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Alcoholism, Substance Use, and Other Addictive Disorders

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Mental Health and Illness in Rural World

Part of the book series: Mental Health and Illness Worldwide ((MHIW))

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Abstract

Urban-rural divide across the world plays an important role from economy to health. Health related gap in general and addiction services in specific take a toll on rural population. Variations round the globe in terms of defining these population groups, problems, and barriers faced by rural areas exist. Dynamic changes in prevalence of substance use disorders (SUDs), epidemiological differences across the countries make it difficult to study and understand these differences. The differences across the countries based on the economies have been described in the article. Special population like pregnant women, prisoners, migrant laborers have been observed to get effected by the urban rural divide. Factors like availability of treatment centers, use of evidence-based services, perceived ease of access, screening and follow-up services, financial status, perception of substance use as problem, gender inequality have been shown to contribute for urban rural differences. These inequalities also play an important role in preventive dimension, i.e., in initiation of substance use. Urban-rural differences play an important role in planning, organizing, and implementation of preventive programs. Understanding/studying urban-rural differences is important in allocation of resources, policy making, planning interventions for the management of SUDs. Further research is required in this area.

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References

  • Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A et al (2016) Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet Lond Engl 387(10017):462–474

    Article  Google Scholar 

  • Anand K, Shah B, Yadav K, Singh R, Mather P, Paul E et al (2007) Are the urban poor vulnerable to non communicable diseases? A survey of risk factors for non-communicable diseases in urban slums of Faridabad. Natl Med J India 20(3):115–120

    CAS  PubMed  Google Scholar 

  • Benegal V, Gururaj G, Murthy P (2003) Report on a WHO Collaborative Project on unrecorded consumption of alcohol in Karnataka, India. Available from: http://www.nimhans.kar.nic.in/Deaddiction/lit/UNDOC_Review.pdf. Accessed 6 Sept 2005

  • Benegal V, Nayak M, Murthy P, Chandra P, Gururaj G (2005) Women and alcohol in India. In: Obot IS, Room R (eds) Alcohol, gender and drinking problems. Perspectives from low and middle income countries. World Health Organization, Geneva

    Google Scholar 

  • Bond Edmond M, Aletraris L, Roman PM (2015) Rural substance use treatment centers in the United States: an assessment of treatment quality by location. Am J Drug Alcohol Abuse 41(5):449–457

    Article  Google Scholar 

  • Browne T, Priester MA, Clone S, Iachini A, DeHart D, Hock R (2016) Barriers and facilitators to substance use treatment in the rural south: a qualitative study. J Rural Health 32(1):92–101

    Article  Google Scholar 

  • Bureau for International Narcotics and Law Enforcement Affairs. INCSR 2016 [Internet]. [cited 7 Jul 2017]. Available from: https://www.state.gov/documents/organization/253983.pdf

  • Chan Y-F, Lu S-E, Howe B, Tieben H, Hoeft T, Unützer J (2016) Screening and follow-up monitoring for substance use in primary care: an exploration of rural-urban variations. J Gen Intern Med 31(2):215–222

    Article  Google Scholar 

  • Chandrasekhar BVNG, Murali KB (2016) Rural marketing in India: prospects and challenges. ITIHAS J Indian Manag 6(1):73–85. Print ISSN: 2249–7803

    Google Scholar 

  • Chen X, Stanton B, Li X, Fang X, Lin D (2008) Substance use among rural-to-urban migrants in China: a moderation effect model analysis. Subst Use Misuse 43(1):105–124

    Article  Google Scholar 

  • Dotson JAW, Roll JM, Packer RR, Lewis JM, McPherson S, Howell D (2014) Urban and rural utilization of evidence-based practices for substance use and mental health disorders. J Rural Health 30(3):292–299

    Article  Google Scholar 

  • Elgar FJ, Knight J, Worrall GJ, Sherman G (2003) Behavioural and substance use problems in rural and urban delinquent youths. Can J Psychiatr Rev Can Psychiatr 48(9):633–636

    Article  Google Scholar 

  • Gale J, Lenardson J (2007) Distribution of substance abuse treatment facilities across the rural-urban continuum. Popul Health Health Policy [Internet], 5 Oct 2007. Available from: http://digitalcommons.usm.maine.edu/healthpolicy/26

  • Ganguli HC (2000) Epidemiological findings on prevalence of mental disorders in India. Indian J Psychiatry 42(1):14–20

    CAS  PubMed  PubMed Central  Google Scholar 

  • Gfroerer JC, Larson SL, Colliver JD (2007) Drug use patterns and trends in rural communities. J Rural Health 23(Suppl):10–15

