Healthcare system use by risky alcohol drinkers: A secondary data analysis.
Healthcare system use by risky alcohol drinkers: A secondary data analysis.
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高风险饮酒者使用医疗保健系统：二次数据分析。
DOI：
10.1111/j.1745-7599.2010.00500.x
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发表时间：
2010
影响因子：
--
通讯作者：
Heise,Barbara
中科院分区：
文献类型：
--
作者：
Heise,Barbara
目的：研究高危饮酒对医疗保健使用模式和健康结果的影响。资料来源：利用全国健康访谈调查和医疗支出小组调查，对4449名平均年龄为45岁(SD 15)的成年人进行分组，根据对以下问题的回答进行分组：在过去的一年中，你有多少天喝过5种或更多的酒精饮料？结论：三类受访者被分为三类：非高危组=0天5+饮料/天(n=2991，67%)；低危组796例，每天饮酒5+1~11天(n=796，18%)，高危组12~365天，每天5+饮酒662例(15%)。高风险饮酒的水平并不能预测医疗保健的使用或医疗结果；高风险饮酒者比其他饮酒者更不可能使用医疗保健系统。当按农村和城市生活划分时，农村高风险饮酒者报告的急诊科就诊次数更多，所有农村生活群体的身心健康都比城市居民更差。实践的影响：高风险饮酒，即超过低风险指导标准的饮酒，每10个成年人中就有3个受到影响，高风险饮酒在60多种慢性健康状况中起作用。护士从业者在多个执业环境中遇到高风险的酒精使用者。可能很难确定潜在的酒精问题，特别是在那些生活在农村环境中的人；然而，识别有风险的饮酒者对于迅速干预从高风险饮酒到酒精使用障碍的潜在进展至关重要。
Purpose:To examine the effects of at-risk alcohol use on patterns of healthcare use and health outcomes.Data sources:Using the National Health Interview Survey and the Medical Expenditures Panel Survey, a total sample of 4449 adults, mean age 45 (SD 15), were grouped according to responses to the question:“In the past year, on how many days did you have 5 or more drinks of any alcoholic beverage?”Conclusions:Three categories of respondents were grouped as follows: not at-risk group= 0 days of 5+ drinks/day (n= 2991, 67%); the low at-risk group= 1–11 days of 5+ drinks/day (n= 796, 18%); and the high at-risk group= 12–365 days of 5+ drinks/day (n= 662, 15%). The level of risky alcohol use did not predict healthcare use or healthcare outcomes; high at-risk alcohol drinkers were less likely to use the healthcare system than other drinkers. When divided by rural versus urban living, rural high at-risk alcohol drinkers reported more emergency department visits and all rural living groups reported poorer physical and mental health than their urban counterparts.Implications for practice:Risky alcohol use, defined as drinking above low-risk guidelines, affects 3 out of 10 adults, and risky drinking plays a role in over 60 chronic health conditions. Nurse practitioners encounter risky alcohol users in multiple practice settings. It may be difficult to identify the underlying alcohol issues, particularly in those living in rural settings; however, identification of at-risk drinkers is essential for prompt intervention in the potential progression from risky alcohol use to an alcohol use disorder.