Lopez Santi Ricardo, Haseeb Sohaib, Alexander Bryce, D Ovidio Adrian, Gimenez Sergio, Secotaro Carlos, Martinez Demaria Diego, Pupi Luis Maria, Costantini Sonia, Piskorz Daniel, Amarilla Alejandro, Lorenzatti Alberto, Gutierrez Narcisa, Hopman Wilma, Baranchuk Adrian
Division of Cardiology, Hospital Italiano de La Plata, Buenos Aires B1900, Argentina.
Department of Medicine, Queen's University, Kingston, Ontario K7L 2V7, Canada.
Diseases. 2018 Sep 1;6(3):77. doi: 10.3390/diseases6030077.
Despite epidemiological findings of improvements in cardiovascular risk factors with a light-to-moderate intake of alcohol, many misconceptions remain regarding alcohol intake and the risks and benefits of consumption. We sought to examine physician attitudes and recommendations regarding alcohol intake in a cohort of Argentine physicians and to establish their sources of knowledge. An online national survey was distributed through the Argentine Federation of Cardiology (FAC) to cardiologists, internal medicine specialists, general and other subspecialty physicians in Argentina. The survey was completed by 745 physicians, of whom 671 (90%) were cardiologists. In total, 35% of physicians viewed moderate alcohol intake to be beneficial for cardiovascular health, 36% believed only wine offered such benefits, 24% viewed any intake to be harmful, and 5% had other opinions. More than half (57%) self-reported their knowledge came from academic sources. Regarding knowledge of drinking guidelines, only 41% of physicians were aware of the concept of "standard drink". Physicians were generally not comfortable converting standard drinks into other metric units, however men tended to be more comfortable than women ( = 0.052). Physicians were not satisfied with their knowledge of drinking guidelines (3.01 ± 2.73, on a 0⁻10 scale). Physicians were generally comfortable in counselling patients regarding safe limits of consumption (6.22 ± 3.20, on a 0⁻10 scale). Argentine physicians were not satisfied with their knowledge of alcohol consumption guidelines or their understanding of the reported metrics. Only one-third of study participants viewed moderate alcohol intake as beneficial for cardiovascular health. This study shows the necessity to optimize the sources of knowledge.
尽管流行病学研究发现，适量饮酒可改善心血管危险因素，但关于饮酒以及饮酒的风险和益处仍存在许多误解。我们试图调查阿根廷一组医生对饮酒的态度和建议，并确定他们的知识来源。通过阿根廷心脏病学联合会（FAC）向阿根廷的心脏病专家、内科专家、普通医生和其他专科医生开展了一项全国在线调查。745名医生完成了该调查，其中671名（90%）是心脏病专家。总体而言，35%的医生认为适量饮酒对心血管健康有益，36%的医生认为只有葡萄酒有此益处，24%的医生认为任何饮酒量都有害，5%的医生有其他看法。超过一半（57%）的医生自称其知识来自学术来源。关于饮酒指南的知识，只有41%的医生知晓“标准饮酒量”的概念。医生们一般不擅长将标准饮酒量换算成其他度量单位，不过男性比女性更得心应手（P = 0.052）。医生们对自己饮酒指南方面的知识不满意（0至10分制，得分为3.01±2.73）。医生们在为患者提供安全饮酒限量咨询时总体上得心应手（0至10分制，得分为6.22±3.20）。阿根廷医生对饮酒指南方面的知识或对所报告度量单位的理解不满意。只有三分之一的研究参与者认为适量饮酒对心血管健康有益。这项研究表明有必要优化知识来源。
