Low identification of alcohol use disorders in general practice in England
ABSTRACT Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary c...
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| Veröffentlicht in: | Addiction (Abingdon, England) England), 2008-05, Vol.103 (5), p.766-773 |
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| creator | Cheeta, Survjit Drummond, Colin Oyefeso, Adenekan Phillips, Tom Deluca, Paolo Perryman, Katherine Coulton, Simon |
| description | ABSTRACT
Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary care. The aim of the present study was to compare the observed rates of AUDs in general practice with expected rates, which are based on general population prevalence rates of AUDs.
Design, participants and measurements Epidemiological data on individuals aged 16–64 years with an AUD was obtained from the General Practice Research Database. General population prevalence rates of AUDs were obtained from the Psychiatric Morbidity Survey. χ2 tests and identification ratios were used to analyse the data.
Results There was a significant relationship between type of AUD and identification (χ2 = 1466.89, P |
| doi_str_mv | 10.1111/j.1360-0443.2008.02198.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_57287385</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>57287385</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5248-f00bc51335e530d81f3855f0213dfbd448e1272fda1d97ca4f041be58318b9d83</originalsourceid><addsrcrecordid>eNqNkctu1DAYhS0EokPhFVCEBLsEX2N7waJqS4dqVDYFlpbjS_GQiQc7UadvX6czGiQ24I0t-ztHx_8BoEKwQWV9XDeItLCGlJIGQygaiJEUze4ZWBwfnoMFlC2rMaLwBLzKeQ0h5ELSl-AECYowZ2wBrlfxvgrWDWPwwegxxKGKvtK9iT9jX03ZVTbkmKxLuQpDdecGl3RfbZM2YzBuvrsc7no92Nfghdd9dm8O-yn49vny9nxZr75efTk_W9WGYSpqD2FnGCKEOUagFcgTwZgvPyDWd5ZS4Uo27K1GVnKjqYcUdY4JgkQnrSCn4MPed5vi78nlUW1CNq4vGVycsmIcC148_wmSVkjeIl7Ad3-B6ziloXxCISlZyySf3cQeMinmnJxX2xQ2Oj0oBNXcilqrefhqHr6aW1FPrahdkb49-E_dxtk_wkMNBXh_AHQ2uvdJDybkI4chFoiyOeinPXcfevfw3wHU2cXFfCr6eq8PeXS7o16nX6rlhDP14-aqzO87X14vb9QteQSzyLUz</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>199565975</pqid></control><display><type>article</type><title>Low identification of alcohol use disorders in general practice in England</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Cheeta, Survjit ; Drummond, Colin ; Oyefeso, Adenekan ; Phillips, Tom ; Deluca, Paolo ; Perryman, Katherine ; Coulton, Simon</creator><creatorcontrib>Cheeta, Survjit ; Drummond, Colin ; Oyefeso, Adenekan ; Phillips, Tom ; Deluca, Paolo ; Perryman, Katherine ; Coulton, Simon</creatorcontrib><description>ABSTRACT
Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary care. The aim of the present study was to compare the observed rates of AUDs in general practice with expected rates, which are based on general population prevalence rates of AUDs.
Design, participants and measurements Epidemiological data on individuals aged 16–64 years with an AUD was obtained from the General Practice Research Database. General population prevalence rates of AUDs were obtained from the Psychiatric Morbidity Survey. χ2 tests and identification ratios were used to analyse the data.
Results There was a significant relationship between type of AUD and identification (χ2 = 1466.89, P < 0.001), and general practitioners were poorer at identifying harmful/hazardous drinkers when compared with dependent drinkers. No gender differences in the identification of hazardous/harmful drinking were found, but female dependent drinkers were significantly more likely to be identified than males (identification ratio 0.07; 95% confidence interval 0.06–0.07). The identification of AUDs was significantly lower for the 16–24‐year age group compared with all other age groups.
