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Alcohol-related Problems in Primary Care Practices in Japan

日本初级保健实践中与酒精相关的问题

基本信息

批准号：
09670423
负责人：
BAN Nobutaro
金额：
$ 1.15万
依托单位：
Nagoya University (1998-1999)Kawasaki Medical School (1997)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09670423/
关键词：
alcohol-related problems primary care CAGE questionnaire KAST Questionnaire

项目摘要

[OBJECTIVES] The aim of the study was to investigate the following alcohol-related problems in Primary Care practices in Japan : 1) the prevalence of the problem alcohol drinkers in primary care practices in Japan, 2) clinical features of problematic drinkers, 3) operational characteristics of finding tool-CAGE questionnaire-, 4) appropriate way of intervention, 5) appropriate way of coordination with the specialists.[METHODS] All patients were administered a questionnaire which include Kurihama Alcohol Screening Test (KAST), used as the "gold standard" for alcohol abuse and dependence in Japan, and CAGE questionnaire at five primary care clinics of different practice settings, namely urban vs. rural, community-based clinic vs. hospital-based walk-in clinic. Questionnaires were administered in 1997, gathered and data were entered in computer in 1998, and analyzed in 1999.[RESULTS] Of the 864 men who reported their alcohol, 12.6 % were categorized to be problem alcohol drinkers, whereas 1.9 % of 687 women. There was no statistical difference among the practices for both men and women. This prevalence is comparable to that of other North American and European countries. However female problem alcohol drinkers were far less common.[FUTHER PROJECT] Operational characteristics of finding tool-CAGE questionnaire- are currently in analysis and further research projects are being planned to clarify above mentioned objectives 2), 4), and 5).

本研究的目的是调查日本初级保健实践中的以下酒精相关问题：1）日本初级保健实践中问题饮酒者的患病率，2）问题饮酒者的临床特征，3）发现工具-CAGE问卷的操作特征，4）适当的干预方式，5）与专家的适当协调方式。[方法]所有患者均接受问卷调查，其中包括Kurihama酒精筛查试验（KAST），用作日本酒精滥用和依赖的“金标准”，并在5个不同实践环境的初级保健诊所进行CAGE问卷调查，即城市与农村，社区诊所与医院为基础的无预约诊所。1997年进行问卷调查，1998年收集数据并输入计算机，1999年进行分析。[结果]在864名报告饮酒的男性中，12. 6%被归类为问题饮酒者，而687名女性中仅1. 9%被归类为问题饮酒者。男女的做法之间没有统计学差异。这一流行率与其他北美和欧洲国家相当。然而，女性问题饮酒者远不常见。[进一步项目]目前正在分析发现工具-CAGE问卷的操作特点，并计划开展进一步的研究项目，以澄清上述目标2）、4）和5）。