Physicians' attitudes and beliefs concerning alcohol abuse prevention in adolescents
Physicians' attitudes and beliefs concerning alcohol abuse prevention in adolescents
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DOI：
10.1016/s0749-3797(01)00398-1
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发表时间：
2002-01-01
影响因子：
5.5
通讯作者：
Millstein, SG
中科院分区：
文献类型：
--
作者：
Marcell, AV;Halpern-Felsher, B;Millstein, SG
背景：尽管酒精滥用是一个主要的健康问题，但向青少年提供的预防酒精滥用初级服务仍然不足。医生对青少年酒精滥用的初级预防和酒精使用的适当开始年龄的态度和信念可能有助于理解为什么提供预防服务不足，但尚未进行调查。目的：研究(1)医生对酒精滥用预防和实践的态度和信念，以及(2)这些态度和信念的相关性，包括向青少年提供初级酒精滥用预防服务。方法：从美国医学协会的主档案登记处抽取全国分层随机抽样的儿科医生和家庭医生。纳入标准包括积极的医疗实践和每周至少见一个青少年。回复率为63%，最终样本为1842名医生。参与者被问及他们的行为、酒精使用、态度和信仰，以及向青少年提供与酒精有关的筛查和教育。结果：平均而言，医生报告提供酒精相关筛查的青少年患者为40.3%（标准误差[SE]=0.6），教育的青少年患者为52.0% （SE=0.8）。参与者对青少年持积极态度，认为预防是重要的，并赞成在青少年早期进行酒精筛查，但对他们的青少年酒精管理技能感到不太满意。除了仪式用途，大多数医生都不赞成未成年人饮酒。态度和信念与提供酒精筛查显著相关(R =0.34, p
Background: Primary alcohol abuse-prevention services delivered to adolescents are inadequate, despite the fact that alcohol abuse is a major health problem. Physicians' attitudes and beliefs regarding primary prevention of adolescent alcohol abuse and appropriate onset ages of alcohol use may be useful in understanding why delivery of prevention services is inadequate, but as yet has not been investigated.Objectives: To examine (1) physicians' attitudes and beliefs regarding alcohol abuse prevention and practice, and (2) correlates of these attitudes and beliefs, including the delivery of primary alcohol abuse-prevention services to adolescents.Methods: A national, stratified random sample of pediatricians and family practitioners was drawn from the American Medical Association's Masterfile Registry. Inclusion criteria included active medical practice and seeing at least one adolescent per week. The response rate was 63%, resulting in a final sample of 1842 physicians. Participants were queried about their practice, alcohol use, attitudes and beliefs, and delivery of alcohol-related screening and education to adolescents.Results: On average, physicians reported providing alcohol-related screening to 40.3% (standard error [SE]=0.6) and education to 52.0% (SE=0.8) of their adolescent patients. Participants had positive attitudes toward adolescents, believed that prevention was important, and approved of alcohol screening early in adolescence, but did not feel very comfortable about their adolescent alcohol-management skills. Except for ceremonial use, most physicians did not believe in underage drinking. Attitudes and beliefs were significantly related to the delivery of alcohol screening (R =0.34, p