Title: Alcohol Use Disorders among Participants of a Community Outreach in Jos, Nigeria: Prevalence, Correlates and ease of acceptance of Brief Intervention

Authors: Okonoda, Kingsley Mayowa, Mwoltu Gabriel Nanribet, Yakubu Kenneth, James Bawo Onesirosan

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.127

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.

References

1.      Dimah A, Gire JT. The health and economic consequences of alcohol use in central Nigeria. African Journal of Drugs and Alcohol Studies. 2004;3:44-53.

2.      Goldberg IJ, Mosca L, Piano MR, Fisher EA. Wine and your heart. Stroke. 2001 Feb 1;32(2):591- 4.

3.      Michaud CM, Murray CJ, Bloom BR. Burden of disease—implications for future research. Jama. 2001 Feb 7;285(5):535-9.

4.      Wilson JF, Laine C, Goldmann DR, Sox HC. In the clinic: Alcohol use. Ann Intern Med. 2009;150.

5.      Gureje O, Lasebikan VO. Alcohol beverage type, problem drinking and self-reported health status. Nigerian Journal of Psychiatry. 2006;4(1):4-8.

6.      Lasebikan VO, Baiyewu O. Profile of Problems Associated with Psychoactive Substance Use Among Long Distance Com-mercial Automobile Drivers in Ibadan. Nigerian Journal of Psychiatry. 2009;7(2).

7.      Gureje O. Country profile on alcohol in Nigeria. Alcohol and public health in. 1999;8:95-114.

8.      Baird MA, Burge SK, Grant WD. A scheme for determining the prevalence of alcoholism in hospitalized patients. Alcoholism: Clinical and Experimental Research. 1989 Dec 1;13(6):782-5.

9.      Moore RD, Bone LR, Geller G, Mamon JA, Stokes EJ, Levine DM. Prevalence, detection, and treatment of alcoholism in hospitalized patients. Jama. 1989 Jan 20;261(3):403-7.

10.  Okonoda KM, Audu MD, Obindo TJ, James BO. Prevalence Of Alco-Hol Use Disorders Among Medi-Cal And Surgical In-Patients At A Teaching Hospital In North Central Nigeria. Jos Journal of Medicine. 2014;8(2):22-8.

11.  Stimmel B. Appropriate training in alcohol and substance abuse for primary care physicians: defining the problem. Training about alcohol and substance abuse for all primary care physicians. New York, NY: Josiah Macy, Jr. Foundation. 1995;24.

12.  Negrete JC. The role of medical schools in the prevention of alcohol-related problems. CMAJ: Canadian Medical Association Journal. 1990 Nov 15;143(10):1048.

13.  Kaner E, Bland M, Cassidy P, Coulton S, Dale V, Deluca P, Gilvarry E, Godfrey C, Heather N, Myles J, Newbury-Birch D. Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised contr-olled trial. Bmj. 2013 Jan 9;346:e8501.

14.  O'donnell A, Anderson P, Newbury-Birch D, Schulte B, Schmidt C, Reimer J, Kaner E. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol and alcoholism. 2014 Jan 1;49(1):66-78.

15.  Goodman D. Substance Abuse and Mental Health Services Administration. March/ April 2008. Substance Abuse and Mental Health Services Administration. 2008;16 (2):n2.

16.  Humeniuk R, Henry-Edwards S, Ali R, Poznyak V, Monteiro MG, World Health Organization. The ASSIST-linked brief intervention for hazardous and harmful substance use: a manual for use in primary care. 2010

17.  Group WH. The alcohol, smoking and substance involvement screening test (ASSIST): development, reliability and feasibility. Addiction. 2002 Sep 1;97(9): 1183-94.

18.  Dunbar G. The Mini International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview. Journal of Clinical Psychiatry. 1998;59:22-33.

19.  Okonoda KM, Obindo JT, Onifade PO, Makput DM, James BO. Terrorism catastrophising and hazardous alcohol use among students of a tertiary institution in Jos, Nigeria. International Journal of Research in Medical Sciences. 2017 Apr 26;5(5):1790-5.

20.  Lasebikan VO, Ola BA. Prevalence and Correlates of Alcohol Use among a Sample of Nigerian Semirural Community Dwellers in Nigeria. Journal of addiction. 2016 Apr 19;2016.

21.  Gureje O, Degenhardt L, Olley B, Uwakwe R, Udofia O, Wakil A, Adeyemi O, Bohnert KM, Anthony JC. A descry-ptive epidemiology of substance use and substance use disorders in Nigeria during the early 21st century. Drug and Alcohol Dependence. 2007 Nov 2;91(1):1-9.

22.  Adewuya AO, Ola BA, Aloba OO, Mapayi BM, Ibigbami OI, Adewumi TA. Alcohol use disorders among Nigerian university students: Prevalence and sociodemo-graphic correlates. Nigerian Journal of Psychiatry. 2007;5(1):5-9.

Corresponding Author

Dr Okonoda, Kingsley Mayowa

Department of Psychiatry, University of Jos,

PMB 2084, Jos, Plateau State, Nigeria

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone: +2348036770092