Alcohol Screening and Intervention Among United States Adults who Attend Ambulatory Healthcare
Alcohol Screening and Intervention Among United States Adults who Attend Ambulatory Healthcare
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DOI：
10.1007/s11606-016-3614-5
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发表时间：
2016-07-01
影响因子：
5.7
通讯作者：
Brown, Richard L.
中科院分区：
文献类型：
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作者：
Glass, Joseph E.;Bohnert, Kipling M.;Brown, Richard L.
背景技术背景：有有限的数据在多大程度上表明酒精干预提供在美国门诊护理settings.OBJECTIVE：评估接受酒精相关服务，包括评估使用，建议，以减少饮酒，和有关酒精治疗的信息，在门诊护理visits.Design：2013年全国药物使用和健康调查的二级数据分析，一个横断面，一项对非制度化的美国普通人群中平民的全国代表性调查参与者：未获得急诊或住院服务的公共使用数据文件中的成人门诊护理用户（n = 17，266）.主要测量：测量包括受访者的饮酒量、重度间歇性饮酒、酒精使用障碍、医疗保健使用和接受酒精相关干预。关键结果：大约71.1%的门诊护理用户接受了酒精评估。在过去一个月没有酒精使用障碍的重度间歇性饮酒者中，报告接受酒精评估的人中，4.4%被建议减少。在个人与酒精滥用和酒精依赖谁报告接受酒精评估，2.9%和7.0%，分别提供有关treatment.CONCLUSIONS：酒精筛查和评估率相对较高的成年人谁参加医疗保健访问，但干预率低，即使当个人进行评估使用。需要努力扩大提供干预措施时，患者被确定为积极的风险饮酒，危险的酒精使用，酒精使用障碍，在门诊护理访问。
BACKGROUND: There is limited data on the extent to which indicated alcohol interventions are delivered in U.S. ambulatory care settings.OBJECTIVE: To assess the receipt of alcohol-related services, including assessment of use, advice to reduce drinking, and information about alcohol treatment, during ambulatory care visits.DESIGN: Secondary data analysis of the 2013 National Survey on Drug Use and Health, a cross-sectional, nationally representative survey of civilians in the non-institutionalized U.S. general population (response rate 71.7 %).PARTICIPANTS: Adult ambulatory care users in the public use data file who did not obtain emergency or inpatient services (n = 17,266).MAIN MEASURES: Measurements included respondents' alcohol consumption, heavy episodic drinking, alcohol use disorder, healthcare use, and receipt of alcohol-related interventions.KEY RESULTS: Approximately 71.1 % of ambulatory care users received an alcohol assessment. Among past-month heavy episodic drinkers without an alcohol use disorder who reported receiving an alcohol assessment, 4.4 % were advised to cut back. Among individuals with alcohol abuse and alcohol dependence who reported receiving an alcohol assessment, 2.9 % and 7.0 %, respectively, were offered information about treatment.CONCLUSIONS: Rates of alcohol screening and assessment were relatively high among adults who attended healthcare visits, but rates of intervention were low, even when individuals were assessed for use. Efforts are needed to expand delivery of interventions when patients are identified as positive for risky drinking, hazardous alcohol use, and alcohol use disorders during ambulatory care visits.