Roeloffs C A, Fink A, Unützer J, Tang L, Wells K B
Department of Psychiatry, University of California, Los Angeles 90024, USA.
Psychiatr Serv. 2001 Sep;52(9):1251-3. doi: 10.1176/appi.ps.52.9.1251.
This study determined the frequency of problematic substance use and of counseling about drug and alcohol use among 867 women and 320 men who reported symptoms of depression in managed primary care clinics. Seventy-two (8.3 percent) of the women and 61 (19 percent) of the men reported hazardous drinking; 228 (26.3 percent) of the women and 94 (29.4 percent) of the men reported problematic drug use, including use of illicit drugs and misuse of prescription drugs. Only 17 (13.9 percent) of the patients who reported hazardous drinking and 18 (6.6 percent) of those who reported problematic drug use received counseling about drug or alcohol use during their last primary care visit. Men were significantly more likely than women to have received counseling about drug or alcohol use from their primary care practitioner.
本研究确定了在初级保健管理诊所中报告有抑郁症状的867名女性和320名男性中存在问题的物质使用频率以及关于药物和酒精使用的咨询情况。72名（8.3%）女性和61名（19%）男性报告有危险饮酒行为；228名（26.3%）女性和94名（29.4%）男性报告有问题的药物使用情况，包括使用非法药物和滥用处方药。在报告有危险饮酒行为的患者中，只有17名（13.9%）在其上次初级保健就诊期间接受了关于药物或酒精使用的咨询，在报告有问题药物使用情况的患者中，只有18名（6.6%）接受了此类咨询。男性比女性更有可能从其初级保健医生那里接受关于药物或酒精使用的咨询。
