Prevalence of substance use disorders in an urban and a rural area in Suriname

Tropical Medicine and Health

Kajal Etwaroo¹  Raj Jadnanansing¹  Rudi Dwarkasing²  Vincent Lumsden²  Robbert Bipat³  Jack Dekker⁴  Matthijs Blankers⁵ 

[1] Center for Psychiatry in Suriname and Department of Psychology Anton de Kom University of Suriname;Center for Psychiatry in Suriname and Faculty of Medical Science, Anton de Kom University of Suriname;Department of Physiology, Faculty of Medical Science, Anton de Kom University of Suriname;Research Department, Arkin Mental Health Institute Amsterdam and Department of Clinical Psychology, VU University;Research Department, Arkin Mental Health Institute;

关键词: Alcohol use disorder;    AUDIT;    Treatment gap;    Suriname;    Population-based study;   

DOI  :  10.1186/s41182-021-00301-7

来源: DOAJ

【 摘 要 】

Abstract Background Alcohol use disorders (AUD) have the worst impact in low-middle-income countries (LMICs), where the disease burden per liter of alcohol consumed is higher than in wealthy populations. Furthermore, the median treatment gap for AUDs in LMICs is 78.1%. The highest prevalence of AUDs worldwide in 2004 was found in the western Pacific region, Southeast Asia, and the Americas. The main aim of this study was to estimate and compare the prevalence of risky alcohol use and the extent of the treatment gap in a rural (Nickerie) and in an urban (Paramaribo) area in Suriname, a LMICs country with a wide variety of ethnic groups. Methods The respondents were randomly recruited using a specific sampling method of the National Census Bureau. The final samples were 1837 households for Paramaribo and 1026 for Nickerie, reflecting the populations in both regions. The Alcohol Use Disorder Identification Test (AUDIT) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used to assess the likelihood of the presence of alcohol use disorder. A score of > 7 for the AUDIT implies risky alcohol use. Results The results indicated that 2% of the women and 15% of the men in the rural area scored 8 or higher on the AUDIT. In the urban area, these numbers were 3% and 17%, respectively. In both samples, the men had the highest addiction risk at about 16% compared with 2% for females. Married persons are significantly less likely to become alcoholic than singles and other groups in Paramaribo. In both areas, higher education was associated with a lower probability of alcohol abuse and dependence, while handymen showed a higher odd. A treatment gap of 50% was found for alcohol use disorders in the rural area. The corresponding gap in the urban area was 64%. Conclusions Surinamese men show a high prevalence of the likelihood of AUD. In addition, the treatment gap for these possible patients is large. It is therefore of paramount importance to develop therapeutic strategies with the aim of tackling this physically and mentally disabling disorder. Tailored E-health programs may be of benefit.

【 授权许可】

Unknown