Naughton F.,University of Cambridge |
Alexandrou E.,Royal Gloucestershire Hospital |
Dryden S.,Royal Gloucestershire Hospital |
Bath J.,Royal Gloucestershire Hospital |
Giles M.,Royal Gloucestershire Hospital
Drugs: Education, Prevention and Policy | Year: 2013
Aims: Problem drinkers are reported to take an average of nine years to seek specialist alcohol treatment after recognizing they have a problem. We undertook an in-depth qualitative study to better understand why this delay occurred. Methods: In-depth semi-structured interviews with problem drinkers with varying levels of treatment experience (N=19). The data were analysed using thematic analysis. Findings: The resolution of drinking-related interference on a number of life domains emerged as the primary motivator for seeking help. These domains included social relationships, living conditions, criminality, poor health and social stigma. Where there was an absence of interference, treatment seeking behaviour was delayed. However, the influence of these domains was not always consistent; a delay influence for one individual sometimes acted as a help-seeking influence for another. The help-seeking pathway for many of these individuals was highly iterative and experience of receiving professional help often occurred before they had accepted that help was needed. Conclusion: Problem drinkers primarily sought help to alleviate psychosocial, health and situational problems rather than to stop drinking per se. The findings highlight the challenges of engaging these individuals in professional support and the wider benefits of further understanding treatment seeking pathways for early problem detection and treatment. © 2013 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.
Williamson J.M.L.,Royal Gloucestershire Hospital |
Rink J.A.,Royal Gloucestershire Hospital |
Hewin D.H.,Royal Gloucestershire Hospital
Obesity Surgery | Year: 2012
Background Bariatric and metabolic surgery is a recent introduction into mainstream surgical practice. It has been shown to have a beneficial effect on the health of an individual and a positive economic impact for society. Nonetheless, bariatric surgery faces a problem of perception from both the public and healthcare commissioners. The media functions as an interface between the medical community, government and the public. It therefore plays a critical role in shaping public opinion regarding health issues. Methods Articles relating to bariatric surgery in the ten most frequently read UK daily newspapers were assessed over a 24-month period (January 2010-December 2011). Each article was rated via a five-point scale from very negative (1) to very positive (5) by two independent assessors to produce an average score. Results A total of 197 relevant articles were identified and analysed for content. Sixty-four (33 %) of all articles were negatively slanted (mean score 1-2.5), 105 (53 %) were positive (mean score 3.5-5) and 28 (14 %) were neutral (mean score 2.5-3.5). The average score of all articles was 3.3 (neutral, but slightly positive). Conclusions The print media will influence public perceptions of bariatric surgery. There is huge variation in how bariatric surgery is reported, but overall the coverage is neutral. We feel that negative reportage distorts the overall awareness of bariatric surgery and may affect both how and when the obese seek medical intervention. © Springer Science + Business Media, LLC 2012.