http://hdl.handle.net/20.500.12701/1867 Culture, Medicine and Psychiatry is an international and interdisciplinary forum for the publication of work in the fields of medical and psychiatric anthropology, cross-cultural psychiatry, and associated cross-societal and clinical epidemiological studies. Thu, 22 Feb 2024 10:53:10 GMT 2024-02-22T10:53:10Z http://hdl.handle.net/20.500.12701/1868 Название: Knowledge, Attitudes, and Practices of Physicians in Tomsk Oblast Tuberculosis Services Regarding Alcohol Use Among Tuberculosis Patients in Tomsk, Russia Авторы: Mathew, Trini A.; Shields, Alan L.; Imasheva, Aizhan; Shin, Sonya S.; Mishustin, Sergey P.; Peremitin, Gennady G.; Strelis, Aivar K.; Yanova, Galina V.; Greenfield, Shelly F.; Furin, Jennifer J. Краткий осмотр (реферат): In recent years, the Russian Federation has seen a dramatic rise in morbidity and mortality from tuberculosis (TB), attributed in part to an increase in alcohol use disorders (AUDs), which are associated with worse TB treatment outcomes. This study describes the knowledge, attitudes and practices of physicians who treat TB patients in Tomsk, Russia. We conducted semistructured interviews with 16 TB physicians and 1 addiction specialist. Interviews were audiorecorded, transcribed, translated and systematically analyzed. We identified four key domains: definitions of alcohol use and abuse and physicians’ knowledge, attitudes and practices regarding these problems. Physicians described patients as largely precontemplative and reluctant to seek treatment. Physicians recognized their limited knowledge in diagnosing and treating AUDs but expressed interest in acquiring these skills. Few options are currently available for treatment of AUDs in TB patients in Tomsk. These findings suggest that Tomsk physicians are aware of the need to engage AUDs in TB patients but identify a knowledge gap that restricts their ability to do so. Training TB physicians to use simple screening instruments and deliver evidence-based alcohol interventions improves TB outcomes among patients with co-occurring AUDs. Sat, 19 Sep 2009 00:00:00 GMT http://hdl.handle.net/20.500.12701/1868 2009-09-19T00:00:00Z