健康维护组织初级保健样本中的危险饮酒：患病率及对健康政策的影响
At-risk drinking in an HMO primary care sample: prevalence and health policy implications.
作者信息
Fleming M F, Manwell L B, Barry K L, Johnson K
机构信息
Center for Addiction Research and Education, University of Wisconsin-Madison, USA.
出版信息
Am J Public Health. 1998 Jan;88(1):90-3. doi: 10.2105/ajph.88.1.90.
Abstract
OBJECTIVES
This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria.
METHODS
A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults).
RESULTS
The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to 19.7% (National Institute on Alcohol Abuse and Alcoholism criteria). A stepwise logistic model using National Institute on Alcohol Abuse and Alcoholism criteria found male gender, current tobacco use, never married status, retirement, and unemployment to be significant predictors of at-risk alcohol use.
CONCLUSIONS
Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers.
摘要
目的
本研究旨在使用不同的酒精使用标准来确定危险饮酒的患病率。
方法
在22个初级保健机构（n = 19372名成年人）中进行了一项期间患病率调查。
结果
危险饮酒的频率从7.5%（世界卫生组织标准）到19.7%（美国国立酒精滥用与酒精中毒研究所标准）不等。使用美国国立酒精滥用与酒精中毒研究所标准的逐步逻辑模型发现，男性、当前吸烟、未婚状态、退休和失业是危险饮酒的重要预测因素。
结论
公共卫生政策需要转向以识别和治疗危险饮酒者为重点的初级保健模式
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