Buss Vera Helen, Cox Sharon, Moore Graham, Angus Colin, Shahab Lion, Bauld Linda, Brown Jamie
Department of Behavioural Science and Health, University College London, London, UK
SPECTRUM Research Consortium, Edinburgh, UK.
BJGP Open. 2023 Dec 19;7(4). doi: 10.3399/BJGPO.2023.0087. Print 2023 Dec.
Alcohol and smoking brief interventions (BIs) in general practice have been shown to be effective in lowering alcohol and smoking-related harm.
To assess prevalence of self-reported BI receipt among increasing or higher-risk drinkers and past-year smokers in England, Scotland, and Wales, and associations between intervention receipt and socioeconomic position.
DESIGN & SETTING: Cross-sectional study using data from a monthly population-based survey in England, Scotland, and Wales.
The study comprised 47 799 participants (15 573 increasing or higher-risk drinkers [alcohol use disorders identification test consumption score ≥5] and 7791 past-year smokers) surveyed via telephone in 2020-2022 (during the COVID-19 pandemic). All data were self-reported. Prevalence of self-reported BI receipt was assessed descriptively; associations between receipt and socioeconomic position were analysed using logistic regression.
Among adults in England, Scotland, and Wales, 32.2% (95% confidence interval [CI] = 31.8 to 32.7) reported increasing or higher-risk drinking and 17.7% (95% CI = 17.3 to 18.1) past-year smoking. Among increasing or higher-risk drinkers, 58.0% (95% CI = 57.1 to 58.9) consulted with a GP in the past year, and of these, 4.1% (95% CI = 3.6 to 4.6) reported receiving BIs. Among past-year smokers, 55.8% (95% CI = 54.5 to 57.1) attended general practice in the past year; of these, 41.0% (95% CI = 39.4 to 42.7) stated receiving BIs. There was a tendency for patients from socioeconomically disadvantaged backgrounds to receive more alcohol (adjusted odds ratio [aOR] 1.38, 95% CI = 1.10 to 1.73) or smoking BIs (aOR 1.11, 95% CI = 0.98 to 1.26), but for the latter the results were statistically non-significant. Results did not differ notably by nation within Great Britain.
BIs in general practice are more common for smoking than for alcohol. A greater proportion of BIs for alcohol were found to be delivered to people who were from socioeconomically disadvantaged backgrounds and who were increasing or higher-risk drinkers.
在全科医疗中，酒精和吸烟简短干预（BIs）已被证明能有效降低与酒精和吸烟相关的危害。
评估英格兰、苏格兰和威尔士饮酒量增加或处于较高风险的饮酒者以及过去一年吸烟者中自我报告接受简短干预的比例，以及干预接受情况与社会经济地位之间的关联。
采用来自英格兰、苏格兰和威尔士每月一次的基于人群调查数据的横断面研究。
该研究包括2020 - 2022年（新冠疫情期间）通过电话调查的47799名参与者（15573名饮酒量增加或处于较高风险的饮酒者[酒精使用障碍识别测试消费得分≥5]和7791名过去一年吸烟者）。所有数据均为自我报告。对自我报告接受简短干预的比例进行描述性评估；使用逻辑回归分析接受情况与社会经济地位之间的关联。
在英格兰、苏格兰和威尔士的成年人中，32.2%（95%置信区间[CI]=31.8至32.7）报告饮酒量增加或处于较高风险，17.7%（95%CI = 17.3至18.1）报告过去一年吸烟。在饮酒量增加或处于较高风险的饮酒者中，58.0%（95%CI = 57.1至58.9）在过去一年咨询过全科医生，其中4.1%（95%CI = 3.6至4.6）报告接受过简短干预。在过去一年吸烟者中，55.8%（95%CI = 54.5至57.）在过去一年就诊于全科医疗；其中41.0%（95%CI = 39.4至42.7）表示接受过简短干预。社会经济背景不利的患者有接受更多酒精（调整优势比[aOR]1.38，95%CI = 1.10至1.73）或吸烟简短干预（aOR 1.11，95%CI = 0.98至1.26）的趋势，但对于后者，结果在统计学上无显著意义。英国国内不同国家的结果差异不明显。
全科医疗中的简短干预在吸烟方面比在酒精方面更常见。发现更多酒精简短干预是针对社会经济背景不利且饮酒量增加或处于较高风险的饮酒者。