Conclusion Despite attempts at targeting hazardous/harmful drinkers for brief interventions in primary care, the present findings suggest that this group are still under‐identified. Furthermore, this under‐identification is even more apparent in men and in young people who have high general population prevalence rates for AUDs. In conclusion, increasing identification rates could be incorporated into brief intervention strategies in primary care.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1111/j.1360-0443.2008.02198.x</identifier><identifier>PMID: 18412755</identifier><identifier>CODEN: ADICE5</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Alcohol ; Alcohol related disorders ; Alcohol use disorders ; Alcohol-Related Disorders - diagnosis ; Alcohol-Related Disorders - prevention & control ; Alcohol-Related Disorders - psychology ; Alcoholism ; Alcoholism and acute alcohol poisoning ; Biological and medical sciences ; dependent drinking ; Drug use ; England ; Epidemiology ; Family physicians ; Family Practice ; Female ; General aspects ; General practice ; general practice research database (GPRD) ; hazardous/harmful drinking ; Humans ; Identification ; Male ; Medical diagnosis ; Medical sciences ; Medical treatment ; Middle Aged ; Needs Assessment - statistics & numerical data ; Prevalence ; primary care ; Primary health care ; psychiatric morbidity survey (PMS) ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sex Factors ; Toxicology ; United Kingdom</subject><ispartof>Addiction (Abingdon, England), 2008-05, Vol.103 (5), p.766-773</ispartof><rights>2008 The Authors</rights><rights>2008 INIST-CNRS</rights><rights>Journal compilation © 2008 Society for the Study of Addiction</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5248-f00bc51335e530d81f3855f0213dfbd448e1272fda1d97ca4f041be58318b9d83</citedby><cites>FETCH-LOGICAL-c5248-f00bc51335e530d81f3855f0213dfbd448e1272fda1d97ca4f041be58318b9d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1360-0443.2008.02198.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1360-0443.2008.02198.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30977,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20281457$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18412755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheeta, Survjit</creatorcontrib><creatorcontrib>Drummond, Colin</creatorcontrib><creatorcontrib>Oyefeso, Adenekan</creatorcontrib><creatorcontrib>Phillips, Tom</creatorcontrib><creatorcontrib>Deluca, Paolo</creatorcontrib><creatorcontrib>Perryman, Katherine</creatorcontrib><creatorcontrib>Coulton, Simon</creatorcontrib><title>Low identification of alcohol use disorders in general practice in England</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>ABSTRACT
Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary care. The aim of the present study was to compare the observed rates of AUDs in general practice with expected rates, which are based on general population prevalence rates of AUDs.
Design, participants and measurements Epidemiological data on individuals aged 16–64 years with an AUD was obtained from the General Practice Research Database. General population prevalence rates of AUDs were obtained from the Psychiatric Morbidity Survey. χ2 tests and identification ratios were used to analyse the data.
Results There was a significant relationship between type of AUD and identification (χ2 = 1466.89, P < 0.001), and general practitioners were poorer at identifying harmful/hazardous drinkers when compared with dependent drinkers. No gender differences in the identification of hazardous/harmful drinking were found, but female dependent drinkers were significantly more likely to be identified than males (identification ratio 0.07; 95% confidence interval 0.06–0.07). The identification of AUDs was significantly lower for the 16–24‐year age group compared with all other age groups.
Conclusion Despite attempts at targeting hazardous/harmful drinkers for brief interventions in primary care, the present findings suggest that this group are still under‐identified. Furthermore, this under‐identification is even more apparent in men and in young people who have high general population prevalence rates for AUDs. In conclusion, increasing identification rates could be incorporated into brief intervention strategies in primary care.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>Alcohol related disorders</subject><subject>Alcohol use disorders</subject><subject>Alcohol-Related Disorders - diagnosis</subject><subject>Alcohol-Related Disorders - prevention & control</subject><subject>Alcohol-Related Disorders - psychology</subject><subject>Alcoholism</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Biological and medical sciences</subject><subject>dependent drinking</subject><subject>Drug use</subject><subject>England</subject><subject>Epidemiology</subject><subject>Family physicians</subject><subject>Family Practice</subject><subject>Female</subject><subject>General aspects</subject><subject>General practice</subject><subject>general practice research database (GPRD)</subject><subject>hazardous/harmful drinking</subject><subject>Humans</subject><subject>Identification</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Needs Assessment - statistics & numerical data</subject><subject>Prevalence</subject><subject>primary care</subject><subject>Primary health care</subject><subject>psychiatric morbidity survey (PMS)</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Sex Factors</subject><subject>Toxicology</subject><subject>United