@article{ref1,
title="Addressing harmful alcohol use in primary care in Colombia: understanding the sociocultural context",
journal="Revista Colombiana de Psiquiatría",
year="2021",
author="Vargas, Sebastián and Medina Ch, Ana María and Gómez-Restrepo, Carlos and Cárdenas, Paula and Torrey, William C. and Williams, Makeda J. and Bartels, Sophia M. and Cubillos, Leonardo and Castro, Sergio Mario and Suárez-Obando, Fernando and Uribe-Restrepo, José M. and Marschr, Lisa A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Harmful alcohol use is a public health problem worldwide, contributing to an estimated 5.1% of the global burden of illness. Screening and addressing at-risk drinking in primary care settings is an empirically supported health care intervention strategy to help reduce the burden of alcohol-use problems. In preparation for introducing screening and treatment for at-risk drinking in primary care clinics in Colombia, we conducted interviews with clinicians, clinic administrators, patients, and participants in Alcoholics Anonymous. Interviews were conducted within the framework of the Detección y Atención Integral de Depresión y Abuso de Alcohol en Atención Primaria (DIADA [Detection and Integrated Care for Depression and Alcohol Use in Primary Care] www.project-diada.org) research project, and its qualitative phase that consisted of the collection of data from 15 focus groups, 6 interviews and field observations in 5 regional settings. All participants provided informed consent to participate in this research. <br><br>FINDINGS revealed the association of harmful alcohol use with a culture of consumption, within which it is learned and socially accepted practice. Recognition of harmful alcohol consumption includes a social context that influences its screening, diagnosis and prevention. The discussion highlights how, despite the existence of institutional strategies in healthcare settings and the awareness of the importance of at-risk drinking among health personnel, the recognition of the harmful use of alcohol as a pathology should be embedded in an understanding of historical, social and cultural dimensions that may affect different identification and care scenarios.<p /> <p>Language: es</p>",
language="es",
issn="0034-7450",
doi="10.1016/j.rcp.2020.11.016",
url="http://dx.doi.org/10.1016/j.rcp.2020.11.016"
}