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"codeine Is My Helper": Misuse of and Dependence on Codeine-Containing Medicines in South Africa

van Hout, MC and Rich, E and Dada, S and Bergin, M (2015) "codeine Is My Helper": Misuse of and Dependence on Codeine-Containing Medicines in South Africa. Qualitative Health Research, 27 (3). ISSN 1049-7323

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Abstract

Misuse of codeine-containing medicines is an emerging global public health concern. The majority of research has been conducted in developed countries (European Members States, Australia, the United States). This study aimed to gain an understanding of unique individual and collective experiences of trajectories of codeine misuse and dependence in South Africa. In-depth interviews were conducted with a purposive sample of adult codeine misusers and dependents (n = 25). Narratives were analyzed using the empirical phenomenological psychological five-step method. Nine themes with 63 categories emerged, with two additional high levels of abstraction. Findings are illustrated: participant profile and product preferences, motives for use, transitioning to misuse and dependence, pharmacy purchasing and alternative sourcing routes, effects and withdrawal experiences, help-seeking and treatment experiences, and strategies for prevention. The study underscores the need for continued support for enhanced patient awareness of risk of habit forming use and related health consequences and professional pharmacovigilance. © SAGE Publications.

Item Type: Article
Uncontrolled Keywords: 16 Studies In Human Society, 11 Medical And Health Sciences, 17 Psychology And Cognitive Sciences
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: SAGE Publications
Date Deposited: 01 Dec 2017 11:35
Last Modified: 01 Dec 2017 11:35
DOI or Identification number: 10.1177/1049732315613764
URI: http://researchonline.ljmu.ac.uk/id/eprint/7643

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