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首页> 外文期刊>Journal of the American Geriatrics Society >Correlates of alcohol-related discussions between older adults and their physicians.
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Correlates of alcohol-related discussions between older adults and their physicians.

机译：老年人与其医师之间与酒精相关的讨论的相关性。

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OBJECTIVES: To identify predictors of alcohol-related patient-physician discussions. DESIGN: Cross-sectional study using baseline data from a randomized controlled trial. SETTING: Community-based group practice. PARTICIPANTS: Thirty-one physicians in Project Senior Health and Alcohol Risk Education and 3,305 of their patients aged 60 and older who use alcohol and completed a survey that included the Comorbidity Alcohol Risk Evaluation Tool (CARET). MEASUREMENTS: At study baseline, older adults were asked whether alcohol-related discussions with a physician had occurred in the prior year. This outcome was modeled using logistic regression models with physician random effects. Predictor variables included patient-level variables such as demographics and seven CARET-defined risk factors, specifically a medical or psychiatric comorbidity that alcohol might worsen, a potentially alcohol-related symptom, use of a medication that may interact negatively with alcohol, excessive quantity or frequency of alcohol use, binge drinking, concern from others about drinking, and drinking and driving. Physician-level predictors (age, sex, years since graduation, specialty) were also included. RESULTS: The probability of reporting alcohol-related discussions declined with patient age (e.g., odds ratio (OR)=0.40 for patients aged >/=80) and was significantly lower for Latinos (OR=0.38). Drinking and driving (OR=1.69) or concern from others (OR=6.04) were significantly associated with alcohol-related discussions; having comorbidities or using medications that may interact with alcohol were not. CONCLUSION: Although patient demographics, including age and ethnicity, are associated with the occurrence of alcohol-related discussions, clinical factors that may negatively interact with alcohol to increase risk are not. This suggests that physicians may not be attuned to the entire spectrum of alcohol-related risks for older adults.
机译：目的：确定与酒精有关的患者-医师讨论的预测因素。设计：采用来自随机对照试验的基线数据进行横断面研究。地点：基于社区的小组练习。参与者：高级健康和酒精风险教育计划的31位医生以及60岁及以上的3,305名使用酒精的患者完成了包括合并症酒精风险评估工具（CARET）在内的调查。测量：在研究基线时，询问老年人在上一年是否曾与医生进行过酒精相关的讨论。使用具有医生随机效应的逻辑回归模型对该结果进行建模。预测变量包括患者水平的变量，例如人口统计学和七个CARET定义的危险因素，特别是酒精可能恶化的医学或精神病合并症，潜在的酒精相关症状，使用可能与酒精产生不良相互作用的药物，过量或饮酒的频率，暴饮暴食，他人对饮酒，饮酒和驾车的担忧。还包括医师级别的预测指标（年龄，性别，毕业年份，专业）。结果：报告与酒精相关的讨论的可能性随患者年龄而降低（例如，年龄大于/ = 80的患者的优势比（OR）= 0.40），而对于拉丁美洲人则显着较低（OR = 0.38）。酒后驾车（OR = 1.69）或其他人的担忧（OR = 6.04）与酒精相关的讨论密切相关;没有合并症或使用可能与酒精相互作用的药物。结论：尽管包括年龄和种族在内的患者人口统计信息都与饮酒相关的讨论有关，但可能与饮酒产生负面影响以增加风险的临床因素并没有相关性。这表明医生可能不适应老年人与酒精相关的全部风险。

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