Nicotine Dependence Service, Centre for Addiction and Mental Health, 175 College St, Toronto, ON M5T 1P7, Canada.
Department of Family and Community Medicine, University of Toronto, 500 University Ave, Toronto, ON M5G 1V7, Canada.
Int J Environ Res Public Health. 2020 Feb 6;17(3):1024. doi: 10.3390/ijerph17031024.
Although brief alcohol intervention can reduce alcohol use for both men and women, health care providers (HCPs) are less likely to discuss alcohol use or deliver brief intervention to women compared to men. This secondary analysis examined whether previously reported outcomes from a cluster randomized trial of a clinical decision support system (CDSS)-prompting delivery of a brief alcohol intervention (an educational alcohol resource) for patients drinking above cancer guidelines-were moderated by patients' sex. Patients ( = 5702) enrolled in a smoking cessation program at primary care sites across Ontario, Canada, were randomized to either the intervention (CDSS) or control arm (no CDSS). Logistic generalized estimating equations models were fit for the primary and secondary outcome (HCP offer of resource and patient acceptance of resource, respectively). Previously reported results showed no difference between treatment arms in HCP offers of an educational alcohol resource to eligible patients, but there was increased acceptance of the alcohol resource among patients in the intervention arm. The results of this study showed that these CDSS intervention effects were not moderated by sex, and this can help inform the development of a scalable strategy to overcome gender disparities in alcohol intervention seen in other studies.
虽然简短的酒精干预可以减少男性和女性的饮酒量，但与男性相比，医疗保健提供者（HCPs）更不可能与女性讨论饮酒问题或提供简短的干预措施。这项二次分析检查了以前报道的一个临床决策支持系统（CDSS）提示为饮酒超过癌症指南的患者提供简短酒精干预（教育性酒精资源）的群组随机试验的结果是否受到患者性别因素的影响。在加拿大安大略省的基层医疗点参加戒烟计划的患者（=5702）被随机分配到干预组（CDSS）或对照组（无 CDSS）。为主要和次要结果（HCP 提供资源和患者接受资源，分别）拟合了逻辑广义估计方程模型。以前的报告结果显示，在有资格的患者中，HCP 提供教育性酒精资源方面，治疗组之间没有差异，但干预组中患者对酒精资源的接受程度有所增加。这项研究的结果表明，这些 CDSS 干预效果不受性别影响，这有助于制定一种可扩展的策略，以克服其他研究中观察到的酒精干预中的性别差异。
