At-risk drinking in an HMO primary care sample: prevalence and health policy implications

This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria. A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults). The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to 19.7% (N...

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Bibliographic Details
Published in:American journal of public health (1971) 1998-01, Vol.88 (1), p.90-93
Main Authors: Fleming, M F, Manwell, L B, Barry, K L, Johnson, K
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Age
Alcohol use
Alcoholic Intoxication - epidemiology
Alcoholism
Alcoholism - epidemiology
Biological and medical sciences
Clinics
Epidemiology
Ethnicity
Female
Gender differences
Health Maintenance Organizations
Health risk assessment
HMOs
Humans
Liver cirrhosis
Logistic Models
Madison
Male
Medical practices
Medical sciences
Medical screening
Patients
Prevalence
Primary care
Primary Health Care
Problem drinking
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health
Questionnaires
Risk Factors
Smoking
Socioeconomic Factors
USA
Wisconsin
Wisconsin - epidemiology
Women
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Summary:This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria. A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults). 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. Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.88.1.90