Abstract
Background: Screening and Brief intervention though shown to be effective at identifying alcohol problems at an early age is not routinely offered in community medical services. This study aimed at getting the prevalence and correlates of alcohol use and alcohol use disorders among participants of a community outreach and investigate the ease of integrating care into routine medical services in the community.
Materials and Methods: Participants at a medical outreach in Jos North who were 18 years and above were administered the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and Mini International Neuropsychiatric Interview (MINI) and offered Brief Intervention and Referred for specialized treatment as appropriate.
Results: Of the total 1170 participants recruited, 11.7% (8.9% and 2.8%) had moderate to severe risk out of the current drinking population (total of 20.9%). One-Way Analysis of Variance (ANOVA), showed a statistical significant difference between alcohol abuse and dependence, F (2) = 1167, p < .05.Majority (96.0%) of the participant had no to low risk use of alcohol, those who abuse alcohol (2.2%) were more compared to participants who are dependent (1.8%).A total of 245 participants received brief intervention for alcohol use, 26 were counseled for alcohol abuse, and 21 were referred for in-depth psychotherapy due to alcohol dependence.
Conclusion: Alcohol use is still prevalent in the population with significant number of current drinkers with alcohol use disorders. With proper planning, training and execution, alcohol screening with ASSIST and brief intervention can be incorporated into routine community medical services.
Keywords: Alcohol Use, Alcohol Use Disorder, Screening and Brief Intervention.
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