Brown Jamie, West Robert, Angus Colin, Beard Emma, Brennan Alan, Drummond Colin, Hickman Matthew, Holmes John, Kaner Eileen, Michie Susan
Health Behaviour Research Centre;
School of Health and Related Research, University of Sheffield, Sheffield.
Br J Gen Pract. 2016 Jan;66(642):e1-9. doi: 10.3399/bjgp16X683149.
Brief interventions have a modest but meaningful effect on promoting smoking cessation and reducing excessive alcohol consumption. Guidelines recommend offering such advice opportunistically and regularly but incentives vary between the two behaviours.
To use representative data from the perspective of patients to compare the prevalence and characteristics of people who smoke or drink excessively and who receive a brief intervention.
Data was from a representative sample of 15,252 adults from household surveys in England.
Recall of brief interventions on smoking and alcohol use, sociodemographic information, and smoking and alcohol consumption patterns were assessed among smokers and those who drink excessively (AUDIT score of ≥8), who visited their GP surgery in the previous year.
Of 1775 smokers, 50.4% recalled receiving brief advice on smoking in the previous year. Smokers receiving advice compared with those who did not were more likely to be older (odds ratio [OR] 17-year increments 1.19, 95% confidence interval [CI] =1.06 to 1.34), female (OR 1.35, 95% CI =1.10 to 1.65), have a disability (OR 1.44, 95% CI = 1.11 to 1.88), have made more quit attempts in the previous year (compared with no attempts: one attempt, OR 1.65, 95% CI = 1.32 to 2.08; ≥2 attempts, OR 2.02, 95% CI =1.49 to 2.74), and have greater nicotine dependence (OR 1.17, 95% CI =1.05 to 1.31) but were less likely to have no post-16 qualifications (OR 0.81, 95% CI = 0.66 to 1.00). Of 1110 people drinking excessively, 6.5% recalled receiving advice in their GP surgery on their alcohol consumption in the previous year. Those receiving advice compared with those who did not had higher AUDIT scores (OR 1.17, 95% CI =1.12 to 1.23) and were less likely to be female (OR 0.44, 95% CI = 0.23 to 0.87).
Whereas approximately half of smokers in England visiting their GP in the past year report having received advice on cessation, <10% of those who drink excessively report having received advice on their alcohol consumption.
简短干预措施对促进戒烟和减少过度饮酒有适度但显著的效果。指南建议适时且定期提供此类建议，但两种行为的激励措施有所不同。
从患者角度使用代表性数据，比较吸烟或过度饮酒且接受简短干预的人群的患病率和特征。
数据来自对英格兰家庭调查中15252名成年人的代表性样本。
对前一年去过全科医生诊所的吸烟者和过度饮酒者（酒精使用障碍识别测试[AUDIT]分数≥8），评估其对吸烟和饮酒的简短干预措施的回忆情况、社会人口学信息以及吸烟和饮酒消费模式。
在1775名吸烟者中，50.4%回忆起前一年收到过关于吸烟的简短建议。与未收到建议的吸烟者相比，收到建议的吸烟者更可能年龄较大（优势比[OR]每增加17岁为1.19，95%置信区间[CI]=1.06至1.34）、为女性（OR 1.35，95% CI =1.10至1.65）、有残疾（OR 1.44，95% CI = 1.11至1.88）、前一年尝试戒烟次数更多（与未尝试相比：尝试一次，OR 1.65，95% CI = 1.32至2.08；≥2次尝试，OR
