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Risky Alcohol Use: The Impact on Health Service Use

机译:风险饮酒用途:对健康服务的影响

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Objective: To examine health services use on the basis of alcohol consumption. Material and Methods: A cross-sectional study was carried out on patients visiting the Primary Health Care (PHC) settings in Catalonia during 2011 and 2012; these patients had a history of alcohol consumption. Information about outpatient visits in the PHC setting, hospitalizations, specialists' visits and emergency room visits for the year 2013 was obtained from 2 databases (the Information System for the Development of Research in PHC and the Catalan Health Surveillance System). Risky drinkers were defined as those who consumed more than 280 g per week for men or more than 170 g per week for women, or any amount of alcohol while being involved in a high risk work activity, or taking medication that significantly interferes with alcohol or when being pregnant. Binge drinkers ( 60 g in men or 50 g in women in a short amount of time more than once a month) were also considered risky drinkers. Results: A total of 606,948 patients reported consuming alcohol (of which 10.5% were risky drinkers). Risky drinkers were more likely to be admitted to hospitals or emergency departments (range of ORs 1.08-1.18) compared to light drinkers. Male risky drinkers used fewer PHC services than male light drinkers (OR 0.89, 95% CI 0.87-0.92). In general, risky alcohol users used services more and had longer hospital stays. When stratifying by socioeconomic level of the residential area, we found that risky drinking failed significance, while current or past cigarette smoking was associated with higher healthcare use. Conclusions: Risky drinkers use more expensive services, such as hospitals and emergency rooms, but not PHC services, which may suggest that prevention strategies and alcohol interventions should also be implemented in those settings.
机译:目的:审查基于酒精消费的卫生服务。材料和方法:在2011年和2012年访问加泰罗尼亚初级医疗保健(PHC)环境的患者上进行了横截面研究;这些患者患有酒精消耗的历史。从2个数据库获得有关PHC环境,住院,专业访问和急诊室访问的门诊观察的信息,从2个数据库获得(PHC和加泰罗尼亚卫生监测系统的研究信息系统)。危险的饮酒者被定义为男性每周每周消耗超过280克的人,或者每周超过170克,或者在涉及高风险工作活动的含量,或服用显着干扰酒精或者的药物怀孕时。狂欢饮酒者(& 60克在男性或& 50克的女性在短时间内超过一次,也被认为是风险的饮酒者。结果:共有606,948名患者报告饮用酒精(其中10.5%是风险饮酒者)。与轻饮者相比,风险饮酒者更有可能被录取为医院或急诊部门(1.08-1.18)。男性风险饮酒者比男性轻饮用者(或0.89,95%CI 0.87-0.92)使用更少的PHC服务。一般而言,危险的酒精用户使用服务更多并具有更长的医院住宿。当由住宅区的社会经济水平分层时,我们发现风险饮酒失败的意义失败,而当前或过去的吸烟与更高的医疗保健使用有关。结论:风险饮酒者使用更昂贵的服务,如医院和急诊室,但不是PHC服务,这可能表明在这些环境中也应实施预防策略和酒精干预。

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