日本基层医疗环境中有害饮酒和疑似酒精依赖的流行情况。

Prevalence of hazardous drinking and suspected alcohol dependence in Japanese primary care settings.

机构信息

Okayama Psychiatric Medical Center, Okayama, Japan; CureApp, Inc., Tokyo, Japan; Departments of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Kyoto, Japan; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.

Department of Gastroenterology, Okayama City Hospital, Okayama, Japan.

出版信息

Gen Hosp Psychiatry. 2024 Jul-Aug;89:8-15. doi: 10.1016/j.genhosppsych.2024.04.002. Epub 2024 Apr 4.

DOI:10.1016/j.genhosppsych.2024.04.002

PMID:38657355

Abstract

OBJECTIVE

We aimed to assess the prevalence of hazardous drinking and potential alcohol dependence among Japanese primary care patients, and their readiness to change and awareness of others' concerns.

METHODS

From July to August 2023, we conducted a multi-site cross-sectional study as a screening survey for participants in a cluster randomized controlled trial. The trial included outpatients aged 20-74 from primary care clinics. Using the Alcohol Use Disorders Identification Test (AUDIT) alongside a self-administered questionnaire, we evaluated the prevalence of hazardous drinking and suspected alcohol dependence, patients' readiness to change, and their awareness of others' concerns.

RESULTS

Among the 1388 participants from 18 clinics, 22% (95% confidence interval (CI): 20% to 24%) were identified as engaging in hazardous drinking or suspected of being alcohol dependent. As the AUDIT scores increased, so did their readiness to change. However, only 22% (95%CI: 16% to 28%) of those with scores ranging from 8 to 14 reported that others, including physicians, had expressed concerns about their drinking during the past year. For those with scores of 15 or higher, the figure was 74%.

CONCLUSIONS

This study underscores the need for universal or high-risk alcohol screening and brief intervention in Japanese primary care settings. Trial registry UMIN-CTR (https://www.umin.ac.jp/ctr/) (UMIN000051388).

摘要

目的

本研究旨在评估日本初级保健患者中危险饮酒和潜在酒精依赖的流行情况，以及他们改变的意愿和对他人关注的认识。

方法

本研究于 2023 年 7 月至 8 月进行了一项多地点横断面研究，作为一项针对聚类随机对照试验参与者的筛查调查。该试验纳入了来自初级保健诊所的 20-74 岁的门诊患者。我们使用酒精使用障碍识别测试（AUDIT）和自我管理问卷评估了危险饮酒和疑似酒精依赖的流行情况、患者改变的意愿以及他们对他人关注的认识。

结果

在来自 18 个诊所的 1388 名参与者中，22%（95%置信区间（CI）：20%-24%）被确定为危险饮酒或疑似酒精依赖。随着 AUDIT 评分的增加，他们改变的意愿也随之增加。然而，只有 22%（95%CI：16%-28%）的评分在 8-14 分的患者报告称，包括医生在内的其他人在过去一年中对他们的饮酒表示过担忧。对于评分在 15 分或更高的患者，这一比例为 74%。