Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England.
Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England.
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DOI：
10.3399/bjgp16x683149
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发表时间：
2016-01
期刊：
影响因子：
--
通讯作者：
Michie S
中科院分区：
文献类型：
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作者：
Brown J;West R;Angus C;Beard E;Brennan A;Drummond C;Hickman M;Holmes J;Kaner E;Michie S
简短的干预措施对促进戒烟和减少过度饮酒有适度但有意义的影响。指导方针建议适时和定期提供此类建议，但这两种行为的激励措施各不相同。从患者的角度使用代表性数据，比较过度吸烟或饮酒者和接受短暂干预者的患病率和特征。数据来自英国家庭调查的15252名成年人的代表性样本。在吸烟者和过度饮酒者（AUDIT评分≥8）中评估了对吸烟和饮酒的简短干预、社会人口学信息以及吸烟和饮酒模式的回忆，这些人在前一年接受了GP手术。在1775名吸烟者中，50.4%的人回忆说在前一年接受过关于吸烟的简短建议。接受建议的吸烟者比没有接受建议的吸烟者年龄更大（比值比[OR] 17年增量1.19，95%置信区间[CI] =1.06 - 1.34），女性（OR 1.35，95% CI =1.10 - 1.65），有残疾（OR 1.44，95%CI = 1.11至1.88），在过去一年中进行了更多的戒烟尝试（与未尝试相比：尝试1次，OR 1.65，95% CI = 1.32 ~ 2.08; ≥2次尝试，OR 2.02，95% CI =1.49至2.74），且尼古丁依赖性更强（OR 1.17，95% CI =1.05至1.31），但不太可能没有16岁以上的资格（OR 0.81，95% CI = 0.66至1.00）。在1110名过度饮酒的人中，6.5%的人回忆起在前一年接受过关于饮酒的全科医生手术建议。接受建议的患者与未接受建议的患者相比，AUDIT评分较高（OR 1.17，95% CI =1.12至1.23），女性的可能性较低（OR 0.44，95% CI = 0.23至0.87）。在过去的一年里，英格兰大约有一半的吸烟者去看了他们的全科医生，他们报告说收到了戒烟的建议，而在那些过度饮酒的人中，只有不到10%的人报告说收到了关于他们饮酒的建议。
Brief interventions have a modest but meaningful effect on promoting smoking cessation and reducing excessive alcohol consumption. Guidelines recommend offering such advice opportunistically and regularly but incentives vary between the two behaviours. To use representative data from the perspective of patients to compare the prevalence and characteristics of people who smoke or drink excessively and who receive a brief intervention. Data was from a representative sample of 15 252 adults from household surveys in England. Recall of brief interventions on smoking and alcohol use, sociodemographic information, and smoking and alcohol consumption patterns were assessed among smokers and those who drink excessively (AUDIT score of ≥8), who visited their GP surgery in the previous year. Of 1775 smokers, 50.4% recalled receiving brief advice on smoking in the previous year. Smokers receiving advice compared with those who did not were more likely to be older (odds ratio [OR] 17-year increments 1.19, 95% confidence interval [CI] =1.06 to 1.34), female (OR 1.35, 95% CI =1.10 to 1.65), have a disability (OR 1.44, 95% CI = 1.11 to 1.88), have made more quit attempts in the previous year (compared with no attempts: one attempt, OR 1.65, 95% CI = 1.32 to 2.08; ≥2 attempts, OR 2.02, 95% CI =1.49 to 2.74), and have greater nicotine dependence (OR 1.17, 95% CI =1.05 to 1.31) but were less likely to have no post-16 qualifications (OR 0.81, 95% CI = 0.66 to 1.00). Of 1110 people drinking excessively, 6.5% recalled receiving advice in their GP surgery on their alcohol consumption in the previous year. Those receiving advice compared with those who did not had higher AUDIT scores (OR 1.17, 95% CI =1.12 to 1.23) and were less likely to be female (OR 0.44, 95% CI = 0.23 to 0.87). Whereas approximately half of smokers in England visiting their GP in the past year report having received advice on cessation, <10% of those who drink excessively report having received advice on their alcohol consumption.