Relation of Patient's Opinion of Alcohol's Health Effects and Drinking Habits Among Hospitalized Patients With Cardiovascular Disease.

Relation of Patient's Opinion of Alcohol's Health Effects and Drinking Habits Among Hospitalized Patients With Cardiovascular Disease.
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DOI:
10.1016/j.amjcard.2022.06.033
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发表时间:
2022-09-15
影响因子:
2.8
通讯作者:
Pack, Quinn
Pack, Quinn
中科院分区:
医学3区
文献类型:
--
作者:
Medling, Theodore;Gobeil, Kyle;Sawalha, Khalid;Abozenah, Mohammed;Tavares, Paolo;Friedmann, Peter;Naimi, Timothy;Pack, Quinn

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媒体报道经常引用观察性研究和荟萃分析来宣传适度饮酒对心血管的好处,但目前尚不清楚公众舆论或饮酒行为是否与这些报道一致。我们对2019年6月至9月因急性心脏病住院的符合心脏康复条件的患者进行了一项匿名、单中心、35个问题的横断面调查。我们评估了患者对酒精使用的看法,对酒精对健康影响的看法,以及媒体在形成这些信念中的作用。我们假设饮酒习惯与饮酒对健康有益的信念有关。在300名患者中,290名(97%)完成了调查。大多数人(69%)表示从一个或多个来源听到适度饮酒是心脏健康的,包括:电视(61%),家人/朋友(33%),报纸(21%)和互联网(10%),尽管只有19%的人表示相信这些报道。总共有12名(4%)患者报告由于报告的有益健康影响而故意增加酒精摄入量。酗酒与增加饮酒以改善心脏健康之间存在强相关性[OR 8.8(95% CI 2.7,29)]。鉴于已知的酒精对心脏的毒性作用,特别是大剂量的酒精,需要采取针对人口的教育战略,特别是在酗酒者中,宣传酒精对心血管的不健康影响。
Media reports frequently cite observational studies and meta-analyses to promote the reputed cardiovascular benefits of moderate alcohol consumption, however it is unclear whether public opinion or drinking behavior align with these reports. We administered an anonymous, single-center, 35-question, cross-sectional survey among patients hospitalized for acute cardiac illnesses from June to September 2019 who were eligible for cardiac rehabilitation. We assessed patient opinions toward alcohol use, perceptions of alcohol’s health impact, and role of media in forming these beliefs. We hypothesized that drinking habits are associated with beliefs about the health benefits of alcohol consumption. Of 300 patients approached, 290 (97%) completed the survey. Most (69%) reported having heard moderate alcohol use is heart healthy from one or more sources including: TV (61%), family/friends (33%), newspapers (21%) and internet (10%) although only 19% reported believing these reports. In total, 12 (4%) patients reported intentionally increasing alcohol intake due to the reported beneficial health effects. There was a strong association between binge drinking and increasing alcohol use to improve cardiac health [OR 8.8 (95% CI 2.7, 29)]. Given the known cardiotoxic effects of alcohol, particularly in large doses, strategies aimed at population-based education regarding the unhealthy cardiovascular impact of alcohol use is needed, especially among binge drinkers.
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