To identify patient factors associated with primary care physicians asking about alcohol consumption, warning of harmful ethanol effects, and advising modification of alcohol use in their patients.
A cross-sectional design was used, with a probability sample of 1,333 adult family medicine patients, stratified by sex and racial/ethnic background, drawn from a university-based, family medicine clinic.
Patients completed self-report screens for alcohol-related problems (including the CAGE) and questionnaires on their experiences with their primary care provider.
Over 64% of male and female patients indicated their physician had asked them at some time about their alcohol consumption.
Logistic regression models indicated that male patients were 1.5 times as likely to have been warned about alcohol and three times as likely to have been told to stop or modify their consumption compared to female patients.
Patients with lower educational attainment were more likely to have been warned, while the likelihood of ever being told to stop or modify consumption increased with age.
These associations were significant after controlling for patient race/ethnicity, cigarette use and CAGE scores.
Patient factors including sex, educational attainment, age, cigarette use and problem alcohol use appear to explain some of the variation in the use of preventive interventions for alcohol abuse by primary care providers.
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Mots-clés Pascal : Prévention, Alcoolisme, Education sanitaire, Programme sanitaire, Médecin généraliste, Observance thérapeutique, Démographie, Consommation, Tabac, Niveau étude, Statut social, Santé publique, Homme
Mots-clés Pascal anglais : Prevention, Alcoholism, Health education, Sanitary program, General practitioner, Treatment compliance, Demography, Consumption, Tobacco, Education level, Social status, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0177521
Code Inist : 002B18H05A. Création : 199608.