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Published on: January 5, 2018
Hazardous drinking and general practitioner visits in the past year
Angela Jury1, Ashley Koning2, Jennifer Lai3
1Programme Lead Research, Te Pou o te Whakaaro Nui, Auckland.
General practitioner (GP) visits for hazardous alcohol use varied significantly by ethnicity and socioeconomic status in New Zealand. Young Māori males had the lowest GP visit rates, while non-Māori with hazardous drinking patterns had higher rates.
Area of Science:
- Public Health
- Health Services Research
- Addiction Medicine
Background:
- Hazardous alcohol use is a significant public health concern.
- Understanding healthcare access patterns is crucial for targeted interventions.
- Sociodemographic factors can influence healthcare utilization for alcohol-related issues.
Purpose of the Study:
- To quantify the association between general practitioner (GP) visits and hazardous alcohol use.
- To investigate if this relationship differs across sociodemographic groups, including age, sex, ethnicity (Māori/non-Māori), and socioeconomic status.
Main Methods:
- Analysis of 2016/17 New Zealand Health Survey data from 13,598 adults.
- Examination of hazardous alcohol use (Alcohol Use Disorders Identification Test score ≥ 8) and past-year GP visits.
- Sub-group analyses by age, sex, ethnicity, and socioeconomic status (NZDep2013).
Main Results:
- Significant ethnic disparities observed: Māori males aged 15-24 had the lowest GP visit rates, irrespective of drinking behavior.
- Among Māori, GP visits were similar for hazardous drinkers and safer drinkers across demographic groups.
- Non-Māori males under 45 and females aged 15-24/45-64 with hazardous drinking showed 10-13% higher GP visits than safer drinkers.
- Individuals with hazardous drinking in more deprived areas had lower GP visit rates.
Conclusions:
- Targeted strategies are needed to improve service access for young Māori and individuals with hazardous alcohol use.
- Enhancing primary healthcare services, including cultural responsiveness and alcohol screening, is recommended.
- Addressing access barriers and promoting health are essential for reducing disparities in care.
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