Institute of Health and Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Department of Health Promotion, Maastricht University, Maastricht, Limburg, Netherlands.
BMC Public Health. 2018 Mar 21;18(1):391. doi: 10.1186/s12889-018-5275-2.
Despite robust evidence for their effectiveness, it has proven difficult to translate alcohol prevention activities into routine health care practice. Previous research has identified numerous provider-level barriers affecting implementation, but these have been less extensively investigated in the wider population. We sought to: (1) investigate patients' beliefs and attitudes to being asked about alcohol consumption in health care; and (2) identify the characteristics of those who are supportive of addressing alcohol consumption in health care.
Cross-sectional household interviews conducted as part of the national Alcohol Toolkit Study in England between March and April 2017. Data were collected on age, gender, social grade, drinking category, and beliefs and attitudes to being asked about alcohol in routine health care. Unadjusted and multivariate-adjusted logistic regression models were performed to investigate associations between socio-demographic characteristics and drinking category with being "pro-routine" (i.e. 'agree completely' that alcohol consumption should be routinely addressed in health care) or "pro-personal" (i.e. 'agree completely' that alcohol is a personal matter and not something health care providers should ask about).
Data were collected on 3499 participants, of whom 50% were "pro-routine" and 10% were "pro-personal". Those in social grade C1, C2, D and E were significantly less likely than those in AB of being "pro-routine". Women were less likely than men to be "pro-personal", and those aged 35-44 or 65 years plus more likely to be "pro-personal" compared with participants aged 16-24. Respondents aged 65 plus were twice as likely as those aged 16-24 to agree completely that alcohol consumption is a personal matter and not something health care providers should ask about (OR 2.00, 95% CI 1.34-2.99).
Most adults in England agree that health care providers should routinely ask about patients' alcohol consumption. However, older adults and those in lower socio-economic groups are less supportive. Drinking status appears to have limited impact on whether people believe that alcohol is a personal matter and not something health care providers should ask about.
Open Science Framework ( https://osf.io/xn2st/ ).
尽管有大量证据表明其有效性，但将酒精预防活动转化为常规医疗实践仍然具有挑战性。先前的研究已经确定了许多影响实施的提供者层面的障碍，但这些障碍在更广泛的人群中还没有得到广泛的研究。我们试图：（1）调查患者对在医疗保健中询问饮酒的看法和态度；（2）确定支持在医疗保健中解决饮酒问题的人的特征。
2017 年 3 月至 4 月期间，在英格兰全国酒精工具包研究中作为横断面家庭访谈进行。收集了年龄、性别、社会阶层、饮酒类别以及对常规医疗保健中询问饮酒的看法和态度的数据。进行了未调整和多变量调整的逻辑回归模型，以调查社会人口统计学特征与饮酒类别与“支持常规”（即“完全同意”，认为应在医疗保健中常规解决饮酒问题）或“支持个人”（即“完全同意”，认为酒精是个人问题，医疗保健提供者不应该询问）之间的关联。
共收集了 3499 名参与者的数据，其中 50%的人“支持常规”，10%的人“支持个人”。社会阶层 C1、C2、D 和 E 的人比 AB 阶层的人“支持常规”的可能性明显较小。女性比男性更不可能“支持个人”，而与 16-24 岁的参与者相比，35-44 岁或 65 岁及以上的参与者更有可能“支持个人”。与 16-24 岁的参与者相比，65 岁及以上的参与者更有可能完全同意饮酒是个人问题，而不是医疗保健提供者应该询问的问题（OR 2.00，95%CI 1.34-2.99）。
英格兰的大多数成年人都同意医疗保健提供者应常规询问患者的饮酒情况。然而，老年人和社会经济地位较低的人群支持度较低。饮酒状况似乎对人们是否认为酒精是个人问题，而不是医疗保健提供者应该询问的问题没有影响。
开放科学框架（https://osf.io/xn2st/）。
