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

Journal Name: 
Am J Public Health
Authors: 
Fleming,M.F.
Manwell,L.B.
Barry,K.L.
Johnson,K.
Abstract: 
OBJECTIVES: This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria. METHODS: A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults). RESULTS: 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. CONCLUSIONS: Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers
1
1998
Volume: 
88
Pages: 
90-93
Keywords: 
Adult, Alcoholic Intoxication, Alcoholism, criteria, education, epidemiology, Female, Health, Health Maintenance Organizations, Health Policy, Human, Logistic Models, Male, Methods, Prevalence, primary care, Primary Health Care, Public Health, Research, Risk Factors, Smoking, Socioeconomic Factors, Support,Non-U.S.Gov't, Support,U.S.Gov't,P.H.S., survey, Universities, varying, Wisconsin, World Health Organization, WReN