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dc.contributor.authorKulkarni, S.
dc.contributor.authorWeber, S.E.
dc.contributor.authorBuys, C.
dc.contributor.authorLambrechts, T.
dc.contributor.authorMyers-Franchi, Bronwyn
dc.contributor.authorDrainoni, M.L.
dc.contributor.authorJacobson, K.R.
dc.contributor.authorTheron, D.
dc.contributor.authorCarney, T.
dc.date.accessioned2024-12-11T00:25:20Z
dc.date.available2024-12-11T00:25:20Z
dc.date.issued2024
dc.identifier.citationKulkarni, S. and Weber, S.E. and Buys, C. and Lambrechts, T. and Myers, B. and Drainoni, M.L. and Jacobson, K.R. et al. 2024. Patient and provider perceptions of the relationship between alcohol use and TB and readiness for treatment: a qualitative study in South Africa. BMC Public Health. 24 (1): pp. 2216-.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/96550
dc.identifier.doi10.1186/s12889-024-19570-y
dc.description.abstract

Background: Unhealthy alcohol use is widespread in South Africa and has been linked to tuberculosis (TB) disease and poor treatment outcomes. This study used qualitative methods to explore the relationship between TB and alcohol use during TB treatment. Methods: Focus group discussions (FGDs) were conducted with 34 participants who had previous or current drug-susceptible TB and self-reported current alcohol use. Eight interviews were conducted with healthcare workers who provide TB services in Worcester, South Africa. Results: In this rural setting, heavy episodic drinking is normalized and perceived to be related to TB transmission and decreased adherence to TB medication. Both healthcare workers and FGD participants recommended the introduction of universal screening, brief interventions, and referral to specialized care for unhealthy alcohol use. However, participants also discussed barriers to the provision of these services, such as limited awareness of the link between alcohol and TB. Healthcare workers also specified resource constraints, while FGD participants or patients mentioned widespread stigma towards people with alcohol concerns. Both FGD participants and health providers would benefit from education on the relationship between TB and unhealthy alcohol use and had specific recommendations about interventions for alcohol use reduction. Healthcare workers also suggested that community health worker-delivered interventions could support access to and engagement in both TB and alcohol-related services. Conclusion: Findings support strengthening accessible, specialized services for the identification and provision of interventions and psychosocial services for unhealthy alcohol use among those with TB.

dc.languageeng
dc.subjectAlcohol
dc.subjectBehavior change
dc.subjectHealthcare systems
dc.subjectSouth Africa
dc.subjectTuberculosis
dc.subjectHumans
dc.subjectSouth Africa
dc.subjectMale
dc.subjectFemale
dc.subjectFocus Groups
dc.subjectAdult
dc.subjectQualitative Research
dc.subjectMiddle Aged
dc.subjectTuberculosis
dc.subjectAlcohol Drinking
dc.subjectAttitude of Health Personnel
dc.subjectPatient Acceptance of Health Care
dc.subjectYoung Adult
dc.subjectHealth Personnel
dc.subjectHumans
dc.subjectTuberculosis
dc.subjectFocus Groups
dc.subjectAttitude of Health Personnel
dc.subjectAlcohol Drinking
dc.subjectQualitative Research
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectHealth Personnel
dc.subjectPatient Acceptance of Health Care
dc.subjectSouth Africa
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.titlePatient and provider perceptions of the relationship between alcohol use and TB and readiness for treatment: a qualitative study in South Africa
dc.typeJournal Article
dcterms.source.volume24
dcterms.source.number1
dcterms.source.startPage2216
dcterms.source.issn1471-2458
dcterms.source.titleBMC Public Health
dc.date.updated2024-12-11T00:25:17Z
curtin.departmentEnAble Institute
curtin.accessStatusIn process
curtin.facultyFaculty of Health Sciences
dcterms.source.eissn1471-2458
curtin.contributor.scopusauthoridMyers-Franchi, Bronwyn [57442894700] [7202684194]
curtin.repositoryagreementV3


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