for alcohol use disorder in France: expectations, barriers and levers using a mixed-methods approach

Author:

Costa Marie,Barré Tangui,Coste Marion,Yaya Issifou,Berenger Cyril,Tanti Marc,Cutarella Christophe,Mora Marion,Poloméni Pierre,Maynard Marianne,Teuma Danielle,Bazin Michaël,Maradan Gwenaelle,Roux Perrine,Carrieri Patrizia Maria

Abstract

Abstract 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 < 50 and employment were independent barriers. The five predominant themes in PWAUD discourses emerging from the textual analysis were: drinking context, medical care, alcohol treatment, tobacco/addiction and family. When triangulating results from the logistic regression and the textual analysis, two barriers (social drinking and difficulties with the medical care system), and two levers (family influence and tobacco addiction), emerged. 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.

Funder

Institut de recherche en Santé Publique

Association nationale de la recherche et de la technologie

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health

Reference62 articles.

1. National Institute on Alcohol Abuse and Alcoholism. Alcohol Use Disorder [Internet]. Disponible sur: https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders. Accessed 13 Mar 2020.

2. WHO. Alcohol consumption: levels and patterns: World Health Organization; 2016. Disponible sur: https://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/fra.pdf?ua=1. Accessed 13 Mar 2020.

3. Alcool & Santé [Internet]. Inserm - La science pour la santé. Disponible sur: https://www.inserm.fr/information-en-sante/dossiers-information/alcool-sante. Cité 27 mars 2019.

4. Richard JB, Andler R, Cogordan C, Spilka S, Nguyen-Thanh V, et le Groupe Baromètre de Santé publique France 2017. La consommation d’alcool chez les adultes en France en 2017. Bull Epidémiol Hebd. 2019;(5–6):89–97. http://invs.santepublique france.fr/beh/2019/5-6/2019_5-6_1.html.

5. Paris : La Documentation française. La sécurité routière en France, Bilan de l’année 2011. France: ONISR; 2012. p. 698. Disponible sur: http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=72266.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3