Drinking Patterns, Gender and Health II: Predictors of Preventive Service Use.
Drinking Patterns, Gender and Health II: Predictors of Preventive Service Use.
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DOI：
10.3109/16066350903398494
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发表时间：
2010-07
影响因子：
2.9
通讯作者：
Weisner CM
中科院分区：
文献类型：
--
作者：
Green CA;Polen MR;Leo MC;Perrin NA;Anderson BM;Weisner CM
慢性疾病和伤害在有物质使用问题/依赖的人中增加，但重度饮酒者比不饮酒者和适度饮酒者使用较少的常规和预防性保健服务，而前饮酒者和戒酒者比适度饮酒者使用更多。研究人员假设，饮酒与态度和做法有关，这些态度和做法在适度饮酒者中产生更好的健康，而酗酒者在生病之前会避开医生，随后会戒烟并使用更多的服务。酒精消费，健康相关的态度，做法和预防服务使用的性别差异可能会影响这些关系。分层随机抽样的健康计划的成员（7884; 2995名男性，4889名女性）完成了一项邮件调查，与24个月的健康计划记录。数据被用来研究酒精使用，性别，健康相关的态度/做法，健康和预防服务的使用之间的关系。控制态度，做法和健康，女性终身戒酒者和前饮酒者不太可能有乳房X光检查;酒精使用障碍和积极的AUDIT评分的个人不太可能获得流感疫苗接种。AUDIT阳性的女性比AUDIT阳性的男性更不可能接受结直肠筛查。预防服务使用的一致预测因素是：有初级保健提供者的自我报告（积极）;不喜欢看医生（消极）;吸烟（消极）和较高的BMI（消极）。当与饮酒相关的因素得到控制时，饮酒模式对预防服务的使用影响有限。有污名化行为的个人（例如，危险/有害的饮酒、吸烟或高BMI）不太可能得到护理。使护理经验积极和认真解决污名化的健康做法可以增加预防服务的使用。
Chronic diseases and injuries are elevated among people with substance use problems/dependence, yet heavier drinkers use fewer routine and preventive health services than non-drinkers and moderate drinkers, while former drinkers and abstainers use more than moderate drinkers. Researchers hypothesize that drinking clusters with attitudes and practices that produce better health among moderate drinkers and that heavy drinkers avoid doctors until becoming ill, subsequently quitting and using more services. Gender differences in alcohol consumption, health-related attitudes, practices, and prevention-services use may affect these relationships. A stratified random sample of health-plan members (7884; 2995 males, 4889 females) completed a mail survey that was linked to 24 months of health-plan records. Data were used to examine relationships between alcohol use, gender, health-related attitudes/practices, health, and prevention-service use. Controlling for attitudes, practices, and health, female lifelong abstainers and former drinkers were less likely to have mammograms; individuals with alcohol use disorders and positive AUDIT scores were less likely to obtain influenza vaccinations. AUDIT-positive women were less likely to undergo colorectal screening than AUDIT-positive men. Consistent predictors of prevention-services use were: self-report of having a primary care provider (positive); disliking visiting the doctor (negative); smoking cigarettes (negative), and higher BMI (negative). When factors associated with drinking are controlled, patterns of alcohol consumption have limited effects on preventive service use. Individuals with stigmatized behaviors (e.g., hazardous/harmful drinking, smoking, or high BMIs) are less likely to receive care. Making care experiences positive and carefully addressing stigmatized health practices could increase preventive service use.
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影响因子：
3
作者：
Fishman, PA;Goodman, MJ;Rosetti, MCO
通讯作者：
Rosetti, MCO
影响因子：
5.4
作者：
Green, CA;Pope, CR
通讯作者：
Pope, CR
DOI：
10.1093/geronj/43.5.s162
发表时间：
1988-09-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
MUTRAN, E;FERRARO, KF
通讯作者：
FERRARO, KF
影响因子：
5.5
作者：
Green, CA;Polen, MR
通讯作者：
Polen, MR
影响因子：
--
作者：
Bush, K;Kivlahan, DR;Bradley, KA
通讯作者：
Bradley, KA