Alcohol Misuse and Multiple Sclerosis
Abstract Turner AP, Hawkins EJ, Haselkorn JK, Kivlahan DR. Alcohol misuse and multiple sclerosis. Objective To describe the prevalence of alcohol misuse and medical advice to reduce drinking in a national sample of veterans with multiple sclerosis (MS). Design Cross-sectional cohort study linking co...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2009-05, Vol.90 (5), p.842-848 |
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| creator | Turner, Aaron P., PhD Hawkins, Eric J., PhD Haselkorn, Jodie K., MD, MPH Kivlahan, Daniel R., PhD |
| description | Abstract Turner AP, Hawkins EJ, Haselkorn JK, Kivlahan DR. Alcohol misuse and multiple sclerosis. Objective To describe the prevalence of alcohol misuse and medical advice to reduce drinking in a national sample of veterans with multiple sclerosis (MS). Design Cross-sectional cohort study linking computerized medical record information to mailed survey data from 2004 through 2006. Setting Veterans Health Administration (VHA). Participants Two thousand six hundred fifty-five of 4929 veterans with MS who received services in VHA between 2004 and 2006 and also a survey questionnaire (53.9% response rate). Interventions Not applicable. Main Outcome Measures Demographic information, Short-Form 12-Item Health Survey Mental Component Summary and Physical Component Summary, Alcohol Use Disorders Identification Test Consumption questions, and questions assessing depressive symptoms and the receipt of alcohol-related advice from a medical professional. Results Among all survey respondents with MS, the prevalence of alcohol misuse for the sample was 13.9% (confidence interval [CI], 12.5–15.2), with 11.9% (CI, 10.6–13.2) and 2.0% (CI, 1.4–2.5) of participants scoring in the mild/moderate and severe range of alcohol misuse, respectively. In contrast to community samples there was no difference in prevalence by sex. In multivariate logistic regression, age younger than 60 years ( |
| doi_str_mv | 10.1016/j.apmr.2008.11.017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_771909663</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0003999309001361</els_id><sourcerecordid>67184730</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-bd1f40125a0deb6f938b99f72a5860a37fc353efc19288f9590a994c54dab3e3</originalsourceid><addsrcrecordid>eNp9kUFLHDEUx4NUdGv9Ah7KXmxPM76XzGQmUASRtgpKD3rwFjKZF5o1O7MmOwW_fTPsYqEHTyHw-7_k_f6MnSGUCCgvVqXZrGPJAdoSsQRsDtgCa8GLluPTB7YAAFEopcQx-5jSKl9lLfCIHaOqQAqQC3Z-Fez4ewzLe5-mREsz9Mv7KWz9JtDywQaKY_LpEzt0JiQ63Z8n7PHH98frm-Lu18_b66u7wlYNbouuR1cB8tpAT510SrSdUq7hpm4lGNE4K2pBzqLibetUrcAoVdm66k0nSJywr7uxmzi-TJS2eu2TpRDMQOOUdNOgAiWlyOSXd0nZYFs1AjLId6DNi6RITm-iX5v4qhH0bFGv9GxRzxY1os4Wc-jzfvrUran_F9lry8D5HjDJmuCiGaxPbxzHikMlMHPfdhxlaX88RZ2sp8FS7yPZre5H__4_Lv-L2-AHn198pldKq3GKQ65Do05cg36Y-57rBgWAQqL4Cz1uovM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67184730</pqid></control><display><type>article</type><title>Alcohol Misuse and Multiple Sclerosis</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Turner, Aaron P., PhD ; Hawkins, Eric J., PhD ; Haselkorn, Jodie K., MD, MPH ; Kivlahan, Daniel R., PhD</creator><creatorcontrib>Turner, Aaron P., PhD ; Hawkins, Eric J., PhD ; Haselkorn, Jodie K., MD, MPH ; Kivlahan, Daniel R., PhD</creatorcontrib><description>Abstract Turner AP, Hawkins EJ, Haselkorn JK, Kivlahan DR. Alcohol misuse and multiple sclerosis. Objective To describe the prevalence of alcohol misuse and medical advice to reduce drinking in a national sample of veterans with multiple sclerosis (MS). Design Cross-sectional cohort study linking computerized medical record information to mailed survey data from 2004 through 2006. Setting Veterans Health Administration (VHA). Participants Two thousand six hundred fifty-five of 4929 veterans with MS who received services in VHA between 2004 and 2006 and also a survey questionnaire (53.9% response rate). Interventions Not applicable. Main Outcome Measures Demographic information, Short-Form 12-Item Health Survey Mental