Help seeking behavior for problematic substance uses in north-West Ethiopia.

Publisher: BioMed Central Country of Publication: England NLM ID: 101258060 Publication Model: Electronic Cited Medium: Internet ISSN: 1747-597X (Electronic) Linking ISSN: 1747597X NLM ISO Abbreviation: Subst Abuse Treat Prev Policy Subsets: MEDLINE

Original Publication: [London] : BioMed Central, 2006-

Help-Seeking Behavior*; Mental Disorders/*epidemiology ; Patient Acceptance of Health Care/*psychology ; Substance-Related Disorders/*epidemiology ; Substance-Related Disorders/*psychology; Adolescent ; Adult ; Age Factors ; Comorbidity ; Cross-Sectional Studies ; Ethiopia/epidemiology ; Family Health ; Female ; Health Status ; Humans ; Male ; Patient Acceptance of Health Care/statistics & numerical data ; Surveys and Questionnaires ; Young Adult

Background: Substance miss use and neuro-psychiatric conditions are a growing public health challenges, but 76 to 85% of people with those disorders in low and middle-income countries did not receive treatment. The aim of this study was to see help seeking behavior and determinant factors in residents with problematic substance uses.
Methods: A total of 2400 participants had screened for problematic substance uses and 548 participants were found positive for problematic substance uses. Then, we had interviewed 548 participants for help seeking behavior by pre-tested modified General Help Seeking Questionnaire. Logistic regression with its corresponding p-value < 0.05; Adjusted odds ratios (AOR) and 95% confidence intervals (CI) have been used.
Results: Among five hundred and forty-eight participants with problematic substance use, only one hundred and sixty-eight (30.7%) with 95% CI (27, 35%) had sought help. Age above 35 years [AOR = .47 95% CI (.25, .90)], who had common mental disorders [AOR = 4.12, 95% CI (2.7, 6.3)], who had comorbid medical condition [AOR = 3.0, 95% CI (1.7, 5.3)], and grand-families' history of substance use [AOR = 2.18, 95% CI (1.4, 3.4)] were significantly associated with help seeking behavior.
Conclusion: Help-seeking behavior was infrequent in people with problematic substance use. Advanced age was a barrier to seek help while medical illnesses, common mental disorders and history of substance use in grand families were found to enforce to seek help.

Lancet. 2013 Nov 9;382(9904):1575-86. (PMID: 23993280)
Psychiatr Serv. 2002 Jul;53(7):861-7. (PMID: 12096170)
Psychiatry J. 2017;2017:7517450. (PMID: 28680879)
Arch Gen Psychiatry. 2007 May;64(5):566-76. (PMID: 17485608)
Front Psychiatry. 2017 May 19;8:86. (PMID: 28579966)
Lancet. 2012 Dec 15;380(9859):2224-60. (PMID: 23245609)
Eval Program Plann. 2011 Nov;34(4):375-81. (PMID: 21371752)
Lancet. 2007 Sep 8;370(9590):859-77. (PMID: 17804063)
Am J Geriatr Psychiatry. 2008 Dec;16(12):1010-9. (PMID: 19038900)
Arch Gen Psychiatry. 2002 Jan;59(1):77-84. (PMID: 11779286)
Ann Acad Med Singapore. 2012 Apr;41(4):154-60. (PMID: 22635279)
Afr J Psychiatry (Johannesbg). 2009 Aug;12(3):218-22. (PMID: 19750251)
J Nerv Ment Dis. 2009 Jun;197(6):434-41. (PMID: 19525744)
J Womens Health (Larchmt). 2006 Jun;15(5):556-68. (PMID: 16796483)
Bull World Health Organ. 2004 Nov;82(11):858-66. (PMID: 15640922)
Alcohol Res Health. 2011;33(4):371-9. (PMID: 23580021)
Harm Reduct J. 2013 Oct 31;10:28. (PMID: 24171800)
BMC Public Health. 2014 Nov 21;14:1198. (PMID: 25416647)

Keywords: Ethiopia; Help seeking; Low-income country; Problematic substance use; Urban

Date Created: 20190609 Date Completed: 20200504 Latest Revision: 20200505

20221213

PMC6556003

10.1186/s13011-019-0202-9

31174556