ALCOHOL IN PRIMARY CARE STUDIES

与酒精有关的问题被发现在 在一些初级保健环境中看到的患者与普通患者相比 人口。大量饮酒率和与酒精相关的问题 也被发现在国家的不同地区以及 相同的地理位置，具体取决于设施类型和 服务对象的人口统计特征。酗酒和酗酒 依赖是一个不断增加的社会负担，据估计 1988年为858亿美元。另据估计，超过50万名门诊患者 每年都会有与酒精有关的问题进行访问，其中许多 在初级保健环境中可以看到个人。确定哪些人 可以从初级保健环境中的短暂干预中受益的是 早期干预和预防酒精相关疾病的重要性 有问题。然而，几乎没有关于最有效的信息。 初级保健中识别问题饮酒者的筛查方法 特别是在妇女和少数族裔群体中。 该项目的总体目标有两个：1)进一步探索已有的 初级保健机构中与酒精有关的问题的陈述 比较初级保健诊所就诊的患者和非初级保健诊所就诊的患者 同一地理位置的急诊室(ER)的受伤问题， 对于在该国另一个地区的初级保健环境中看到的人来说， 和普通民众；以及，2)确定最有效的 筛选器，用于识别那些在初级保健环境中可能受益的人 对与酒精有关的问题进行了短暂的干预。 该项目扩展了目前由酒精研究中心资助的工作 集团的中心拨款和单独的R01资金。该项目涉及新的 在杰克逊县和海因兹县的两家初级保健诊所收集数据， 密西西比州(N=1,048)，以及这些数据与类似数据的比较 已从密西西比大学医学中心急诊室收集 杰克逊，以及来自5个县运营的初级保健诊所和3个Kaiser 加利福尼亚州康特拉科斯塔县的永久紧急护理诊所。数据在 饮酒模式、与酒精有关的问题和酒精依赖 建议的项目还将与将在#年收集的数据进行比较 1995年全国酒精调查(在目前的中心资助下)和数据 来自加利福尼亚州康特拉科斯塔县的一项新的人口普查，将是 1995年在单独的资金项下筹集。

Alcohol-related problems have been found to be over-represented among patients seen in some primary care settings compared to the general population. Rates of heavy alcohol use and alcohol-related problems have also been found to vary by region of the country, as well as within the same geographic locality depending upon the type of facility and demographic characteristics of clientele served. Alcohol abuse and alcohol dependence are an ever increasing burden to society, totaling an estimated $85.8 billion in 1988. It is also estimated that over 500,000 outpatient visits are made each year for alcohol-related problems, and many of these individuals are seen in primary care settings. Identification of those who could benefit from a brief intervention in primary care settings is important for early intervention and prevention of alcohol-related problems. Little information is available, however, on the most efficient screening methods for identifying problem drinkers in primary care settings, particularly among women and ethnic minorities. The general aims of this project are two: 1) to further explore the over- representation of alcohol-related problems in primary care settings by comparing patients seen in primary care clinics to those seen for non- injury problems in the emergency room (ER) in the same geographic location, to those seen in primary care settings in another region of the country, and to the general population; and, 2) to determine the most efficient screener for identifying those in primary care settings who may benefit from a brief intervention for alcohol-related problems. The project extends work currently funded under both the Alcohol Research Group's Center grant and separate R01 funding. The project involves new data collection in two primary care clinics in Jackson and Hinds County, Mississippi (N=1,048), and comparisons of these data with similar data already collected from the University of mississippi Medical Center ER in Jackson, and from the 5 county-operated primary care clinics and 3 Kaiser Permanente urgent care clinics in Contra Costa County, California. Data on drinking patterns, alcohol-related problems and alcohol dependence from the proposed project will also be compared to data which will be collected in the 1995 National Alcohol Survey (under present center funding) and to data from a new general population survey of Contra Costa County, CA, to be collected in 1995 under separate funding.