Cited by 11Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsHomelessness and Social Issues

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Medical Conditions of Hazardous Drinkers and Drug Users in Primary Care Clinics in Cape Town, South Africa

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Abstract

Research has identified a wide range of health conditions related to alcohol and drug use in studies conducted primarily in developed countries and in populations with severe alcohol and drug problems. Little is known about medical conditions in those with less severe alcohol and drug use in developing countries. We used WHO AUDIT and ASSIST screeners to identify hazardous drinking or drug use in public health clinics in Cape Town, South Africa, and included questions about doctor-diagnosed medical conditions. Using logistic regression we examined the relationship of medical conditions to hazardous alcohol, drug and tobacco use. Those with hazardous substance use had higher prevalence of many health conditions including tuberculosis, Hepatitis B, migraine, chronic bronchitis, and liver cirrhosis. Optimal treatment for some medical conditions may include treatment of underlying hazardous substance use, particularly use of drugs other than alcohol. In these populations, access to substance use treatment is limited and even brief interventions or advice may be useful.

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Crossref · 10.1177/002204260903900411

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  • Those with at-risk drinking or drug use also had high comorbidity, including TB, Hepatitis A and B, and depression and anxiety.

    “Those with at-risk drinking or drug use also had high comorbidity, including TB, Hepatitis A and B, and depression and anxiety (Mertens et al., 2009).”

    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 Mertens et al., 2009

    The 'Health conditions in Hazardous Drug Users' section reports higher odds of TB, hepatitis A and B, and depression or anxiety among hazardous drug users. The Discussion says hazardous drinking was associated with TB but not with depression or anxiety; it does not support attributing the full list of conditions to hazardous drinkers. (LLM, conf=0.88)

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Metadata

Authors
Mertens, J. R., Flisher, A. J., Ward, C. L., Bresick, G. F., Sterling, S. A., & Weisner, C. M.
Affiliations
  • Kaiser Permanente (US)
  • University of Cape Town (ZA)
Venue
Journal of Drug Issues
Published
2009-10
Volume
39
Issue
4
Pages
989-1014
ISSN
  • 0022-0426 (ISSN-L)
  • 1945-1369
OpenAlex
W1963793582
Cited by
11
References
2
Citations by year
2024: 1 · 2020: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2014: 2 · 2013: 1
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Journal of Drug Issues (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • South African Medical Research Council
  • Medical Research Council
  • National Institute on Drug Abuse (R37DA010572)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords
hazardous drinking, drug use, tobacco use, health conditions, comorbidities, tuberculosis, hepatitis B, migraine, chronic bronchitis, liver cirrhosis, primary care, addiction treatment, brief intervention, developing countries, Cape Town

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