BACKGROUND The proportion of Australians aged over 65 years is increasing. Although screening and treatment for alcohol and drug issues has traditionally focused on those aged less than 65 years, there is growing evidence of alcohol and drug related harm among older people. OBJECTIVE This article broadly discusses our current understanding of alcohol and drug problems among people aged over 6...

This study sought to verify the patterns of alcohol consumption and associated factors among adult users of a primary health care service in the city of Rio de Janeiro, Brazil. A household survey with a sample of 301 individuals who responded to a collection instrument containing the Alcohol Use Disorders Identification Test and social, demographic and health variables was conducted. Logistic r...

background: this review was performed to evaluate the trend of alcohol use, characteristics of consumers, alcohol use disorders and toxic alcohol intoxications in bangladesh. in addition, sources and sales figures of alcoholic beverages, and number of legal permits issued for alcohol consumption are reported and analyzed. methods: a narrative search was performed on available medical literature...

BACKGROUND Non-random mating affects population variation for substance use and dependence. Developmentally, mate selection leading to positive spousal correlations for genetic similarity may result in increased risk for substance use and misuse in offspring. Mate selection varies by cohort and thus, assortative mating in one generation may produce marked changes in rates of substance use in th...

OBJECTIVES To assess the effects of a tailored, multifaceted intervention in primary care on the level of patients' alcohol consumption and to investigate which patient and organizational factors determine a reduction in alcohol consumption. METHODS This was a cluster randomized, controlled trial conducted among primary care practices in The Netherlands. Data from 6318 patients were available...

BACKGROUND At the points where an infectious disease and risk factors for poor health intersect, while health problems may be compounded, there is also an opportunity to provide health services. Where human immunodeficiency virus (HIV) infection and alcohol consumption intersect include infection with HIV, onward transmission of HIV, impact on HIV and acquired immunodeficiency syndrome (AIDS) d...

Substance-related and addictive disorders are chronic relapsing conditions that substantially impact public health. Effective treatments for these disorders require addressing substance use/dependence comprehensively as well as other associated comorbidities. Comprehensive addressing of substance use in a medical setting involves screening for substance use, addressing substance use directly wi...

BACKGROUND Primary care clinicians' attitudes may differ based on patients' substance dependence type (alcohol, other drugs or both). AIM The aim of this study was to evaluate whether substance dependence type is associated with primary care quality (PCQ). METHODS We tested the association between substance dependence type and six PCQ scales of the Primary Care Assessment Survey (PCAS) in m...

Background The U.S. Preventative Task Force recommends screening and brief intervention (SBI) as an effective strategy to address risky alcohol use [1]. Yet, only about 25% of binge drinkers have talked to a health care professional about alcohol use [2]. Perceived lack of time, difficulty implementing SBI protocols into clinic flow, and staff buy-in have been identified as barriers to successf...