Rambaldi A, Gluud C, Belli A, Nielsen S D, Storgaard H, Moesgaard F
Institute of Clinical Medicine, Second University of Naples, Faculty of Medicine and Surgery, Italy.
Alcohol Alcohol. 1995 Jul;30(4):441-8.
The aim of this cross-sectional study was to determine the prevalence of alcohol problems among adult somatic in-patients in urban hospitals of Naples. The patients were screened with a structured questionnaire regarding life style. After discharge, the patient records were examined and the hospital discharge diagnoses were registered. A patient was considered having an alcohol problem if one or more of the following criteria were fulfilled: (1) a Michigan Alcoholism Screening Test score at or above five; (2) a self-reported daily consumption for at least 2 years of at least 60 g of ethanol for males and 36 g for females; (3) an alcohol-related discharge diagnosis. The prevalence of patients with alcohol problems was significantly (P < 0.01) higher among male (43.8%, 95% confidence limits, 37.6-50.2%) than among female patients (14.8%, 95% confidence limits, 9.6-21.4%). There were no significant differences among the different types of somatic departments regarding the prevalence of alcohol problems when gender was considered. Patients with alcohol problems differed significantly from those without alcohol problems regarding a number of variables: the former drank significantly more alcohol, smoked for more years, and had a higher prevalence of alcohol problems in the family. It is concluded that alcohol problems among in-patients are as prevalent in Naples as in other industrialized countries, that it is often not registered among discharge diagnoses, and that the problems are more prevalent in males than in females, irrespective of the type of department.
这项横断面研究的目的是确定那不勒斯城市医院成年躯体疾病住院患者中酒精问题的患病率。通过一份关于生活方式的结构化问卷对患者进行筛查。出院后，检查患者记录并登记医院出院诊断。如果满足以下一项或多项标准，则认为患者存在酒精问题：（1）密歇根酒精ism筛查测试得分等于或高于5分；（2）自我报告的男性每日至少摄入60克乙醇、女性至少摄入36克乙醇且持续至少2年的饮酒量；（3）与酒精相关的出院诊断。有酒精问题的患者患病率在男性中显著（P<0.01）高于女性患者，男性为43.8%（95%置信区间，37.6 - 50.2%），女性为14.8%（95%置信区间，9.6 - 21.4%）。在考虑性别时，不同类型的躯体科室之间酒精问题的患病率没有显著差异。有酒精问题的患者与无酒精问题的患者在一些变量上存在显著差异：前者饮酒量显著更多，吸烟年限更长，且家庭中酒精问题的患病率更高。研究得出结论，那不勒斯住院患者中的酒精问题与其他工业化国家一样普遍，在出院诊断中往往未被记录，且无论科室类型如何，这些问题在男性中比在女性中更普遍。
