意想不到的后果：在 COVID-19 封锁期间，城市原住民社区控制的健康服务机构的酒精筛查被抑制。

Unintended consequences: Alcohol screening at urban Aboriginal Community Controlled Health Services was suppressed during COVID-19 lockdowns.

机构信息

Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, Australia.

Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, Australia.

出版信息

Drug Alcohol Rev. 2023 Nov;42(7):1633-1638. doi: 10.1111/dar.13761. Epub 2023 Oct 22.

DOI:10.1111/dar.13761

PMID:37867367

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10946595/

Abstract

INTRODUCTION

Regular screening for risky drinking is important to improve the health of Aboriginal and Torres Strait Islander Australians. We explored whether the rate of screening for risky drinking using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) questions was disrupted at Aboriginal Community Controlled Health Services (ACCHS) during state-wide and territory-wide COVID-19 lockdowns in 2020.

METHODS

Retrospective analysis of screening data from 22 ACCHSs located in New South Wales, the Northern Territory, Queensland, South Australia, Victoria and Western Australia. These services provide holistic and culturally appropriate primary care. A multi-level Poisson regression, including AR(1) autocorrelation, was used to predict counts of AUDIT-C screening at ACCHSs.

RESULTS

AUDIT-C screening was suppressed during state-wide and territory-wide lockdowns in 2020 (incident rate ratio [IRR] 0.42 [0.29, 0.61]). The effect of lockdowns differed by service remoteness. While there was a substantial reduction in AUDIT-C screening for urban and inner regional services (IRR 0.25 [95% confidence interval (CI) 0.15, 0.42]), there was not a statistically significant change in screening at outer regional and remote (IRR 0.60 [95% CI 0.33, 1.09]) or very remote services (IRR 0.67 [95% CI 0.40, 1.11]).

DISCUSSION AND CONCLUSIONS

The COVID-19 lockdowns in Australia likely suppressed rates of screening for risky drinking in urban and inner regional regions. As harm from alcohol consumption may have increased during lockdowns, policymakers should consider implementing measures to enable screening for risky drinking to continue during future lockdowns.

摘要

简介

定期筛查高危饮酒对改善澳大利亚原住民和托雷斯海峡岛民的健康状况至关重要。我们探讨了在 2020 年澳大利亚全州和地区范围内的 COVID-19 封锁期间，使用酒精使用障碍识别测试-消费（AUDIT-C）问题筛查高危饮酒的比率是否在原住民社区控制的健康服务（ACCHS）受到干扰。

方法

对新南威尔士州、北领地、昆士兰州、南澳大利亚州、维多利亚州和西澳大利亚州的 22 个 ACCHS 的筛查数据进行回顾性分析。这些服务提供整体和文化上合适的初级保健。使用多水平泊松回归，包括 AR(1)自相关，来预测 ACCHS 的 AUDIT-C 筛查计数。

结果

2020 年全州和地区范围封锁期间，AUDIT-C 筛查受到抑制（发病率比 [IRR] 0.42 [0.29, 0.61]）。封锁的影响因服务偏远程度而异。虽然城市和内部区域服务的 AUDIT-C 筛查大幅减少（IRR 0.25 [95%置信区间（CI）0.15, 0.42]），但在外部区域和偏远地区（IRR 0.60 [95% CI 0.33, 1.09]）或非常偏远地区（IRR 0.67 [95% CI 0.40, 1.11]）的筛查没有统计学意义的变化。