Chang G, Behr H, Goetz M A, Hiley A, Bigby J
Brigham and Women's Hospital, Boston, MA, USA.
Am J Addict. 1997 Summer;6(3):183-92.
Female problem drinkers are less likely than men to be identified in the primary care setting. The authors studied 24 adult women attending a general, internal medicine clinic to assess the efficiency of self-reports of alcohol consumption when compared with physician identification and other measures and the impact of a brief intervention on alcohol consumption. Despite the high rate of lifetime (79%) and current (67%) alcohol diagnoses, no patient was in alcohol treatment. Physician identification of alcohol problems was least sensitive but most specific, when compared with other measures. Brief intervention, as offered in this study, did not appear to modify alcohol consumption.
在初级保健机构中，女性问题饮酒者比男性更不容易被识别出来。作者对24名到普通内科门诊就诊的成年女性进行了研究，以评估饮酒自我报告与医生诊断及其他方法相比的有效性，以及简短干预对饮酒量的影响。尽管终生酒精使用障碍诊断率（79%）和当前酒精使用障碍诊断率（67%）都很高，但没有患者接受酒精治疗。与其他方法相比，医生对酒精问题的识别敏感度最低，但特异性最高。本研究中提供的简短干预似乎并未改变饮酒量。
