酒精和吸烟短暂干预根据社会经济地位:一个以人口为基础的,横截面研究在英国
Vera Helen Buss1,2, Sharon Cox3,2, Graham Moore2,4
1Department of Behavioural Science and Health, University College London, London, UK v.buss@ucl.ac.uk.
BJGP open
|August 7, 2023
概括
对酒精和吸烟的短期干预 (BIs) 是有效的,但在一般实践中未得到充分利用. 在社会经济上处于劣势的个人获得更多的酒精和吸烟BI,虽然吸烟BI协会没有统计学意义.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 健康上的不平等 卫生上的不平等
背景情况:
- 在一般实践中提供的简短干预措施 (BIs) 是减少与酒精和吸烟有关的伤害的既定方法.
- 了解这些干预措施的采用和公平性对于公共卫生战略至关重要.
研究的目的:
- 确定英格兰,苏格兰和威尔士的自报告BI增加/更高风险饮酒和过去一年吸烟的流行率.
- 检查收到这些BI与社会经济地位之间的关联.
主要方法:
- 一项横截面研究利用了2020-2022年间通过电话调查的47799名参与者的自我报告数据.
- 包括15573名增加/高风险饮酒者和7791名过去一年的吸烟者.
- 使用后勤回归分析来评估BI收件与社会经济地位之间的关联.
主要成果:
- 32.2%的人表示饮酒增加/风险更高,17.7%的人表示过去一年吸烟.
- 在符合条件的个人中,4.1%的饮酒者和41.0%的吸烟者报告在一般医疗咨询期间接受了BI.
- 一个趋势表明,来自社会经济弱势背景的患者接受了更多的酒精 (aOR 1.38) 和吸烟 (aOR 1.11) BIs,尽管后者在统计学上并不显著.
结论:
- 在一般诊所中,对吸烟的短期干预比对酒精的干预更为普遍.
- 酒精BI不成比例地交付给来自社会经济弱势背景的个人,这些人正在增加或更高风险的饮酒者.
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