Welfordsson Paul, Danielsson Anna-Karin, Björck Caroline, Grzymala-Lubanski Bartosz, Hambraeus Kristina, Löfman Ida Haugen, Braunschweig Frieder, Lidin Matthias, Wallhed Finn Sara
Department of Global Public Health, Karolinska Institutet, 11365, Solna, Stockholm, Sweden.
Department of Women's and Children's Health, Akademiska sjukhuset, Uppsala University, 751 85, Uppsala, Sweden.
J Public Health (Oxf). 2025 Aug 29;47(3):404-413. doi: 10.1093/pubmed/fdaf057.
Alcohol use is understudied in cardiology settings. We investigated the prevalence of hazardous alcohol use and probable dependence among cardiology patients.
Cross-sectional study in three regions of Sweden. Alcohol use was assessed using the AUDIT-10 questionnaire. We defined hazardous alcohol use as: AUDIT-10 ≥ 6 for women or ≥ 8 for men (primary definition) and probable dependence as AUDIT-10 ≥ 13 for women or ≥ 15 for men. We examined associations using logistic regression.
We included 1107 participants (median age = 73 years; range = 18-102; 66% men). The prevalence of hazardous alcohol use was 7.8% (95%CI = 6.2-9.3, primary definition) and 0.9% (95%CI = 0.3-1.5) had probable alcohol dependence. We found increased odds of hazardous alcohol use in: age groups 18-39 years (OR = 4.90, 95%CI = 1.41-17.08) and 40-64 years (OR = 4.02, 95%CI = 1.69-9.67) compared to ≥80 years; a city compared to a small town (OR = 2.44, 95%CI = 1.02-5.84); participants with unhealthy diets (OR = 2.37, 95%CI = 1.36-4.13), and overweight participants (OR = 2.25, 95%CI = 1.23-4.12).
Hazardous alcohol use affected about one in 12 cardiology patients. However, less than 1 in 100 had probable alcohol dependence. Findings suggest that many cardiology patients with hazardous alcohol use are appropriate for brief interventions, and may not require more intensive alcohol dependence treatments.
在心脏病学领域，酒精使用情况研究不足。我们调查了心脏病患者中有害酒精使用及可能的酒精依赖的患病率。
在瑞典三个地区进行横断面研究。使用AUDIT - 10问卷评估酒精使用情况。我们将有害酒精使用定义为：女性AUDIT - 10≥6或男性AUDIT - 10≥8（主要定义），将可能的酒精依赖定义为女性AUDIT - 10≥13或男性AUDIT - 10≥15。我们使用逻辑回归分析关联。
我们纳入了1107名参与者（年龄中位数 = 73岁；范围 = 18 - 102岁；66%为男性）。有害酒精使用的患病率为7.8%（95%置信区间 = 6.2 - 9.3，主要定义），有酒精依赖可能的患病率为0.9%（95%置信区间 = 0.3 - 1.5）。我们发现以下人群有害酒精使用的几率增加：18 - 39岁年龄组（比值比 = 4.90，95%置信区间 = 1.41 - 17.08）和40 - 64岁年龄组（比值比 = 4.02，95%置信区间 = 1.69 - 9.67），与80岁及以上相比；城市居民与小镇居民相比（比值比 = 2.44，95%置信区间 = 1.02 - 5.84）；饮食不健康的参与者（比值比 = 2.37，95%置信区间 = 1.36 - 4.13），以及超重参与者（比值比 = 2.25，95%置信区间 = 1.23 - 4.12）。
有害酒精使用影响约每12名心脏病患者中的1名。然而，每100名患者中不到1名有酒精依赖可能。研究结果表明，许多有害酒精使用的心脏病患者适合进行简短干预，但可能不需要更强化的酒精依赖治疗。
