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International Journal of Mental Health and Addiction

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24.05.2017 | Original Article

Factors Influencing Lay and Professional Health Workers’ Self-efficacy in Identification and Intervention for Alcohol, Tobacco, and Other Substance Use Disorders in Kenya

verfasst von: Sian Hsiang-Te Tsuei, Veronic Clair, Victoria Mutiso, Abednego Musau, Albert Tele, Erica Frank, David Ndetei

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 4/2017

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Abstract

The global burden of substance use disorders (SUDs), including alcohol and tobacco, disproportionately affect low- and middle-income countries (LMICs), considering their rising disease burden and low service capacity. Nested within a Kenyan training program, this study explores factors associated with healthcare providers’ self-efficacy to treat SUD. Surveys of 206 healthcare workers were used to perform regression and sensitivity analysis assessing various factors association with self-efficacy. Self-efficacy for SUD was lower in those practicing in public facilities and perceiving a need for alcohol use disorder (AUD) training; while higher self-efficacy correlated with a higher proportion of patients with AUD in one’s setting, access to mental health worker support, cannabis use at a moderate risk level, and belief that AUD is manageable in outpatient settings. Increasing awareness about SUD prevalence, identification, and treatment skills could improve the self-efficacy of LMICs’ health care providers and therefore the willingness to implement more services for patients with SUDs.

While less well known in certain parts of the world, khat is commonly used in eastern Africa and the Middle East for its stimulant effect (Alem, Kebede, and Kullgren, 1999; Manghi et al. 2009), with lifetime use reported up to 55.7% in Ethiopia (Alem et al. 1999; Cox and Rampes 2003) and 61% in Yemen (Alem et al. 1999; Manghi et al. 2009). In addition to its addictive potential, khat can cause mood dysregulation, psychotic symptoms, and negative impacts on the cardiovascular, respiratory, hepatobiliary, genitourinary, and metabolic systems (Cox and Rampes 2003; National Campaign Against Drug Abuse Authority 2012).

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Titel: Factors Influencing Lay and Professional Health Workers’ Self-efficacy in Identification and Intervention for Alcohol, Tobacco, and Other Substance Use Disorders in Kenya
verfasst von: Sian Hsiang-Te Tsuei
Veronic Clair
Victoria Mutiso
Abednego Musau
Albert Tele
Erica Frank
David Ndetei
Publikationsdatum: 24.05.2017
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 4/2017
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-017-9775-6

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Factors Influencing Lay and Professional Health Workers’ Self-efficacy in Identification and Intervention for Alcohol, Tobacco, and Other Substance Use Disorders in Kenya

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