初级保健对吸烟和过度饮酒的简短干预的比较:英国的一项人口调查

Jamie Brown, R. West, C. Angus, E. Beard, A. Brennan, C. Drummond, M. Hickman, J. Holmes, E. Kaner, S. Michie
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Method Recall of brief interventions on smoking and alcohol use, sociodemographic information, and smoking and alcohol consumption patterns were assessed among smokers and those who drink excessively (AUDIT score of ≥8), who visited their GP surgery in the previous year. Results Of 1775 smokers, 50.4% recalled receiving brief advice on smoking in the previous year. Smokers receiving advice compared with those who did not were more likely to be older (odds ratio [OR] 17-year increments 1.19, 95% confidence interval [CI] =1.06 to 1.34), female (OR 1.35, 95% CI =1.10 to 1.65), have a disability (OR 1.44, 95% CI = 1.11 to 1.88), have made more quit attempts in the previous year (compared with no attempts: one attempt, OR 1.65, 95% CI = 1.32 to 2.08; ≥2 attempts, OR 2.02, 95% CI =1.49 to 2.74), and have greater nicotine dependence (OR 1.17, 95% CI =1.05 to 1.31) but were less likely to have no post-16 qualifications (OR 0.81, 95% CI = 0.66 to 1.00). 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引用次数: 83

摘要

背景:简短的干预措施在促进戒烟和减少过度饮酒方面具有适度但有意义的作用。指导方针建议有机会地、定期地提供此类建议,但两种行为的激励机制各不相同。目的从患者的角度,利用具有代表性的数据,比较过度吸烟或饮酒人群与接受短暂干预人群的患病率和特征。设计和设置数据来自英格兰家庭调查中15252名成年人的代表性样本。方法对上一年就诊全科医生的吸烟者和过度饮酒者(审计评分≥8分)进行吸烟和酒精使用、社会人口统计信息、吸烟和酒精消费模式的简短干预回顾评估。结果在1775名吸烟者中,50.4%的人回忆在前一年接受过简短的吸烟建议。与未接受建议的吸烟者相比,接受建议的吸烟者更有可能是老年人(比值比[OR] 17年递增1.19,95%可信区间[CI] =1.06至1.34)、女性(比值比[OR] 1.35, 95% CI =1.10至1.65)、有残疾(比值比[OR] 1.44, 95% CI = 1.11至1.88)、在前一年有更多的戒烟尝试(与未尝试的吸烟者相比:1次尝试,比值比[OR] 1.65, 95% CI = 1.32至2.08;≥2次尝试,OR 2.02, 95% CI =1.49 ~ 2.74),并且有较大的尼古丁依赖性(OR 1.17, 95% CI =1.05 ~ 1.31),但较少可能没有16后资格证书(OR 0.81, 95% CI = 0.66 ~ 1.00)。在1110名过度饮酒的人中,6.5%的人回忆说,他们在前一年的全科医生手术中接受过关于他们饮酒的建议。与那些没有接受建议的人相比,接受建议的人审计得分更高(OR 1.17, 95% CI =1.12至1.23),女性的可能性更低(OR 0.44, 95% CI = 0.23至0.87)。结论:在过去的一年中,英国约有一半的吸烟者接受了戒烟建议,而过度饮酒者中只有不到10%的人接受了关于饮酒的建议。
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Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England
Background Brief interventions have a modest but meaningful effect on promoting smoking cessation and reducing excessive alcohol consumption. Guidelines recommend offering such advice opportunistically and regularly but incentives vary between the two behaviours. Aim To use representative data from the perspective of patients to compare the prevalence and characteristics of people who smoke or drink excessively and who receive a brief intervention. Design and setting Data was from a representative sample of 15 252 adults from household surveys in England. Method Recall of brief interventions on smoking and alcohol use, sociodemographic information, and smoking and alcohol consumption patterns were assessed among smokers and those who drink excessively (AUDIT score of ≥8), who visited their GP surgery in the previous year. Results Of 1775 smokers, 50.4% recalled receiving brief advice on smoking in the previous year. Smokers receiving advice compared with those who did not were more likely to be older (odds ratio [OR] 17-year increments 1.19, 95% confidence interval [CI] =1.06 to 1.34), female (OR 1.35, 95% CI =1.10 to 1.65), have a disability (OR 1.44, 95% CI = 1.11 to 1.88), have made more quit attempts in the previous year (compared with no attempts: one attempt, OR 1.65, 95% CI = 1.32 to 2.08; ≥2 attempts, OR 2.02, 95% CI =1.49 to 2.74), and have greater nicotine dependence (OR 1.17, 95% CI =1.05 to 1.31) but were less likely to have no post-16 qualifications (OR 0.81, 95% CI = 0.66 to 1.00). Of 1110 people drinking excessively, 6.5% recalled receiving advice in their GP surgery on their alcohol consumption in the previous year. Those receiving advice compared with those who did not had higher AUDIT scores (OR 1.17, 95% CI =1.12 to 1.23) and were less likely to be female (OR 0.44, 95% CI = 0.23 to 0.87). Conclusion Whereas approximately half of smokers in England visiting their GP in the past year report having received advice on cessation, <10% of those who drink excessively report having received advice on their alcohol consumption.
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