Dataset Information

Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study.

ABSTRACT: OBJECTIVES:The objective was to clarify the relationship between alcohol consumption/alcohol use disorders and patient complexity. DESIGN:Cross-sectional study. SETTING:A clinic located on a remote island in Okinawa, Japan, providing general outpatient practices and round-the-clock emergency services. PARTICIPANTS:Patients who lived on the island, visited Tarama Clinic from 1 April 2018 to 30 June 2018, were aged ?20 years and had decision-making capacity were judged to be eligible for this study. MAIN OUTCOME MEASURES:Alcohol consumption/alcohol use disorders as measured by the Alcohol Use Disorders Identification Test (AUDIT) and patient complexity as scored by the Patient Centered Assessment Method (PCAM). RESULTS:During the 3-month study period, 355 patients (163 women and 192 men) with mean (SD) age of 66.4 (13.6) years were included. Multiple regression analysis of PCAM scores showed that, after adjusting for age, sex, education, occupation, physical activity, smoking, annual medical expenses and number of family members living with the patient, AUDIT scores classified as 'dependence likely' were associated with PCAM scores (p value=0.040). CONCLUSIONS:Alcohol consumption and alcohol use disorders classified as dependence likely are associated with patient complexity.

SUBMITTER: Sugiyama Y

PROVIDER: S-EPMC7440824 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study.

Sugiyama Yoshifumi Y Matsushima Masato M Yoshimoto Hisashi H

BMJ open 20200820 8

<h4>Objectives</h4>The objective was to clarify the relationship between alcohol consumption/alcohol use disorders and patient complexity.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>A clinic located on a remote island in Okinawa, Japan, providing general outpatient practices and round-the-clock emergency services.<h4>Participants</h4>Patients who lived on the island, visited Tarama Clinic from 1 April 2018 to 30 June 2018, were aged ≥20 years and had decision-making capacity were judged ...[more]

PMID: 32819931

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Project description:BackgroundBars and nightclubs are key public venues where young adults congregate and use both tobacco and alcohol, and young adult bar patrons are at high risk for substance use. This study examined the association between cigarette smoking and alcohol use among a random sample of young adult bar patrons from three different cities in the USA.MethodsCross-sectional data was collected from a random sample of young adult bar patrons aged 18-29 in San Diego, CA (N = 1,150), Portland, ME (N = 1,019), and Tulsa, OK (N = 1,106) from 2007-2010 (response rate 88%) using randomized time location sampling. Respondents reported the number of days they smoked cigarettes, drank alcohol, and binge drank in the past 30 days. Multinomial logistic regression was used to analyze the association between smoking (nonsmoker, occasional smoker, and regular smoker) and drinking and binge drinking for each city controlling for age, gender, race/ethnicity, and education. Predicted probabilities of each smoking category were calculated by drinking and binge drinking status. The association between smoking and drinking and binge drinking among combined samples was also analyzed, controlling for demographic variables and city.ResultsRespondents reported high current smoking rates, ranging from 51% in Portland to 58% in Tulsa. Respondents in Tulsa were more likely to report regular smoking than those in San Diego and Portland, with demographic variables being controlled. Young adult bar patrons also exhibited a strong association between smoking and drinking. In general, as the frequency of drinking and binge drinking increased, the predicted probability of being a smoker, especially a regular smoker, increased in each city.ConclusionsYoung adult bar patrons consistently reported a high smoking rate and a strong relationship between smoking and drinking, regardless of the different bar cultures and tobacco control contexts in each of the three cities. While smoke-free bar policies were negatively associated with regular smoking, these policies alone may not be enough to influence the association between smoking and drinking, particularly if tobacco marketing continues in these venues, or in the absence of programs specifically addressing the co-use of tobacco and alcohol.

Project description:OBJECTIVES:This study examined the prevalence of risky drinking by members of parliament (MPs), as well as the relationship between risky drinking and age, years spent as an MP, working outside parliament, awareness of the Parliamentary Health and Wellbeing Service, and probable mental ill health. DESIGN:A survey questionnaire assessed alcohol consumption using the Alcohol Use Disorders Identification Test (AUDIT). Risky drinking was identified by combining categories of increasing (hazardous), higher (harmful) and probable dependent drinking for those with a total score of 8 or more. Comparator groups from the 2014 Adult Psychiatric Morbidity Survey (APMS) were used as controls. SETTING:UK House of Commons. PARTICIPANTS:650 MPs. RESULTS:Compared with all 650 MPs, participants (n=146) were more likely to be female (p<0.05) or have an educational qualification (p<0.05). Weighted proportions on AUDIT items were higher than the APMS comparator group for participants who had a drink four or more times a week, 10 or more drinks on a typical drinking day, six or more drinks in one occasion, or felt guilty because of drinking (p<0.01). Weighted percentages for risky drinking were higher in MPs compared with the whole English population (p<0.05), but similar when compared with socioeconomic comparator groups. The odds of risky drinking were 2.74 times greater for MPs who had an additional work role outside parliament compared with those who did not (95% CI 0.98 to 7.65) and 2.4 times greater for MPs with probable mental ill health compared with those with no evidence of probable mental ill health (95% CI 0.78 to 7.43). CONCLUSIONS:A low level of awareness of the Parliamentary Health and Wellbeing Service has implications for improving the detection of risky drinking and improving access to this service by MPs. Possible increased likelihood of risky drinking in MPs who also had an additional work role outside Parliament and among those with probable mental ill health requires further exploration.

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Dataset Information

Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study.

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Association between alcohol consumption/alcohol use disorders and patient complexity: a cross-sectional study.

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