Thorley Nicola L, Kumar Vinod, Nightingale Peter, Radcliffe Keith
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Birmingham, UK
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Birmingham, UK.
Int J STD AIDS. 2014 Oct;25(11):812-6. doi: 10.1177/0956462414521168. Epub 2014 Feb 4.
Summary National Institute for Health and Clinical Excellence guidance advises that all patients routinely undergo alcohol screening. Our service evaluation in a sexual health clinic assessed the acceptability of alcohol screening, the prevalence of hazardous drinking and the uptake of referral to a specialist alcohol service. Three services were evaluated: a genitourinary medicine service, a contraception service and an integrated sexual health service. AUDIT was used to screen 276 patients; those scoring ≥8 were classified as hazardous drinkers. Screening uptake was 58% overall, 58% for the contraception service, 71% for the genitourinary medicine service and 100% for the integrated sexual health service. Overall, 28% had AUDIT scores ≥8. Hazardous drinking rates were higher in the genitourinary medicine (32%) and integrated sexual health services (52%) compared to the contraception service (21%); 7% of hazardous drinkers accepted referral. High rates of hazardous drinking were identified within all three groups, but uptake of referral was low. Alternative strategies to specialist alcohol service referral are discussed.
摘要 英国国家卫生与临床优化研究所的指南建议，所有患者应定期接受酒精筛查。我们在一家性健康诊所进行的服务评估，考察了酒精筛查的可接受性、危险饮酒的患病率以及转介至专业酒精服务机构的情况。我们评估了三项服务：泌尿生殖医学服务、避孕服务和综合性性健康服务。使用酒精使用障碍识别测试（AUDIT）对276名患者进行筛查；得分≥8分的患者被归类为危险饮酒者。总体筛查接受率为58%，避孕服务为58%，泌尿生殖医学服务为71%，综合性性健康服务为100%。总体而言，28%的患者AUDIT得分≥8分。与避孕服务（21%）相比，泌尿生殖医学服务（32%）和综合性性健康服务（52%）中的危险饮酒率更高；7%的危险饮酒者接受了转介。在所有三组中均发现了较高的危险饮酒率，但转介的接受率较低。文中讨论了替代转介至专业酒精服务机构的策略。
