Instituto de Cardiología Integral, Médica Uruguaya Corporación de Asistencia Médica (ICI-MUCAM), Montevideo, Uruguay.
Division of Cardiology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Alcohol. 2019 Sep;79:163-169. doi: 10.1016/j.alcohol.2019.02.002. Epub 2019 Feb 12.
Heavy alcohol use is a risk factor for disease and mortality; however, epidemiological findings have demonstrated protective effects of a light-to-moderate intake of alcohol on cardiovascular health. There are many misconceptions regarding appropriate levels of alcohol intake and the risks and benefits of consumption. We sought to examine physician attitudes and recommendations regarding alcohol intake in a cohort of Uruguayan cardiologists.
A cross-sectional survey of 25 questions was distributed through the Uruguayan Society of Cardiology to attending cardiologists and advanced cardiology trainees.
There were 298 respondents; 237 were attending cardiologists and 61 were advanced cardiology trainees. In total, 34% of cardiologists viewed moderate alcohol intake to be beneficial for cardiovascular health, 27% believed only wine offered such benefits, 36% viewed any intake to be harmful, and 3% had other opinions. More than half (57%) self-reported their perceived knowledge to come from academic sources. Regarding knowledge of guidelines, only 42% were aware of the concept of 'standard drink' (SD). Cardiologists were not comfortable (on a Likert scale) converting SD into other metric units (1.92 ± 2.77). Cardiologists were not satisfied with their knowledge of drinking guidelines (2.42 ± 2.63); however, men were more comfortable than women (p = 0.003). Cardiologists were generally comfortable in counseling patients regarding safe limits of consumption (5.46 ± 3.08, on a 0-10 scale).
Uruguayan cardiologists were not satisfied with their knowledge of drinking guidelines or understanding of the alcohol metric units. This study suggests a necessity to optimize educational resources for physicians.
大量饮酒是疾病和死亡的危险因素；然而，流行病学研究表明，轻度至中度饮酒对心血管健康有保护作用。关于适当的饮酒水平以及饮酒的风险和益处，存在许多误解。我们旨在检查乌拉圭心脏病专家队列中医生对饮酒的态度和建议。
通过乌拉圭心脏病学会向主治心脏病医生和高级心脏病学受训者分发了一项包含 25 个问题的横断面调查。
共有 298 名受访者；237 名是主治心脏病医生，61 名是高级心脏病学受训者。总的来说，34%的心脏病医生认为适量饮酒有益于心血管健康，27%的人认为只有葡萄酒有这种益处，36%的人认为任何饮酒都有害，3%的人有其他看法。超过一半（57%）的人自述他们的知识来自学术来源。关于指南知识，只有 42%的人知道“标准饮料”（SD）的概念。心脏病医生不（在李克特量表上）将 SD 转换为其他度量单位感到舒适（1.92 ± 2.77）。心脏病医生对他们的饮酒指南知识不满意（2.42 ± 2.63）；然而，男性比女性更舒适（p = 0.003）。心脏病医生在就安全饮酒限度为患者提供咨询方面普遍感到舒适（0-10 分制的 5.46 ± 3.08）。
乌拉圭心脏病医生对他们的饮酒指南知识或对酒精度量单位的理解不满意。这项研究表明，有必要为医生优化教育资源。
