Department of Psychiatry and Psychotherapy, Research Group Substance Abuse: Treatment, Epidemiology and Prevention, University of Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Int J Public Health. 2010 Dec;55(6):637-43. doi: 10.1007/s00038-010-0122-y. Epub 2010 Feb 9.
Evidence for brief interventions in general hospital (GH) settings is scarce, probably due to higher rates of dependent drinkers. The present study aims to compare unhealthy drinking patterns in GH patients with the general population (GP).
Sample 1 consisted of 4,075 individuals randomly drawn from registration office files, representing the non-institutionalised GP of a northern mixed rural-urban German area. Sample 2 consisted of 2,949 consecutively admitted patients from a GH covering the same area.
Compared to individuals from the GP, GH patients revealed higher prevalence rates of alcohol dependence (1.3 vs. 5.5%) and alcohol abuse (1.2 vs. 2.8%), but did not differ significantly concerning at-risk drinking (5.1 vs. 6.2%). Multinomial logistic regression analysis controlling for age, sex and smoking using unrisky alcohol consumption as reference category belonging to the GH group was predictive for alcohol use disorders but not for at-risk drinking.
Data show that a substantial number of individuals with unhealthy drinking patterns without alcohol use disorders can easily be accessed in GH settings if appropriate screening measures are conducted.
综合医院（GH）环境中简短干预的证据很少，这可能是由于依赖型饮酒者的比例较高。本研究旨在比较 GH 患者与普通人群（GP）的不健康饮酒模式。
样本 1 由从注册处档案中随机抽取的 4075 人组成，代表德国北部混合农村-城市地区的非机构化 GP。样本 2 由来自 GH 的 2949 名连续入院的患者组成，涵盖了同一地区。
与 GP 中的个体相比，GH 患者的酒精依赖（1.3%对 5.5%）和酒精滥用（1.2%对 2.8%）的患病率更高，但危险饮酒（5.1%对 6.2%）没有显著差异。使用无风险饮酒作为参考类别，控制年龄、性别和吸烟因素的多分类逻辑回归分析表明，GH 组属于酒精使用障碍，但不属于危险饮酒。
数据表明，如果实施适当的筛查措施，GH 环境中很容易接触到大量存在不健康饮酒模式但没有酒精使用障碍的个体。
