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Understanding the Impact of Alcohol Use Disorder in the Russian Federation’s Tuberculosis Patients

Eggles, Kristen (2021) Understanding the Impact of Alcohol Use Disorder in the Russian Federation’s Tuberculosis Patients. Master Essay, University of Pittsburgh.

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Tuberculosis (TB) is an archaic disease caused by Mycobacterium tuberculosis (Mtb). The World Health Organization (WHO) established the “End TB Strategy” to reduce the incidence of TB. The Russian Federation is one of the seven high TB burden countries that have reached their 2020 milestone goal to reduce TB incidence and deaths. Even though they are on target, they make up 8% of drug-resistant TB cases in 2019. Harmful and hazardous alcohol consumption is strongly associated with an increased risk of TB. When comparing the Russian Federation to other high TB burden countries, the prevalence of alcohol use disorder (AUD) is significantly higher. Through a literature review, the prevalence, treatment outcomes, and interventions of AUD among Russian TB patients are understood. The Russian Federation has a higher prevalence of alcohol abuse among TB patients and higher rates of TB mortality attributed to AUD. The integrated management of physician delivered alcohol care to TB patients (IMPACT) was a randomized control trial designed to identify how successful pharmacological and psychotherapy treatment is in TB patients with AUD. Unfortunately, the study did not find a significant improvement in treatment adherence. To overcome poor treatment outcomes in Russian TB patients with AUD, appropriate interventions should be identified and implemented in the Russian Federation. Such interventions would include encouraging Russians to seek treatment for AUD, decreasing stigmatization of alcohol use, and improving access to effective AUD treatment across these populations.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Eggles, Kristenkbe4@pitt.edukbe4
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairMattila, Joshua Tjmattila@pitt.edujmattilaUNSPECIFIED
Committee MemberDe Genna, Natachadegennan@pitt.edudegennanUNSPECIFIED
Date: 12 May 2021
Date Type: Completion
Number of Pages: 52
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 12 May 2021 16:39
Last Modified: 12 May 2021 16:39

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