Miller Peter M, Thomas Suzanne E, Mallin Robert
Center for Drug and Alcohol Programs, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Alcohol Alcohol. 2006 May-Jun;41(3):306-10. doi: 10.1093/alcalc/agl022. Epub 2006 Mar 30.
One of the many barriers to more frequent alcohol screening by primary care physicians is a reported concern that patients may be offended by questions about drinking. However, evidence suggests that patients do not object to alcohol screening and actually expect physicians to ask about lifestyle factors that influence their health. The aim of this study was to provide more detailed information on patient attitudes toward self-report and biomarker alcohol screening and to explore whether demographic variables were related to these attitudes.
We administered (i) a survey about attitudes towards alcohol screening, and (ii) the Alcohol Use Disorders Identification Test-C (AUDIT-C) to primary care outpatients at the time of their medical appointments. The survey contained 10 items on patient opinions about being screened for at-risk drinking by physicians. Participants rated their levels of agreement with each statement using a 5-point Likert scale. Participants also provided demographic information.
The majority of patients reported that they were supportive of physician screening about alcohol use. Responses on 3 of the 10 statements were related to patient race, age, and/or AUDIT-C results.
In general, results support the fact that patients are in favour of being screened for at-risk drinking by their physicians whether the screening instrument was a self-report measure or an alcohol biomarker laboratory test. In addition, the majority of patients are open to advice from physicians about their alcohol use.
基层医疗医生更频繁地进行酒精筛查面临诸多障碍，其中之一是担心患者可能会因饮酒相关问题而感到被冒犯。然而，有证据表明患者并不反对酒精筛查，实际上还期望医生询问影响其健康的生活方式因素。本研究的目的是提供关于患者对自我报告和生物标志物酒精筛查态度的更详细信息，并探讨人口统计学变量是否与这些态度相关。
我们在基层医疗门诊患者就诊时，实施了（i）一项关于酒精筛查态度的调查，以及（ii）酒精使用障碍识别测试-C（AUDIT-C）。该调查包含10项关于患者对医生进行危险饮酒筛查看法的内容。参与者使用5点李克特量表对每条陈述的同意程度进行评分。参与者还提供了人口统计学信息。
大多数患者表示支持医生对酒精使用进行筛查。10条陈述中有3条的回答与患者的种族、年龄和/或AUDIT-C结果相关。
总体而言，结果支持以下事实：无论筛查工具是自我报告措施还是酒精生物标志物实验室检测，患者都赞成医生对危险饮酒进行筛查。此外，大多数患者愿意接受医生关于其饮酒情况的建议。
