Holroyd S, Currie L, Thompson-Heisterman A, Abraham I
University of Virginia, Department of Psychiatric Medicine, Blue Ridge Hospital, Charlottesville 22901, USA.
Am J Geriatr Psychiatry. 1997 Summer;5(3):221-8. doi: 10.1097/00019442-199700530-00006.
Alcohol-related disorders, estimated to be more prevalent in the South, are associated with serious comorbid disorders, such as depression and suicide. In a rural outreach program, the authors examined patients with a diagnosis of alcoholism and compared them with nonalcoholic patients on various demographic and descriptive variables. Of 166 patients referred to the program, 35 (21.1%) had an alcohol-related disorder. Alcoholism was significantly associated with male gender and younger age, but nearly half of the alcoholic subjects were women. Alcoholism is associated with inappropriate health care utilization; alcohol-related disorders produced significantly more emergency room visits and somewhat more hospital admission; these patients were less likely to have a primary care physician. No patient was receiving treatment for alcoholism.
据估计，与酒精相关的疾病在南方更为普遍，这些疾病与严重的共病有关，如抑郁症和自杀。在一项农村外展项目中，作者对诊断为酒精中毒的患者进行了检查，并将他们与非酒精中毒患者在各种人口统计学和描述性变量方面进行了比较。在转介到该项目的166名患者中，35名（21.1%）患有与酒精相关的疾病。酒精中毒与男性性别和较年轻的年龄显著相关，但近一半的酒精中毒患者为女性。酒精中毒与不适当的医疗保健利用有关；与酒精相关的疾病导致急诊室就诊次数显著增多，住院次数也略有增加；这些患者不太可能有初级保健医生。没有患者接受酒精中毒治疗。