Component Summary and Physical Component Summary, Alcohol Use Disorders Identification Test Consumption questions, and questions assessing depressive symptoms and the receipt of alcohol-related advice from a medical professional. Results Among all survey respondents with MS, the prevalence of alcohol misuse for the sample was 13.9% (confidence interval [CI], 12.5–15.2), with 11.9% (CI, 10.6–13.2) and 2.0% (CI, 1.4–2.5) of participants scoring in the mild/moderate and severe range of alcohol misuse, respectively. In contrast to community samples there was no difference in prevalence by sex. In multivariate logistic regression, age younger than 60 years (<50y; adjusted odds ratio [AOR]=1.66; CI, 1.17–2.37, and 50–59; AOR=1.64; CI, 1.19–2.27), employment (AOR=1.54; CI, 1.06–2.24) and better physical health (AOR=1.02; CI, 1.01–1.04) were associated with a higher likelihood of alcohol misuse. Among persons who screened positive for alcohol misuse, only 26.2% (CI, 21.5–30.9) reported they had received advice from a medical provider in the past year to decrease or abstain from drinking. Self-report of advice was more likely among those endorsing severe misuse (AOR=3.65; CI, 1.85–7.17) and less likely among those with better mental health (AOR=0.97; CI, 0.94–1.00). Conclusions Despite the numerous health and social consequences of alcohol misuse, routine screening and intervention for people with MS remain uncommon. Brief screening and advice to reduce or refrain from alcohol use can be accomplished in as little as 5 minutes and can be incorporated into the regular course of medical care.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2008.11.017</identifier><identifier>PMID: 19406306</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Age Distribution ; Alcohol ; Alcohol Drinking - epidemiology ; Biological and medical sciences ; Cohort Studies ; Confidence Intervals ; Cross-Sectional Studies ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Health Knowledge, Attitudes, Practice ; Hospitals, Veterans ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Multiple sclerosis ; Multiple Sclerosis - diagnosis ; Multiple Sclerosis - epidemiology ; Multiple Sclerosis - rehabilitation ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; Odds Ratio ; Physical Medicine and Rehabilitation ; Prevalence ; Probability ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Risk Assessment ; Screening ; Severity of Illness Index ; Sex Distribution ; Surveys and Questionnaires</subject><ispartof>Archives of physical medicine and rehabilitation, 2009-05, Vol.90 (5), p.842-848</ispartof><rights>2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-bd1f40125a0deb6f938b99f72a5860a37fc353efc19288f9590a994c54dab3e3</citedby><cites>FETCH-LOGICAL-c471t-bd1f40125a0deb6f938b99f72a5860a37fc353efc19288f9590a994c54dab3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999309001361$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21420431$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19406306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turner, Aaron P., PhD</creatorcontrib><creatorcontrib>Hawkins, Eric J., PhD</creatorcontrib><creatorcontrib>Haselkorn, Jodie K., MD, MPH</creatorcontrib><creatorcontrib>Kivlahan, Daniel R., PhD</creatorcontrib><title>Alcohol Misuse and Multiple Sclerosis</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Turner AP, Hawkins EJ, Haselkorn JK, Kivlahan DR. Alcohol misuse and multiple sclerosis. Objective To describe the prevalence of alcohol misuse and medical advice to reduce drinking in a national sample of veterans with multiple sclerosis (MS). Design Cross-sectional cohort study linking computerized medical record information to mailed survey data from 2004 through 2006. Setting Veterans Health Administration (VHA). Participants Two thousand six hundred fifty-five of 4929 veterans with MS who received services in VHA between 2004 and 2006 and also a survey questionnaire (53.9% response rate). Interventions Not applicable. Main Outcome Measures