Prevalence and Correlates of Substance Use Among South African Primary Care Clinic Patients
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We aimed to assess prevalence and correlates of hazardous use of tobacco, alcohol and other drugs in a primary care population in Cape Town, South Africa. Stratified random sampling was used to select 14 of the 49 clinics in the public health sector in Cape Town, and every "nth" patient, with those ages 18-25 oversampled (N = 2,618). Data were collected from December 2003 through 2004, using the World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test. Hazardous use of tobacco was most common, followed by alcohol and then other drugs. Hazardous tobacco use was associated with the 18-25 years age group, no religious involvement, high school completion, and higher stress. Hazardous alcohol use was associated with male gender, younger men, no religious involvement, employment, some high school education, and higher stress. Hazardous use of other drugs was associated with Colored (mixed) race (particularly among men), no religious involvement, employment, and stress. For all substances, women, particularly Black women, had the lowest rates of hazardous use. Although the study is cross-sectional, it does identify groups that may be at high risk of substance misuse and for whom intervention is urgent. Because prevalence of substance use is high in this population, routine screening should be introduced in primary care clinics.
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In a prior study of patients in 12 public-sector primary health care clinics in the Western Cape, South Africa, the prevalence of at-risk alcohol use among young adults aged 18-24 was 17%.
“In a study of patients in 12 public-sector primary health care clinics in the Western Cape, South Africa, we found a prevalence of at-risk alcohol and drug use of 17 and 8%, respectively, in young adults (aged 18–24 years) (Ward et al., 2008)”
From Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial (2014) · cites this paper as Ward et al., 2008
In a prior study of patients in 12 public-sector primary health care clinics in the Western Cape, South Africa, the prevalence of at-risk drug use among young adults aged 18-24 was 8%.
“In a study of patients in 12 public-sector primary health care clinics in the Western Cape, South Africa, we found a prevalence of at-risk alcohol and drug use of 17 and 8%, respectively, in young adults (aged 18–24 years) (Ward et al., 2008)”
From Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial (2014) · cites this paper as Ward et al., 2008
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- Authors
- Ward, C. L., Mertens, J. R., Flisher, A. J., Bresick, G. F., Sterling, S. A., Little, F., & Weisner, C. M.
- Affiliations
- Human Sciences Research Council (ZA)
- Kaiser Permanente (US)
- University of Cape Town (ZA)
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2008-01-01
- Volume
- 43
- Issue
- 10
- Pages
- 1395-1410
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- PMC
- PMC2924913
- OpenAlex
- W1972316871
- Cited by
- 25
- References
- 42
- Citations by year
- 2022: 1 · 2021: 4 · 2020: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R37DA010572, R37 DA 10572)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- substance use prevalence, hazardous drinking, illicit drug use, primary care patients, substance use screening, risk factors, religious involvement, stress, age and gender differences, racial differences, Cape Town
- MeSH terms
- Adolescent, Adult, Ambulatory Care Facilities, Female, Humans, Male, Mass Screening, Primary Health Care, South Africa, Odds Ratio, Substance-Related Disorders
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