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Help seeking behavior for problematic substance uses in north-West Ethiopia
Habte Belete1, Tesfa Mekonen2, Wubalem Fekadu2
1Psychiatry Department, College of medicine and health Sciences, Bahir Dar University, Amhara region, PO Box 79, Bahir Dar, Ethiopia. habte.belete@gmail.com.
Substance Abuse Treatment, Prevention, and Policy
|June 9, 2019
Summary
Help-seeking for problematic substance use is infrequent, especially among older adults. However, common mental disorders, medical conditions, and family history encourage individuals to seek support.
Area of Science:
- Public Health
- Neuroscience
- Psychiatry
Background:
- Substance misuse and neuropsychiatric conditions pose significant public health challenges.
- A large treatment gap exists, with 76-85% of individuals in low- and middle-income countries not receiving care.
- Understanding help-seeking behavior is crucial for improving access to treatment.
Purpose of the Study:
- To investigate help-seeking behaviors among individuals with problematic substance use.
- To identify factors that determine help-seeking in this population.
Main Methods:
- Screened 2400 participants for problematic substance use; 548 tested positive.
- Interviewed 548 participants using a modified General Help Seeking Questionnaire.
- Employed logistic regression analysis to identify significant determinants (p<0.05).
Main Results:
- Only 30.7% of participants with problematic substance use had sought help.
- Help-seeking was less likely in individuals over 35 years old (AOR=0.47).
- Common mental disorders (AOR=4.12), comorbid medical conditions (AOR=3.0), and family history of substance use (AOR=2.18) were associated with increased help-seeking.
Conclusions:
- Help-seeking behavior is notably infrequent in individuals with problematic substance use.
- Advanced age acts as a barrier to seeking help.
- Presence of medical illnesses, common mental disorders, and a family history of substance use are facilitators for help-seeking.
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