Demographic information, Short-Form 12-Item Health Survey Mental Component Summary and Physical Component Summary, Alcohol Use Disorders Identification Test Consumption questions, and questions assessing depressive symptoms and the receipt of alcohol-related advice from a medical professional. Results Among all survey respondents with MS, the prevalence of alcohol misuse for the sample was 13.9% (confidence interval [CI], 12.5–15.2), with 11.9% (CI, 10.6–13.2) and 2.0% (CI, 1.4–2.5) of participants scoring in the mild/moderate and severe range of alcohol misuse, respectively. In contrast to community samples there was no difference in prevalence by sex. In multivariate logistic regression, age younger than 60 years (<50y; adjusted odds ratio [AOR]=1.66; CI, 1.17–2.37, and 50–59; AOR=1.64; CI, 1.19–2.27), employment (AOR=1.54; CI, 1.06–2.24) and better physical health (AOR=1.02; CI, 1.01–1.04) were associated with a higher likelihood of alcohol misuse. Among persons who screened positive for alcohol misuse, only 26.2% (CI, 21.5–30.9) reported they had received advice from a medical provider in the past year to decrease or abstain from drinking. Self-report of advice was more likely among those endorsing severe misuse (AOR=3.65; CI, 1.85–7.17) and less likely among those with better mental health (AOR=0.97; CI, 0.94–1.00). Conclusions Despite the numerous health and social consequences of alcohol misuse, routine screening and intervention for people with MS remain uncommon. Brief screening and advice to reduce or refrain from alcohol use can be accomplished in as little as 5 minutes and can be incorporated into the regular course of medical care.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Alcohol</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals, Veterans</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - diagnosis</subject><subject>Multiple Sclerosis - epidemiology</subject><subject>Multiple Sclerosis - rehabilitation</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Odds Ratio</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Prevalence</subject><subject>Probability</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Risk Assessment</subject><subject>Screening</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Surveys and Questionnaires</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFLHDEUx4NUdGv9Ah7KXmxPM76XzGQmUASRtgpKD3rwFjKZF5o1O7MmOwW_fTPsYqEHTyHw-7_k_f6MnSGUCCgvVqXZrGPJAdoSsQRsDtgCa8GLluPTB7YAAFEopcQx-5jSKl9lLfCIHaOqQAqQC3Z-Fez4ewzLe5-mREsz9Mv7KWz9JtDywQaKY_LpEzt0JiQ63Z8n7PHH98frm-Lu18_b66u7wlYNbouuR1cB8tpAT510SrSdUq7hpm4lGNE4K2pBzqLibetUrcAoVdm66k0nSJywr7uxmzi-TJS2eu2TpRDMQOOUdNOgAiWlyOSXd0nZYFs1AjLId6DNi6RITm-iX5v4qhH0bFGv9GxRzxY1os4Wc-jzfvrUran_F9lry8D5HjDJmuCiGaxPbxzHikMlMHPfdhxlaX88RZ2sp8FS7yPZre5H__4_Lv-L2-AHn198pldKq3GKQ65Do05cg36Y-57rBgWAQqL4Cz1uovM</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Turner, Aaron P., PhD</creator><creator>Hawkins, Eric J., PhD</creator><creator>Haselkorn, Jodie K., MD, MPH</creator><creator>Kivlahan, Daniel R., PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><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>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Alcohol Misuse and Multiple Sclerosis</title><author>Turner, Aaron P., PhD ; Hawkins, Eric J., PhD ; Haselkorn, Jodie K., MD, MPH ; Kivlahan, Daniel R., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-bd1f40125a0deb6f938b99f72a5860a37fc353efc19288f9590a994c54dab3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Alcohol</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Hospitals, Veterans</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - diagnosis</topic><topic>Multiple Sclerosis - epidemiology</topic><topic>Multiple Sclerosis - rehabilitation</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>Odds Ratio</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Prevalence</topic><topic>Probability</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Risk