患者与医疗服务提供者的讨论 关于癌症史的酒精使用
Naomi K Greene1, David Dean1, Paul K J Han2
1Health Behaviors Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.
American journal of preventive medicine
|March 13, 2024
概括
癌症幸存者接受更多的酒精查和与医疗保健提供者的讨论. 然而,重度饮酒的幸存者很少被建议减少饮酒量,这表明在护理方面存在差距.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 药物使用障碍 药物使用障碍
背景情况:
- 美国预防服务特别工作组建议对所有成年人进行酒精查.
- 预计医疗保健提供者将与表现出危险饮酒模式的个人讨论酒精使用情况.
- 癌症幸存者之间对酒精查和讨论的程度仍然不清楚.
研究的目的:
- 为了比较癌症幸存者和非癌症对照者之间的酒精预查和提供者讨论的频率和内容.
- 确定癌症幸存者的酒精使用管理中的潜在差异.
主要方法:
- 分析了2015-2019年全国毒品使用和健康调查数据.
- 癌症幸存者与非癌症对照者之间的酒精预查和讨论流行率的比较.
- 多变量波桑回归调整为人口因素以估计流行率.
主要成果:
- 与非癌症对照组相比,癌症幸存者报告酒精预查 (78.4%) 和面对面讨论 (58.7%) 的流行率更高.
- 癌症幸存者更有可能在讨论期间被问及饮酒量.
- 只有15%的癌症幸存者大量饮酒 (每天3杯以上) 报告说,他们收到了减少饮酒的建议.
结论:
- 癌症幸存者更频繁地接受酒精使用查,并与医疗保健提供者进行讨论.
- 尽管查增加了,但医疗保健提供者很少建议重饮癌症幸存者减少饮酒.
- 需要改善癌症幸存者与危险饮酒模式的酒精减少咨询.
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