Prevalence of hazardous drinking and suspected alcohol dependence in Japanese primary care settings

被引：2

作者：

So, Ryuhei ^{[1
,2
,3
,4
]}

Kariyama, Kazuya ^{[5
]}

Oyamada, Shunsuke ^{[6
]}

Matsushita, Sachio ^{[7
]}

Nishimura, Hiroki ^{[1
,2
,18
]}

Tezuka, Yukio ^{[8
]}

Sunami, Takashi ^{[9
]}

Furukawa, Toshi A. ^{[10
,11
]}

Kawaguchi, Mitsuhiko ^{[12
]}

Kobashi, Haruhiko ^{[13
]}

Nishina, Sohji ^{[14
]}

Otsuka, Yuki ^{[15
]}

Tsujimoto, Yasushi ^{[3
,4
,16
]}

Horie, Yoshinori ^{[17
]}

Yoshiji, Hitoshi ^{[18
]}

Yuzuriha, Takefumi ^{[19
,20
]}

Nouso, Kazuhiro ^{[5
]}

机构：

[1] Okayama Psychiat Med Ctr, 3-16 Shikata Honmachi,Kita Ku, Okayama, Okayama, Japan

[2] CureApp Inc, Tokyo, Japan

[3] Kyoto Univ, Grad Sch Med, Sch Publ Hlth, Dept Hlth Promot & Human Behav, Kyoto, Japan

[4] Sci Res WorkS Peer Support Grp SRWS PSG, Osaka, Japan

[5] Okayama City Hosp, Dept Gastroenterol, Okayama, Japan

[6] JORTC Data Ctr, Dept Biostat, Tokyo, Japan

[7] Kurihama Med & Addict Ctr, Natl Hosp Org, Yokosuka, Kanagawa, Japan

[8] Okinawa Rehabil Ctr Hosp, Dept Psychiat, Okinawa, Japan

[9] Saga Prefecture Med Ctr Koseikan, Koseikan, Saga, Japan

[10] Kyoto Univ, Off Inst Advancement & Commun, Kyoto, Japan

[11] Kyoto Univ, Grad Sch Med, Sch Publ Hlth, Kyoto, Japan

[12] Kawaguchi Med Clin, Okayama, Japan

[13] Japanese Red Cross Okayama Hosp, Dept Hepatol, Okayama, Japan

[14] Kawasaki Med Sch, Dept Gastroenterol & Hepatol, Okayama, Japan

[15] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gen Med, Okayama, Japan

[16] Oku Med Clin, Osaka, Japan

[17] Keiai Clin, Tokyo, Japan

[18] Nara Med Univ, Dept Gastroenterol, Nara, Japan

[19] Hizen Psychiat Ctr, Natl Hosp Org, Saga, Japan

[20] Chikugo Yoshii Cocoro Hosp, Fukuoka, Japan

来源：

GENERAL HOSPITAL PSYCHIATRY | 2024年 / 89卷

关键词：

Primary care; Alcohol use disorders identification test; Hazardous drinking; Alcohol dependence; Japan; Public health; Prevalence; DISORDERS IDENTIFICATION TEST; TEST AUDIT; BRIEF INTERVENTION; ESOPHAGEAL CANCER; GENERAL-PRACTICE; RISKY DRINKING; BLOOD-PRESSURE; FACILITATORS; RELIABILITY; CONSUMPTION;

D O I：

10.1016/j.genhosppsych.2024.04.002

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: We aimed to assess the prevalence of hazardous drinking and potential alcohol dependence among Japanese primary care patients, and their readiness to change and awareness of others ' concerns. Methods: From July to August 2023, we conducted a multi -site cross-sectional study as a screening survey for participants in a cluster randomized controlled trial. The trial included outpatients aged 20 -74 from primary care clinics. Using the Alcohol Use Disorders Identification Test (AUDIT) alongside a self-administered questionnaire, we evaluated the prevalence of hazardous drinking and suspected alcohol dependence, patients ' readiness to change, and their awareness of others ' concerns. Results: Among the 1388 participants from 18 clinics, 22% (95% confidence interval (CI): 20% to 24%) were identified as engaging in hazardous drinking or suspected of being alcohol dependent. As the AUDIT scores increased, so did their readiness to change. However, only 22% (95%CI: 16% to 28%) of those with scores ranging from 8 to 14 reported that others, including physicians, had expressed concerns about their drinking during the past year. For those with scores of 15 or higher, the figure was 74%. Conclusions: This study underscores the need for universal or high -risk alcohol screening and brief intervention in Japanese primary care settings. Trial registry UMIN-CTR (https://www.umin.ac.jp/ctr/) (UMIN000051388).

引用

页码：8 / 15

页数：8

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