    Article  Google Scholar 

  • Gupta V, Yadav K, Anand K (2010) Patterns of tobacco use across rural, urban, and urban-slum populations in a North Indian community. Indian J Community Med 35(2):245

    Article  Google Scholar 

  • Gururaj G, Isaac M, Girish N, Subbakrishna DK (2004) Final report of the study health behaviour surveillance with respect of mental health submitted to the Ministry of Health and Family Welfare. Government of India, New Delhi

    Google Scholar 

  • Gururaj G, Girish N, Benegal V (2006) Alcohol control series 1: Burden and socio-economic impact of alcohol – the Bangalore study. World Health Organisation, Regional Office for South East Asia, New Delhi

    Google Scholar 

  • Gururaj G, Murthy P, Girish N, Benegal V (2011) Alcohol related harm: implications for public health and policy in India, Publication no. 73. NIMHANS, Bangalore

    Google Scholar 

  • Horvath KJ, Iantaffi A, Swinburne-Romine R, Bockting W (2014) A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons. J Homosex 61(8):1117–1130

    Article  Google Scholar 

  • HRSA. Defining rural population [Internet]. [cited 10 Aug 2017]. Available from: https://www.hrsa.gov/ruralhealth/aboutus/definition.html

  • https://www.unodc.org/documents/drug-prevention-and-treatment/16-10463_Rural_treatment_ebook.pdf [Internet]. [cited 7 Jul 2017]

  • International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS

    Google Scholar 

  • Isaac M (1998) Contemporary trends: India. In: Grant M (ed) Alcohol and emerging markets: patterns, problems and responses. Taylor and Francis, Baltimore, pp 145–176

    Google Scholar 

  • Malek-Ahmadi M, Degiorgio L (2015) Risk of alcohol abuse in urban versus rural DUI offenders. Am J Drug Alcohol Abuse 41(4):353–357

    Article  Google Scholar 

  • Marsh JC, Cao D, Guerrero E, Shin H-C (2009) Need-service matching in substance abuse treatment: racial/ethnic differences. Eval Program Plann 32(1):43–51

    Article  Google Scholar 

  • Monnat SM, Rigg KK (2016) Examining rural/urban differences in prescription opioid misuse among US adolescents. J Rural Health 32(2):204–218

    Article  Google Scholar 

  • Mpanza DM, Govender P (2017) Rural realities in service provision for substance abuse: a qualitative study in uMkhanyakude district, KwaZulu-Natal, South Africa. South Afr Fam Pract 59(3):110–115

    Article  Google Scholar 

  • National Institute of Mental Health and Neuro Sciences (2012) Patterns & consequences of Alcohol Misuse in India – an epidemiological survey. Bangalore: National Institute of Mental Health and Neuro Sciences. [cited 9 Aug 2017]. Available from: http://nimhans.ac.in/cam/sites/default/files/Publications/WHO_ALCOHOL%20IMPACT_REPORT-FINAL21082012.pdf

  • National Mental Health Survey of India, 2015–2016. Prevalence, patterns and outcomes. Supported by Ministry of Health and Family Welfare, Government of India, and implemented by National institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, in collaboration with partner institutions

    Google Scholar 

  • Neufield KJ, Peters DH, Rani M, Bonu S, Brooner RK (2005) Regular use of alcohol and tobacco in India and its association with age, gender, and poverty. Drug Alcohol Depend 77(3):283–291

    Article  Google Scholar 

  • Olivier L, Urban M, Chersich M, Temmerman M, Viljoen D (2013) Burden of fetal alcohol syndrome in a rural West Coast area of South Africa. S Afr Med J 103(6):402–405

    Article  CAS  Google Scholar 

  • Pullen E, Oser C (2014) Barriers to substance abuse treatment in rural and urban communities: a counselor perspective. Subst Use Misuse 49(7):891–901

    Article  Google Scholar 

  • Ray R (2004) The extent, pattern & trends of drug abuse in India, National Survey. Ministry of Social Justice & Empowerment, Government of India & United Nations Office on Drugs & Crime, Regional Office for South Asia, New Delhi

    Google Scholar 

  • Ray R, Sharma HK (1994) Drug addiction – an Indian perspective. In: Bashyam VP (ed) Souvenir of ANCIPS 1994. Indian Psychiatric Society, Madras, pp 106–109

    Google Scholar 

  • Reddy VM, Chandrashekar CR (1998) Prevalence of mental and behavioural disorders in India: a meta-analysis. Indian J Psychiatry 40(2):149–157

