Original Research

Alcohol use disorder and tuberculosis treatment: A longitudinal mixed method study in Thailand

Samai Laprawat, Karl Peltzer, Wirat Pansila, Chalermpol Tansakul
South African Journal of Psychiatry | Vol 23 | a1074 | DOI: https://doi.org/10.4102/sajpsychiatry.v23i0.1074 | © 2017 Samai Laprawat, Karl Peltzer, Wirat Pansila, Chalermpol Tansakul | This work is licensed under CC Attribution 4.0
Submitted: 12 October 2016 | Published: 30 May 2017

About the author(s)

Samai Laprawat, Faculty of Public Health, Mahasarakham University, Thailand
Karl Peltzer, Faculty of Public Health, Mahasarakham University, Thailand and HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Department of Research Innovation and Development, University of Limpopo, South Africa
Wirat Pansila, Faculty of Public Health, Mahasarakham University, Thailand
Chalermpol Tansakul, Faculty of Public Health, Shinawatra University, Thailand


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Abstract

Objective: The relationship between tuberculosis (TB) treatment and alcohol use disorders over time is under-researched. The aim of this investigation was to study alcohol use and TB medication adherence and its predictors among TB patients over a period of 6 months.

Methods: A longitudinal investigation was carried out with new TB and TB retreatment patients systematically selected from two hospitals and had screened positive for hazardous or harmful alcohol use in Sisaket Province in Thailand. Alcohol use disorders were measured with Alcohol Use Disorder Identification Test (AUDIT)-C at baseline, 3 months and 6 months.

Results: Of the 295 TB patients who were screened with AUDIT-C, 72 (24.4%) tested positive for hazardous or harmful alcohol use. At 6 months, 72 TB patients had completed the follow- up. At the 6-month follow-up, hazardous or harmful drinking was reduced by 84.7%. Multivariate logistic regression analysis using generalised estimation equation modelling found that alcohol use significantly reduced over time, whereas there was no change in current tobacco use.

Conclusion: The prevalence of alcohol use disorders significantly reduced over a period of 6 months.


Keywords

tuberculosis; alcohol use disorder; depression; comorbidity; longitudinal study; Thailand

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