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At-risk drinking in an HMO primary care sample: prevalence and health policy implications
M F Fleming1, L B Manwell, K L Barry
1Center for Addiction Research and Education, University of Wisconsin-Madison, USA.
Objectives:
This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria.
Methods:
A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults).
Results:
The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to 19.7% (National Institute on Alcohol Abuse and Alcoholism criteria). A stepwise logistic model using National Institute on Alcohol Abuse and Alcoholism criteria found male gender, current tobacco use, never married status, retirement, and unemployment to be significant predictors of at-risk alcohol use.
Conclusions:
Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers.