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Alcohol problems increase while physician attention declines. 1967 to 1984.

D S Hasin1, B F Grant, M G Dufour

  • 1Columbia University College of Physicians and Surgeons, New York, NY.

Archives of Internal Medicine
|February 1, 1990
PubMed
Summary

Physician advice on reducing alcohol consumption has decreased over time, despite rising rates of alcohol problems in the US population. This decline is particularly significant for women with multiple alcohol-related issues.

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Area of Science:

  • Epidemiology
  • Public Health
  • Medical Sociology

Background:

  • Physician intervention can address excessive alcohol use in patients.
  • Limited data exists on historical trends in medical attention to alcohol problems.
  • Alcohol consumption and related issues are significant public health concerns.

Purpose of the Study:

  • To analyze trends in physician recommendations for reducing alcohol intake.
  • To examine changes in medical attention to alcohol problems over time.
  • To investigate gender differences in physician advice regarding alcohol consumption.

Main Methods:

  • Analysis of three national epidemiological surveys of US adults (1967, 1979, 1984).
  • Interviews assessed drinking practices, alcohol problems, and physician interventions.

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  • Statistical analysis to identify trends and significant changes over time.

    • Main Results:

    • Prevalence of multiple alcohol problems and recent heavy drinking increased in the general population.
    • Physician recommendations to reduce drinking decreased for both men and women.
    • A statistically significant decline in physician advice was observed for women with multiple alcohol problems.

    Conclusions:

    • Despite increasing alcohol problems, physician intervention regarding alcohol reduction has declined.
    • Gender disparities exist in physician attention to alcohol-related issues.
    • Further research is needed to understand and reverse these trends in medical practice.