“…Our results corroborate findings related to the associations between women's mental health, especially depression, and exposure to partner violence [10,[19][20], which actually might presents a circulus vitiosus which is very difficult to escape without comprehensive treatment and support. As identified in the previous paper published by the author Dostanic et al, occurrence of depression in women whose partners have alcohol dependence are associated with the older partners, and if they spent more than 20 years together [10], which was also found in other studies [21,22].…”
Section: Discussionsupporting
confidence: 89%
“…Our results corroborate findings related to the associations between women's mental health, especially depression, and exposure to partner violence [10,[19][20], which actually might presents a circulus vitiosus which is very difficult to escape without comprehensive treatment and support. As identified in the previous paper published by the author Dostanic et al, occurrence of depression in women whose partners have alcohol dependence are associated with the older partners, and if they spent more than 20 years together [10], which was also found in other studies [21,22]. The link between violence and older age of husbands with alcohol dependence can be explained by the fact that these men probably hold traditional values that justify gender-based violence, along with the cognitive deficits they developed over time as a consequence of the continuous and excessive use of alcohol.…”
Section: Discussionsupporting
confidence: 89%
“…The sum of all responses (maximum = 63) represents the intensity of the symptoms of general anxiety. The overall score was graded into four categories: no anxiety (0-9), mild and mild to moderate (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), moderate (20)(21)(22)(23)(24)(25)(26)(27)(28)(29) and severe anxiety (30-64). In later analyses, moderate and severe anxiety were summarized in one category.…”
Section: Independent Variablesmentioning
confidence: 99%
“…Additionally, we examined the associations between violence against women and sociodemographic characteristics, and women's health status. In the same sample we used to study mental health as a main outcome variable, and published in the previous paper [10], while in this paper we focused on factors associated with the experience with violence.…”
Introduction/Objective. We aimed to investigate the lifetime and periodic
prevalence (during a year) and characteristics of violence against women and
health status of women whose partners have been treated for alcohol
dependence. Methods. Cross-sectional study was conducted among women whose
male partners were alcohol dependent and admitted to hospital for the
inpatient treatment. Exposure to physical and sexual violence was measured
by Conflict Tactics Scale (CTS-2). Mental health status was measured by Beck
Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), suicidal risk
(using Mini International Neuropsychiatric Interview or MINI scale) and
alcohol consumption (AUDIT scale). Data were analyzed by descriptive and
inferential statistical methods. We also constructed two logistic regression
models to study associations between violence and SES, and violence and
health-related variables. Results. The lifetime prevalence of physical
partner violence against among women was 65.4%, while the periodic
prevalence (during the 12 months prior to study) was 46.2% for physical;
20,2% for sexual, and 18% for both types of violence. None women were in
risk of harmful alcohol consumption. Violence was more often among women not
living in a town (OR 2.53, OR 95% CI 1.08-5.94, in univariate model), and
among women with moderate/severe depression (OR 12.34, 95%CI 2.26-67.33, in
multivariate model). Conclusion. Alcohol dependent men are very often
violent toward their spouses, and inpatient treatment presents an
opportunity to work with them on raising awareness on unacceptance of
violence against women.
