Coder Beate, Freyer-Adam Jennis, Bischof Gallus, Pockrandt Christine, Hartmann Birgit, Rumpf Hans-Jürgen, John Ulrich, Hapke Ulfert
Ernst-Moritz-Arndt-University of Greifswald, Institute of Epidemiology and Social Medicine, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany.
Gen Hosp Psychiatry. 2008 Mar-Apr;30(2):147-54. doi: 10.1016/j.genhosppsych.2007.10.007.
To estimate proportions of alcohol problem drinking: alcohol use disorders (AUDs) and drinking above recommended levels among general hospital inpatients in northeastern Germany.
The sample includes consecutively admitted inpatients (n=14,332) between 18 and 64 years old. This study adopted a two-stage-sampling approach including screening and ascertainment of diagnosis based on DSM-IV criteria and a quantity-frequency index.
In total, 20.4% of all inpatients screened positive. Nine percent of the total sample were identified with current problem drinking in the following descending order: 5.3% AUD and 3.6% drinking above recommended levels. In addition, 3.1% of persons were diagnosed with alcohol dependence in remission. Proportions differed significantly among men and women (P<.001). Higher proportions of problem drinking were found at rural sites compared to urban sites (13.7% vs. 7.5%, P<.001).
In addition to AUDs, drinking above recommended levels is a common problem among general hospital inpatients. Thus, the implementation of systematic alcohol screening and brief interventions should be considered.
评估德国东北部综合医院住院患者中存在酒精问题饮酒的比例，即酒精使用障碍（AUDs）以及饮酒量超过推荐水平的情况。
样本包括18至64岁连续入院的住院患者（n = 14332）。本研究采用两阶段抽样方法，包括基于《精神疾病诊断与统计手册》第四版（DSM-IV）标准和数量频率指数进行筛查及确诊。
总体而言，所有接受筛查的住院患者中有20.4%呈阳性。总样本中有9%被认定目前存在问题饮酒，按降序排列如下：5.3%为酒精使用障碍，3.6%饮酒量超过推荐水平。此外，3.1%的人被诊断为酒精依赖缓解期。男性和女性的比例差异显著（P <.001）。与城市地区相比，农村地区问题饮酒的比例更高（13.7%对7.5%，P <.001）。
除了酒精使用障碍外，饮酒量超过推荐水平是综合医院住院患者中的常见问题。因此，应考虑实施系统的酒精筛查和简短干预措施。
