Abstract
Saint Vincent and the Grenadines (SVG) is an Eastern Caribbean country with a high rate of alcohol use disorders (AUDs) but inadequate community mental health resources to address them. This study examined SVG clergy’s potential role in community alcohol interventions. We recruited clergy through a chain referral method. We gathered data through 30 semi-structured interviews and qualitatively coded interview transcripts for themes relevant to the topic of alcoholism. We found that SVG church leaders have considerable knowledge regarding alcoholism on both personal and societal levels. The church leaders’ consistent concern about drinking problems in their communities and their commitment to community outreach suggest they are an energetic resource that should be utilized in future AUD interventions. However, their impact may be hampered by theological divisions, the perception that drinking problems only affect non-church members, non-church members’ possible reluctance to seek help from churches, and a misinformed approach to tackling drinking.
Highlights
Nicaragua is a low and middle income country (LMIC) with a long history of socio-political, economic and environmental challenges that have profoundly affected the local population
Mental health care is mainly provided through hospital inpatient services, outpatient services at a university-affiliated mental health and addictions clinic, and outpatient and crisis services at a community mental health center
We investigated the association between long-term risk of esophageal cancer death and fresh fruit consumption among smokers in the Linxian Nutrition Intervention Trail
Summary
Rheumatic heart disease (RHD) is a leading cause of premature morbidity and mortality in low- and middle-income countries (LMICs). Women of reproductive age are a vulnerable group of patients with RHD, due to greater risk of cardiovascular complications and mortality during pregnancy. Warfarin can prevent some of these complications (e.g. stroke) but can cause fetal abnormalities. In an international study,
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