Patient attitudes towards self-report and biomarker alcohol screening by primary care physicians
Patient attitudes towards self-report and biomarker alcohol screening by primary care physicians
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DOI：
10.1093/alcalc/agl022
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发表时间：
2006-05-01
影响因子：
2.8
通讯作者：
Mallin, R
中科院分区：
文献类型：
--
作者：
Miller, PM;Thomas, SE;Mallin, R
目的：据报道，初级保健医生进行更频繁的酒精筛查的众多障碍之一是担心患者可能会因有关饮酒的问题而感到冒犯。然而，有证据表明，患者并不反对酒精筛查，实际上希望医生询问影响其健康的生活方式因素。本研究的目的是提供有关患者对自我报告和生物标志物酒精筛查的态度的更详细信息，并探讨人口统计变量是否与这些态度相关。方法：我们对初级保健门诊患者在就诊时进行了 (i) 关于酒精筛查态度的调查，以及 (ii) 酒精使用障碍识别测试-C (AUDIT-C)。该调查包含 10 项关于患者对医生筛查危险饮酒的看法的项目。参与者使用 5 点李克特量表评估他们对每项陈述的同意程度。参与者还提供了人口统计信息。结果：大多数患者表示他们支持医生对饮酒情况进行筛查。对 10 项陈述中的 3 项的答复与患者种族、年龄和/或 AUDIT-C 结果相关。结论：总的来说，结果支持这样一个事实：患者赞成由医生进行高危饮酒筛查，无论筛查工具是自我报告措施还是酒精生物标志物实验室测试。此外，大多数患者愿意接受医生关于饮酒的建议。
Aims: One of the many barriers to more frequent alcohol screening by primary care physicians is a reported concern that patients may be offended by questions about drinking. However, evidence suggests that patients do not object to alcohol screening and actually expect physicians to ask about lifestyle factors that influence their health. The aim of this study was to provide more detailed information on patient attitudes toward self-report and biomarker alcohol screening and to explore whether demographic variables were related to these attitudes. Methods: We administered (i) a survey about attitudes towards alcohol screening, and (ii) the Alcohol Use Disorders Identification Test-C (AUDIT-C) to primary care outpatients at the time of their medical appointments. The survey contained 10 items on patient opinions about being screened for at-risk drinking by physicians. Participants rated their levels of agreement with each statement using a 5-point Likert scale. Participants also provided demographic information. Results: The majority of patients reported that they were supportive of physician screening about alcohol use. Responses on 3 of the 10 statements were related to patient race, age, and/or AUDIT-C results. Conclusions: In general, results support the fact that patients are in favour of being screened for at-risk drinking by their physicians whether the screening instrument was a self-report measure or an alcohol biomarker laboratory test. In addition, the majority of patients are open to advice from physicians about their alcohol use.