Duggan A K, Adger H, McDonald E M, Stokes E J, Moore R
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md.
Am J Dis Child. 1991 Jun;145(6):613-7. doi: 10.1001/archpedi.1991.02160060031015.
The study sought to measure provider recognition of family alcohol-related problems among hospitalized children and to identify characteristics distinguishing "positive" families. The study sample (N = 147) was drawn from admissions to the general pediatric medical service of a metropolitan teaching hospital. Positivity was assessed through parent and patient interviews that included standard alcohol abuse screening instruments. Provider recognition was assessed through record review and physician interview. Of the 22 families screened positive, only one was so identified by the child's attending or resident physician. Positive and "negative" families were similar in most respects, although parents in positive families were more likely to report stress and sleeping problems and adolescents were more likely to report being troubled by a parent's drinking. The similarity of positive and negative families and the low pediatrician recognition rate suggest that alcohol problems are likely to go unnoticed without a conscious screening effort.
该研究旨在衡量医疗服务提供者对住院儿童家庭中与酒精相关问题的认知，并确定区分“阳性”家庭的特征。研究样本（N = 147）取自一家大都市教学医院普通儿科医疗服务的入院患者。通过包括标准酒精滥用筛查工具的家长和患者访谈来评估阳性情况。通过病历审查和医生访谈来评估医疗服务提供者的认知。在筛查出的22个阳性家庭中，只有一个被孩子的主治医生或住院医生识别出来。阳性家庭和“阴性”家庭在大多数方面相似，尽管阳性家庭的父母更有可能报告压力和睡眠问题，青少年更有可能报告因父母饮酒而困扰。阳性家庭和阴性家庭的相似性以及儿科医生的低识别率表明，如果没有有意识的筛查努力，酒精问题很可能被忽视。
