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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Healthcare system use by risky alcohol drinkers: A secondary data analysis.
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Healthcare system use by risky alcohol drinkers: A secondary data analysis.

机译：危险饮酒者使用医疗保健系统：辅助数据分析。

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PURPOSE: To examine the effects of at-risk alcohol use on patterns of healthcare use and health outcomes. DATA SOURCES: Using the National Health Interview Survey and the Medical Expenditures Panel Survey, a total sample of 4449 adults, mean age 45 (SD 15), were grouped according to responses to the question: "In the past year, on how many days did you have 5 or more drinks of any alcoholic beverage?" CONCLUSIONS: Three categories of respondents were grouped as follows: not at-risk group = 0 days of 5+ drinks/day (n = 2991, 67%); the low at-risk group = 1-11 days of 5+ drinks/day (n = 796, 18%); and the high at-risk group = 12-365 days of 5+ drinks/day (n = 662, 15%). The level of risky alcohol use did not predict healthcare use or healthcare outcomes; high at-risk alcohol drinkers were less likely to use the healthcare system than other drinkers. When divided by rural versus urban living, rural high at-risk alcohol drinkers reported more emergency department visits and all rural living groups reported poorer physical and mental health than their urban counterparts. IMPLICATIONS FOR PRACTICE: Risky alcohol use, defined as drinking above low-risk guidelines, affects 3 out of 10 adults, and risky drinking plays a role in over 60 chronic health conditions. Nurse practitioners encounter risky alcohol users in multiple practice settings. It may be difficult to identify the underlying alcohol issues, particularly in those living in rural settings; however, identification of at-risk drinkers is essential for prompt intervention in the potential progression from risky alcohol use to an alcohol use disorder.
机译：目的：研究高危饮酒对医疗保健使用方式和健康结果的影响。数据来源：根据对以下问题的回答，使用“国家健康访问调查”和“医疗支出小组调查”对总共4449名平均年龄为45岁（标准差15）的成年人进行了分组。您有5种或5种以上酒精饮料吗？”结论：三类受访者分为以下几类：高危人群= 0天5杯/天（n = 2991，67％）;低风险组= 1-11天，每天喝5杯以上酒（n = 796，18％）;高危人群= 12-365天每天喝5杯以上酒（n = 662，15％）。高危饮酒水平不能预测医疗保健使用或医疗保健结果;高风险饮酒者使用医疗保健系统的可能性低于其他饮酒者。按农村居民与城市居民的生活划分，农村高危饮酒者的急诊就诊次数更多，所有农村居民的身心健康状况均较城市居民差。实践意义：高风险饮酒（定义为低于低风险指南）会影响十分之三的成年人，高风险饮酒在60多种慢性健康状况中发挥作用。护士从业人员会在多种实践环境中遇到危险的饮酒者。可能难以确定潜在的酒精问题，尤其是在农村地区的那些人;但是，对有危险饮酒者的识别对于迅速干预从危险饮酒到饮酒障碍的潜在进展至关重要。

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