Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.
Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Teaching Unit of Family and Community Medicine of Cordoba. Program of Preventive Activities and Health Promotion -PAPPS- (semFYC), Cordoba, Spain.
BMC Fam Pract. 2019 Jul 26;20(1):104. doi: 10.1186/s12875-019-0999-3.
Alcohol use by health care professionals is one of the potential factors that may affect the prevention of hazardous drinking in Primary Care (PC). The objective of the study was to estimate the prevalence of hazardous alcohol use by PC professionals and assess the existing relationship between socio-demographic and occupational variables of PC professionals and their alcohol use.
A descriptive, cross-sectional, observational, multicenter study was performed.
PC sites of the Spanish National Health Care System (NHS).
Physicians and nurses, who completed an online questionnaire intended to identify the pattern of hazardous alcohol use through the AUDIT-C test. The study population was recruited through random sampling stratified by regions of the PC sites in the NHS. The primary measurements: Frequency of alcohol use, number of drinks containing alcohol on a typical day, frequency of six or more drinks on one occasion.
One thousand seven hundred sixty professionals completed the questionnaire. Hazardous alcohol use was detected in 27.80% (95% CI: 25.5-29.7) of PC providers. The prevalence of hazardous alcohol use was higher in males (34.2%) [95% CI: 30.4-37.6] and professionals aged 56 years or over (34.2%) [95% CI: 28.2-40.2]. The multiple logistic regression analysis revealed a higher hazardous use in males (OR = 1.52; 95% CI: 1.22-1.90), PC physicians (OR = 1.42; 95% CI: 1.01-2.02) and professionals with more time worked (OR = 1.03; 95% CI: 1.01-1.05).
Our study shows the current prevalence of hazardous alcohol use among Spanish PC providers, revealing a higher percentage of hazardous alcohol use in healthcare professionals compared to the Spanish general population. Further interventions are required to increase the awareness of negative consequences derived from alcohol use among PC professionals and its impact on the clinical setting.
医护人员饮酒是可能影响初级保健（PC）中有害饮酒预防的潜在因素之一。本研究的目的是估计 PC 专业人员有害饮酒的流行率，并评估 PC 专业人员的社会人口学和职业变量与他们的饮酒行为之间的现有关系。
这是一项描述性、横断面、观察性、多中心研究。
西班牙国家卫生保健系统（NHS）的 PC 场所。
完成了旨在通过 AUDIT-C 测试识别有害饮酒模式的在线问卷的医生和护士。通过 NHS PC 场所区域分层的随机抽样招募研究人群。主要测量：饮酒频率、典型日饮酒量、一次饮酒六杯或以上的频率。
1760 名专业人员完成了问卷。27.80%（95%CI：25.5-29.7）的 PC 提供者存在有害饮酒。男性（34.2%）[95%CI：30.4-37.6]和 56 岁或以上的专业人员（34.2%）[95%CI：28.2-40.2]中有害饮酒的患病率更高。多因素逻辑回归分析显示，男性（OR=1.52；95%CI：1.22-1.90）、PC 医生（OR=1.42；95%CI：1.01-2.02）和工作时间较长的专业人员（OR=1.03；95%CI：1.01-1.05）中危险使用的风险更高。
我们的研究显示了西班牙 PC 提供者中当前有害饮酒的流行率，揭示了与西班牙一般人群相比，医疗保健专业人员中有害饮酒的比例更高。需要进一步干预，以提高 PC 专业人员对饮酒的负面影响及其对临床环境影响的认识。
