At-risk drinking in an HMO primary care sample: Prevalence and health policy implications
At-risk drinking in an HMO primary care sample: Prevalence and health policy implications
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DOI：
10.2105/ajph.88.1.90
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发表时间：
1998-01-01
影响因子：
12.7
通讯作者：
Johnson, K
中科院分区：
文献类型：
--
作者：
Fleming, MF;Manwell, LB;Johnson, K
目标.本研究的目的是确定患病率的危险饮酒使用不同的酒精使用标准。在22个初级保健机构（n = 19372）进行了一次定期患病率调查。有风险的酒精使用频率从7.5%（世界卫生组织标准）到19.7%（国家酒精滥用和酒精中毒研究所标准）不等。采用美国国家酒精滥用和酒精中毒研究所标准的逐步logistic模型发现，男性性别、目前吸烟、未婚状况、退休和失业是酒精使用风险的重要预测因素。公共卫生政策需要转向初级保健模式，重点是识别和治疗高危饮酒者。
Objectives. This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria.Methods. A period prevalence survey was conducted in 22 primary care practices (n = 19 372 adults).Results. The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to 19.7% (National Institute on Alcohol Abuse and Alcoholism criteria). A stepwise logistic model using National Institute on Alcohol Abuse and Alcoholism criteria found male gender, current tobacco use, never married status, retirement, and unemployment to be significant predictors of at-risk alcohol use.Conclusions. Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers.