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Predictors for hidden problem drinkers in general practice

M Cornel1, R A Knibbe, J A Knottnerus

  • 1Department of General Practice, University of Limburg, Maastricht, The Netherlands.

Alcohol and Alcoholism (Oxford, Oxfordshire)
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

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General practitioners can identify patients at risk of problem drinking using readily available data like gender and smoking habits. This approach enhances screening efficiency and patient acceptance, avoiding universal questioning about alcohol consumption.

Area of Science:

  • General Practice
  • Public Health
  • Addiction Medicine

Background:

  • General practice attenders in The Netherlands are not routinely screened for drinking habits.
  • Early identification of problem drinking is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To assess the utility of easily obtainable patient data (age, gender) for identifying individuals at risk of problem drinking.
  • To improve the efficiency and acceptability of screening for problem drinking in primary care settings.

Main Methods:

  • A study involving 16 general practices and 32,000 patients over one year.
  • Inclusion of known problem drinkers and a random sample of non-problem drinkers, identified via screening questionnaire.
  • Analysis of demographic and lifestyle factors as predictors of hidden problem drinking.

Related Experiment Videos

Main Results:

  • Problem drinking was identified in 6% of patients initially deemed non-problem drinkers.
  • Male gender, smoking, significant life events, and chronic social problems were key non-alcohol-related predictors.
  • Pre-selection based on these factors proved more effective than universal screening.

Conclusions:

  • Patient risk stratification for problem drinking is feasible using non-alcohol-specific data.
  • Targeted screening enhances case-finding effectiveness and improves patient and clinician acceptance.
  • This strategy optimizes resource allocation in general practice for addressing alcohol-related issues.