Kingdom</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkctu1DAYhS0EokPhFVCEBLsEX2N7waJqS4dqVDYFlpbjS_GQiQc7UadvX6czGiQ24I0t-ztHx_8BoEKwQWV9XDeItLCGlJIGQygaiJEUze4ZWBwfnoMFlC2rMaLwBLzKeQ0h5ELSl-AECYowZ2wBrlfxvgrWDWPwwegxxKGKvtK9iT9jX03ZVTbkmKxLuQpDdecGl3RfbZM2YzBuvrsc7no92Nfghdd9dm8O-yn49vny9nxZr75efTk_W9WGYSpqD2FnGCKEOUagFcgTwZgvPyDWd5ZS4Uo27K1GVnKjqYcUdY4JgkQnrSCn4MPed5vi78nlUW1CNq4vGVycsmIcC148_wmSVkjeIl7Ad3-B6ziloXxCISlZyySf3cQeMinmnJxX2xQ2Oj0oBNXcilqrefhqHr6aW1FPrahdkb49-E_dxtk_wkMNBXh_AHQ2uvdJDybkI4chFoiyOeinPXcfevfw3wHU2cXFfCr6eq8PeXS7o16nX6rlhDP14-aqzO87X14vb9QteQSzyLUz</recordid><startdate>200805</startdate><enddate>200805</enddate><creator>Cheeta, Survjit</creator><creator>Drummond, Colin</creator><creator>Oyefeso, Adenekan</creator><creator>Phillips, Tom</creator><creator>Deluca, Paolo</creator><creator>Perryman, Katherine</creator><creator>Coulton, Simon</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope></search><sort><creationdate>200805</creationdate><title>Low identification of alcohol use disorders in general practice in England</title><author>Cheeta, Survjit ; Drummond, Colin ; Oyefeso, Adenekan ; Phillips, Tom ; Deluca, Paolo ; Perryman, Katherine ; Coulton, Simon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5248-f00bc51335e530d81f3855f0213dfbd448e1272fda1d97ca4f041be58318b9d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol</topic><topic>Alcohol related disorders</topic><topic>Alcohol use disorders</topic><topic>Alcohol-Related Disorders - diagnosis</topic><topic>Alcohol-Related Disorders - prevention & control</topic><topic>Alcohol-Related Disorders - psychology</topic><topic>Alcoholism</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Biological and medical sciences</topic><topic>dependent drinking</topic><topic>Drug use</topic><topic>England</topic><topic>Epidemiology</topic><topic>Family physicians</topic><topic>Family Practice</topic><topic>Female</topic><topic>General aspects</topic><topic>General practice</topic><topic>general practice research database (GPRD)</topic><topic>hazardous/harmful drinking</topic><topic>Humans</topic><topic>Identification</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Needs Assessment - statistics & numerical data</topic><topic>Prevalence</topic><topic>primary care</topic><topic>Primary health care</topic><topic>psychiatric morbidity survey (PMS)</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Sex Factors</topic><topic>Toxicology</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheeta, Survjit</creatorcontrib><creatorcontrib>Drummond, Colin</creatorcontrib><creatorcontrib>Oyefeso, Adenekan</creatorcontrib><creatorcontrib>Phillips, Tom</creatorcontrib><creatorcontrib>Deluca, Paolo</creatorcontrib><creatorcontrib>Perryman, Katherine</creatorcontrib><creatorcontrib>Coulton, Simon</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheeta, Survjit</au><au>Drummond, Colin</au><au>Oyefeso, Adenekan</au><au>Phillips, Tom</au><au>Deluca, Paolo</au><au>Perryman, Katherine</au><au>Coulton, Simon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low identification of alcohol use disorders in general practice in England</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2008-05</date><risdate>2008</risdate><volume>103</volume><issue>5</issue><spage>766</spage><epage>773</epage><pages>766-773</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><coden>ADICE5</coden><abstract>ABSTRACT
Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary care. The aim of the present study was to compare the observed rates of AUDs in general practice with expected rates, which are based on general population prevalence rates of AUDs.
Design, participants and measurements Epidemiological data on individuals aged 16–64 years with an AUD was obtained from the General Practice Research Database. General population prevalence rates of AUDs were obtained from the Psychiatric Morbidity Survey. χ2 tests and identification ratios were used to analyse the data.
Results There was a significant relationship between type of AUD and identification (χ2 = 1466.89, P < 0.001), and general practitioners were poorer at identifying harmful/hazardous drinkers when compared with dependent drinkers. No gender differences in the identification of hazardous/harmful drinking were found, but female dependent drinkers were significantly more likely to be identified than males (identification ratio 0.07; 95% confidence interval 0.06–0.07). The identification of AUDs was significantly lower for the 16–24‐year age group compared with all other age groups.
Conclusion Despite attempts at targeting hazardous/harmful drinkers for brief interventions in primary care, the present findings suggest that this group are still under‐identified. Furthermore, this under‐identification is even more apparent in men and in young people who have high general population prevalence rates for AUDs. In conclusion, increasing identification rates could be incorporated into brief intervention strategies in primary care.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18412755</pmid><doi>10.1111/j.1360-0443.2008.02198.x</doi><tpages>8</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Addictive behaviors Adolescent Adult Adult and adolescent clinical studies Alcohol Alcohol related disorders Alcohol use disorders Alcohol-Related Disorders - diagnosis Alcohol-Related Disorders - prevention & control Alcohol-Related Disorders - psychology Alcoholism Alcoholism and acute alcohol poisoning Biological and medical sciences dependent drinking Drug use England Epidemiology Family physicians Family Practice Female General aspects General practice general practice research database (GPRD) hazardous/harmful drinking Humans Identification Male Medical diagnosis Medical sciences Medical treatment Middle Aged Needs Assessment - statistics & numerical data Prevalence primary care Primary health care psychiatric morbidity survey (PMS) Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sex Factors Toxicology United Kingdom |
| title | Low identification of alcohol use disorders in general practice in England |
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