“…Our results corroborate findings related to the associations between women's mental health, especially depression, and exposure to partner violence [10,[19][20], which actually might presents a circulus vitiosus which is very difficult to escape without comprehensive treatment and support. As identified in the previous paper published by the author Dostanic et al, occurrence of depression in women whose partners have alcohol dependence are associated with the older partners, and if they spent more than 20 years together [10], which was also found in other studies [21,22].…”
Section: Discussionsupporting
confidence: 89%
“…Our results corroborate findings related to the associations between women's mental health, especially depression, and exposure to partner violence [10,[19][20], which actually might presents a circulus vitiosus which is very difficult to escape without comprehensive treatment and support. As identified in the previous paper published by the author Dostanic et al, occurrence of depression in women whose partners have alcohol dependence are associated with the older partners, and if they spent more than 20 years together [10], which was also found in other studies [21,22]. The link between violence and older age of husbands with alcohol dependence can be explained by the fact that these men probably hold traditional values that justify gender-based violence, along with the cognitive deficits they developed over time as a consequence of the continuous and excessive use of alcohol.…”
Section: Discussionsupporting
confidence: 89%
“…The sum of all responses (maximum = 63) represents the intensity of the symptoms of general anxiety. The overall score was graded into four categories: no anxiety (0-9), mild and mild to moderate (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), moderate (20)(21)(22)(23)(24)(25)(26)(27)(28)(29) and severe anxiety (30-64). In later analyses, moderate and severe anxiety were summarized in one category.…”
Section: Independent Variablesmentioning
confidence: 99%
“…Additionally, we examined the associations between violence against women and sociodemographic characteristics, and women's health status. In the same sample we used to study mental health as a main outcome variable, and published in the previous paper [10], while in this paper we focused on factors associated with the experience with violence.…”
Introduction/Objective. We aimed to investigate the lifetime and periodic
prevalence (during a year) and characteristics of violence against women and
health status of women whose partners have been treated for alcohol
dependence. Methods. Cross-sectional study was conducted among women whose
male partners were alcohol dependent and admitted to hospital for the
inpatient treatment. Exposure to physical and sexual violence was measured
by Conflict Tactics Scale (CTS-2). Mental health status was measured by Beck
Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), suicidal risk
(using Mini International Neuropsychiatric Interview or MINI scale) and
alcohol consumption (AUDIT scale). Data were analyzed by descriptive and
inferential statistical methods. We also constructed two logistic regression
models to study associations between violence and SES, and violence and
health-related variables. Results. The lifetime prevalence of physical
partner violence against among women was 65.4%, while the periodic
prevalence (during the 12 months prior to study) was 46.2% for physical;
20,2% for sexual, and 18% for both types of violence. None women were in
risk of harmful alcohol consumption. Violence was more often among women not
living in a town (OR 2.53, OR 95% CI 1.08-5.94, in univariate model), and
among women with moderate/severe depression (OR 12.34, 95%CI 2.26-67.33, in
multivariate model). Conclusion. Alcohol dependent men are very often
violent toward their spouses, and inpatient treatment presents an
opportunity to work with them on raising awareness on unacceptance of
violence against women.
“…Alcohol use is directly related to many other adverse physical and psychosocial health outcomes, including cancer, infectious disease, cardiovascular disease, neuropsychiatric disease, and intentional and unintentional self-injury [4][5][6]. Moreover, alcohol drinking affects not only individuals, but has a negative impact on society as a whole, as it is often associated with increased rates of child abuse and/or neglect [7][8][9], intimate partner violence [10,11], and hospitalization and mortality rates [12][13][14].…”
Objective
Update the evidence on use of pharmacotherapy for alcohol use disorder in a Canadian population.
Methods
Using whole-population administrative data from Manitoba, Canada, we identified all residents age 12+ who were first diagnosed with alcohol use disorder between April 1, 1996 and March 31, 2015, and compared characteristics of those who filled a prescription for naltrexone, acamprosate or disulfiram at least once during that period to those who did not fill a prescription for an alcohol use disorder medication.
Results
Only 1.3% of individuals with alcohol use disorder received pharmacotherapy (62.3% of prescriptions were for naltrexone, 39.4% for acamprosate, 7.5% for disulfiram). Most prescriptions came from family physicians in urban alcohol use disorder (53.6%) and psychiatrists (22.3%). Individuals were more likely to fill a prescription for alcohol use disorder medication if they lived in an urban vs rural environment (OR 2.25; 95% CI 1.83–2.77) or had a mood/anxiety disorder diagnosis vs no diagnosis (OR 2.40, 95% CI 1.98–2.90) in the five years before being diagnosed with alcohol use disorder.
Conclusion
Despite established evidence for the effectiveness of pharmacotherapy for alcohol use disorder, these medications continue to be profoundly underutilized in Canada.
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