    CAS  PubMed  PubMed Central  Google Scholar 

  • Rhew IC, Hawkins JD, Oesterle S (2011) Drug use and risk among youth in different rural contexts. Health Place 17(3):775–783

    Article  Google Scholar 

  • Rigg KK, Monnat SM (2015) Urban vs. rural differences in prescription opioid misuse among adults in the United States: informing region specific drug policies and interventions. Int J Drug Policy 26(5):484–491

    Article  Google Scholar 

  • Scheil-Adlung X (2015) Global evidence on inequities in rural health protection: new data on rural deficits in health coverage for 174 countries, Extension of Social Security series, no. 47. International Labour Organization, Geneva [Internet]. [cited 7 Jul 2017]. Available from: http://www.ilo.org/wcmsp5/groups/public/%2D%2D-ed_protect/%2D%2D-soc_sec/documents/publication/wcms_383890.pdf

  • Schulden JD, Thomas YF, Compton WM (2009) Substance abuse in the United States: findings from recent epidemiologic studies. Curr Psychiatry Rep 11(5):353–359

    Article  Google Scholar 

  • Shannon LM, Havens JR, Hays L (2010) Examining differences in substance use among rural and urban pregnant women. Am J Addict 19(6):467–473

    Article  Google Scholar 

  • Shaw MR, Grant T, Barbosa-Leiker C, Fleming SE, Henley S, Graham JC (2015) Intervention with substance-abusing mothers: are there rural-urban differences? Am J Addict 24(2):144–152

    Article  Google Scholar 

  • Subramanian SV, Nandy S, Irving M, Gordon D, Smith GD (2005) Role of socio economic markers and state prohibition policy in predicting alcohol consumption among men and women in India: a multilevel statistical analysis. Bull World Health Organ 83(11):829–836

    CAS  PubMed  PubMed Central  Google Scholar 

  • Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality (2012) The TEDS report: a comparison of rural and urban substance abuse treatment admissions, Rockville [Internet]. [cited 7 Jul 2017]. Available from: https://www.samhsa.gov/sites/default/files/teds-short-report043-urban-rural-admissions-2012.pdf

  • Thimmaiah G (1979) Socio-economic impact of drinking, state lottery and horse-racing in Karnataka. Sterling, New Delhi, p 43, 120

    Google Scholar 

  • Tshitangano TG, Tosin OH (2016) Substance use amongst secondary school students in a rural setting in South Africa: prevalence and possible contributing factors. Afr J Prim Health Care Fam Med 8(2):934. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845911/

    PubMed Central  Google Scholar 

  • United Nations Department of Economic and Social Affairs. Population density and urbanization. Available from: https://unstats.un.org/unsd/Demographic/sconcerns/densurb/default.htm

  • Warner BD, Leukefeld CG (2001) Rural-urban differences in substance use and treatment utilization among prisoners. Am J Drug Alcohol Abuse 27(2):265–280

    Article  CAS  Google Scholar 

  • Warren J, Smalley K, Barefoot K (2015) Perceived ease of access to alcohol, tobacco and other substances in rural and urban US students. Rural Remote Health [Internet] 15:3397. [cited 7 Jul 2017]. Available from: http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=3397

  • WHO (2010) Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations [Internet]. World Health Organization (WHO Guidelines Approved by the Guidelines Review Committee), Geneva. Available from: http://www.ncbi.nlm.nih.gov/books/NBK138618/

    Google Scholar 

  • World Bank Country and Lending Groups – World Bank Data Help Desk. (n.d.). Retrieved May 29, 2019, from https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups

  • Ziaaddini H, Ziaaddini T, Nakhaee N (2013) Pattern and trend of substance abuse in eastern rural Iran: a household survey in a rural community. J Addict [Internet]. [cited 2 Jul 2017]. Available from: https://www.hindawi.com/journals/jad/2013/297378/

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Authors and Affiliations

  1. Centre for Addiction Medicine, Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, India

    Venkata Lakshmi Narasimha & Arun Kandasamy

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  1. Venkata Lakshmi Narasimha
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  2. Arun Kandasamy
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Correspondence to Arun Kandasamy .

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  1. N Inst. of Mental Health & Neurosciences, Bangalore, Karnataka, India

    Santosh Chaturvedi

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Narasimha, V.L., Kandasamy, A. (2019). Alcoholism, Substance Use, and Other Addictive Disorders. In: Chaturvedi, S. (eds) Mental Health and Illness in Rural World. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0751-4_13-1

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  • DOI: https://doi.org/10.1007/978-981-10-0751-4_13-1

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  • Print ISBN: 978-981-10-0751-4

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