Alcohol Use Disorder in the General Population in Sub-Saharan Africa.

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Neuroepidemiology Pub Date : 2024-01-01 Epub Date: 2023-10-25 DOI:10.1159/000534675

Thibaut Gellé, Daniells Erazo, Damega Wenkourama, Aude Paquet, Murielle Girard, Philippe Nubukpo

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引用次数: 0

Abstract

Introduction: Alcohol use disorder (AUD) is one of the major risk factors for population health worldwide. In some regions, this disorder remains underdiagnosed. This is particularly the case in sub-Saharan Africa, where data on this disease in the general population remains scarce. The aim of this review was to describe the characteristics of AUD in sub-Saharan Africa.

Methods: We have conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Web of Science, African Journals Online, African Index Medicus, PsycINFO, Cochrane, and Scopus were investigated. Studies were included if they were conducted in a general population using a validated assessment tool.

Results: A total of 16 articles were selected and were conducted in 8 sub-Saharan African countries. The prevalence of AUD ranged from 0.1% to 33.2% in Nigeria. The most commonly used screening tool was the Alcohol Use Disorders Test (AUDIT), and among the factors associated with the AUD, we find mainly male gender, low income, Catholic religion, and the presence of a psychiatric comorbidity.

Conclusion: In sub-Saharan Africa, too few studies have investigated the AUD in the general population with validated diagnostic tools. Prevalence data seem to vary widely between and even within countries. The main factors associated with AUD are those found in the Western literature. The wide variety of assessment tools used to screen for AUD makes it difficult to compare prevalences across countries.

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撒哈拉以南非洲普通人群中的酒精使用障碍。

引言：酒精使用障碍是全球人口健康的主要危险因素之一。在一些地区，这种疾病的诊断仍然不足。撒哈拉以南非洲的情况尤其如此，那里的普通人群中关于这种疾病的数据仍然很少。本综述的目的是描述撒哈拉以南非洲地区酒精使用障碍的特征。方法：我们根据PRISMA（系统评价和荟萃分析的首选报告项目）指南进行了系统综述。PubMed、Web of Science、African Journals Online、PsycINFO、Cochrane和Scopus进行了调查。如果使用经验证的评估工具在普通人群中进行研究，则纳入研究。结果：共选择了16篇文章，并在8个撒哈拉以南非洲国家进行了研究。尼日利亚酒精使用障碍的患病率在0.1%至33.2%之间。最常用的筛查工具是酒精使用DIsorders测试，在与AUD相关的因素中，我们发现主要是男性、低收入、天主教和存在精神共病。结论：在撒哈拉以南非洲，很少有研究使用有效的诊断工具调查普通人群中的酒精使用障碍。各国之间甚至各国内部的流行率数据似乎差异很大。与AUD相关的主要因素是西方文献中发现的那些因素。用于筛查酒精使用障碍的评估工具种类繁多，很难比较各国的患病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuroepidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.90

自引率

1.80%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Neuroepidemiology'' is the only internationally recognised peer-reviewed periodical devoted to descriptive, analytical and experimental studies in the epidemiology of neurologic disease. The scope of the journal expands the boundaries of traditional clinical neurology by providing new insights regarding the etiology, determinants, distribution, management and prevention of diseases of the nervous system.