Associations between alcohol brief intervention in primary care and drinking and health outcomes in adults with hypertension and type 2 diabetes: a population-based observational study

ObjectivesTo evaluate associations between alcohol brief intervention (BI) in primary care and 12-month drinking outcomes and 18-month health outcomes among adults with hypertension and type 2 diabetes (T2D).DesignA population-based observational study using electronic health records data.SettingAn...

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Bibliographic Details
Published in:BMJ open 2023-01, Vol.13 (1), p.e064088
Main Authors: Chi, Felicia W, Parthasarathy, Sujaya, Palzes, Vanessa A, Kline-Simon, Andrea H, Weisner, Constance M, Satre, Derek D, Grant, Richard W, Elson, Joseph, Ross, Thekla B, Awsare, Sameer, Lu, Yun, Metz, Verena E, Sterling, Stacy A
Format: Article
Language:English
Subjects:
Abstinence
Addiction
Adult
Alcohol Drinking - prevention & control
Alcohol use
Alcoholism - complications
Alcoholism - diagnosis
Alcoholism - therapy
Chronic illnesses
Crisis Intervention
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - therapy
Electronic health records
Epidemiology
General diabetes
Glycated Hemoglobin
Health care access
Health care policy
Humans
Hypertension
Hypertension - complications
Hypertension - therapy
Medical referrals
Mortality
Observational studies
Outcome Assessment, Health Care
Patients
Physicians
Population-based studies
PRIMARY CARE
Primary Health Care - methods
Substance misuse
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Summary:ObjectivesTo evaluate associations between alcohol brief intervention (BI) in primary care and 12-month drinking outcomes and 18-month health outcomes among adults with hypertension and type 2 diabetes (T2D).DesignA population-based observational study using electronic health records data.SettingAn integrated healthcare system that implemented system-wide alcohol screening, BI and referral to treatment in adult primary care.ParticipantsAdult primary care patients with hypertension (N=72 979) or T2D (N=19 642) who screened positive for unhealthy alcohol use between 2014 and 2017.Main outcome measuresWe examined four drinking outcomes: changes in heavy drinking days/past 3 months, drinking days/week, drinks/drinking day and drinks/week from baseline to 12-month follow-up, based on results of alcohol screens conducted in routine care. Health outcome measures were changes in measured systolic and diastolic blood pressure (BP) and BP reduction ≥3 mm Hg at 18-month follow-up. For patients with T2D, we also examined change in glycohaemoglobin (HbA1c) level and ‘controlled HbA1c’ (HbA1c
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-064088