Assessment</topic><topic>Screening</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turner, Aaron P., PhD</creatorcontrib><creatorcontrib>Hawkins, Eric J., PhD</creatorcontrib><creatorcontrib>Haselkorn, Jodie K., MD, MPH</creatorcontrib><creatorcontrib>Kivlahan, Daniel R., PhD</creatorcontrib><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>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turner, Aaron P., PhD</au><au>Hawkins, Eric J., PhD</au><au>Haselkorn, Jodie K., MD, MPH</au><au>Kivlahan, Daniel R., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alcohol Misuse and Multiple Sclerosis</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>90</volume><issue>5</issue><spage>842</spage><epage>848</epage><pages>842-848</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Turner AP, Hawkins EJ, Haselkorn JK, Kivlahan DR. Alcohol misuse and multiple sclerosis. Objective To describe the prevalence of alcohol misuse and medical advice to reduce drinking in a national sample of veterans with multiple sclerosis (MS). Design Cross-sectional cohort study linking computerized medical record information to mailed survey data from 2004 through 2006. Setting Veterans Health Administration (VHA). Participants Two thousand six hundred fifty-five of 4929 veterans with MS who received services in VHA between 2004 and 2006 and also a survey questionnaire (53.9% response rate). Interventions Not applicable. Main Outcome Measures Demographic information, Short-Form 12-Item Health Survey Mental Component Summary and Physical Component Summary, Alcohol Use Disorders Identification Test Consumption questions, and questions assessing depressive symptoms and the receipt of alcohol-related advice from a medical professional. Results Among all survey respondents with MS, the prevalence of alcohol misuse for the sample was 13.9% (confidence interval [CI], 12.5–15.2), with 11.9% (CI, 10.6–13.2) and 2.0% (CI, 1.4–2.5) of participants scoring in the mild/moderate and severe range of alcohol misuse, respectively. In contrast to community samples there was no difference in prevalence by sex. In multivariate logistic regression, age younger than 60 years (<50y; adjusted odds ratio [AOR]=1.66; CI, 1.17–2.37, and 50–59; AOR=1.64; CI, 1.19–2.27), employment (AOR=1.54; CI, 1.06–2.24) and better physical health (AOR=1.02; CI, 1.01–1.04) were associated with a higher likelihood of alcohol misuse. Among persons who screened positive for alcohol misuse, only 26.2% (CI, 21.5–30.9) reported they had received advice from a medical provider in the past year to decrease or abstain from drinking. Self-report of advice was more likely among those endorsing severe misuse (AOR=3.65; CI, 1.85–7.17) and less likely among those with better mental health (AOR=0.97; CI, 0.94–1.00). Conclusions Despite the numerous health and social consequences of alcohol misuse, routine screening and intervention for people with MS remain uncommon. Brief screening and advice to reduce or refrain from alcohol use can be accomplished in as little as 5 minutes and can be incorporated into the regular course of medical care.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19406306</pmid><doi>10.1016/j.apmr.2008.11.017</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Age Distribution Alcohol Alcohol Drinking - epidemiology Biological and medical sciences Cohort Studies Confidence Intervals Cross-Sectional Studies Diseases of the osteoarticular system Female Follow-Up Studies Health Knowledge, Attitudes, Practice Hospitals, Veterans Humans Male Medical sciences Middle Aged Miscellaneous Multiple sclerosis Multiple Sclerosis - diagnosis Multiple Sclerosis - epidemiology Multiple Sclerosis - rehabilitation Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Odds Ratio Physical Medicine and Rehabilitation Prevalence Probability Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Risk Assessment Screening Severity of Illness Index Sex Distribution Surveys and Questionnaires |
| title | Alcohol Misuse and Multiple Sclerosis |
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