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Hazardous alcohol use: a cross-sectional study of cardiology patients in Sweden
Paul Welfordsson1, Anna-Karin Danielsson1, Caroline Björck2,3
1Department of Global Public Health, Karolinska Institutet, 11365, Solna, Stockholm, Sweden.
Insights
Hazardous alcohol use is common in cardiology patients, affecting about one in 12. Most cases may benefit from brief interventions rather than intensive alcohol dependence treatments.
Area of Science:
- Cardiology
- Addiction Medicine
- Public Health
Background:
- Alcohol use remains understudied in cardiac care settings.
- Investigating prevalence of hazardous alcohol use and dependence in cardiology patients is crucial.
- Understanding these patterns can inform targeted interventions.
Purpose of the Study:
- To determine the prevalence of hazardous alcohol use and probable alcohol dependence among cardiology patients.
- To identify demographic and lifestyle factors associated with hazardous alcohol use in this population.
- To guide treatment strategies for alcohol-related issues in cardiac patients.
Main Methods:
- A cross-sectional study was conducted across three Swedish regions.
- The Alcohol Use Disorders Identification Test (AUDIT-10) questionnaire assessed alcohol consumption.
- Logistic regression analysis examined associations with hazardous alcohol use.
Main Results:
- 1107 cardiology patients (median age 73 years, 66% men) were included.
- Hazardous alcohol use prevalence was 7.8% (primary definition), while probable alcohol dependence was 0.9%.
- Increased odds of hazardous use were observed in younger age groups, urban settings, and among those with unhealthy diets or overweight.
Conclusions:
- Approximately one in 12 cardiology patients exhibited hazardous alcohol use.
- Less than 1% showed probable alcohol dependence, suggesting limited need for intensive treatments.
- Findings support brief interventions for hazardous alcohol use in cardiology patients.
Background:
Alcohol use is understudied in cardiology settings. We investigated the prevalence of hazardous alcohol use and probable dependence among cardiology patients.
Methods:
Cross-sectional study in three regions of Sweden. Alcohol use was assessed using the AUDIT-10 questionnaire. We defined hazardous alcohol use as: AUDIT-10 ≥ 6 for women or ≥ 8 for men (primary definition) and probable dependence as AUDIT-10 ≥ 13 for women or ≥ 15 for men. We examined associations using logistic regression.
Results:
We included 1107 participants (median age = 73 years; range = 18-102; 66% men). The prevalence of hazardous alcohol use was 7.8% (95%CI = 6.2-9.3, primary definition) and 0.9% (95%CI = 0.3-1.5) had probable alcohol dependence. We found increased odds of hazardous alcohol use in: age groups 18-39 years (OR = 4.90, 95%CI = 1.41-17.08) and 40-64 years (OR = 4.02, 95%CI = 1.69-9.67) compared to ≥80 years; a city compared to a small town (OR = 2.44, 95%CI = 1.02-5.84); participants with unhealthy diets (OR = 2.37, 95%CI = 1.36-4.13), and overweight participants (OR = 2.25, 95%CI = 1.23-4.12).
Conclusions:
Hazardous alcohol use affected about one in 12 cardiology patients. However, less than 1 in 100 had probable alcohol dependence. Findings suggest that many cardiology patients with hazardous alcohol use are appropriate for brief interventions, and may not require more intensive alcohol dependence treatments.
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