TY  - JOUR
PY  - 2021//
TI  - Addressing harmful alcohol use in primary care in Colombia: understanding the sociocultural context
JO  - Revista Colombiana de Psiquiatría
A1  - Vargas, Sebastián
A1  - Medina Ch, Ana María
A1  - Gómez-Restrepo, Carlos
A1  - Cárdenas, Paula
A1  - Torrey, William C.
A1  - Williams, Makeda J.
A1  - Bartels, Sophia M.
A1  - Cubillos, Leonardo
A1  - Castro, Sergio Mario
A1  - Suárez-Obando, Fernando
A1  - Uribe-Restrepo, José M.
A1  - Marschr, Lisa A.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - es
SN  - 0034-7450
UR  - http://dx.doi.org/10.1016/j.rcp.2020.11.016
ID  - ref1
ER  -