Detección y prevalencia del trastorno por uso de alcohol en los centros de atención primaria de Cataluña

Miquel, Laia; Barrio, Pablo; Moreno-España, J.; Ortega, Lluïsa; Manthey, Jakob; Rehm, Jürgen; Gual, Antoni

doi:10.1016/j.aprim.2015.04.006

Cited by 5 publications

(4 citation statements)

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“…Similarly, previous European studies, such as PHEPA [21] (Primary Healthcare European Project of Alcohol), developed by the European Commission and the Department of Health of Catalonia, pointed to the need to promote alcohol prevention activities in the PC setting. In this context, a local study conducted in Catalonia [22] reflected that the lack of knowledge and specific training focused on the identification of at-risk alcohol use, hinders the implementation of the screening and treatment of these patients.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

et al. 2019

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Introduction Primary care (PC) professionals' knowledge about alcohol use has been identified as one of the barriers PC providers face in their clinic. Both PC professionals’ level of training and attitude are crucial in the clinical practice regarding alcohol use. Objective To evaluate the knowledge, attitude, and preventive practices of Spanish PC physicians and nurses towards alcohol use. Design An observational, descriptive, cross-sectional, multi-center study. Methodology Location: PC centers of the Spanish National Health System (NHS). Participants: PC physicians and nurses selected randomly from health care centers, and by sending an e-mail to semFYC and SEMERGEN members. Healthcare providers completed an online survey on knowledge, attitude, and follow-up recommendations for reducing alcohol intake. A descriptive, bivariate, and multivariate statistical analysis was conducted (p<0.05). Results Participants: 1,760 healthcare providers completed the survey (75.6% [95% CI 73.5–77.6] family physicians; 11.4% [95% CI 9.9–12.9] medical residents; and 12.5% [95% CI 10.9–14.1] nurses), with a mean age of 44.7 (SD 11.24, range: 26–64, 95% CI: 47.2–48.2). Knowledge was higher in family physicians (p<0.001), older professionals (Spearman's r = 0.11, p<0.001), and resident trainers (p<0.001). The PC professional most likely to provide advice for reducing alcohol use was: a nurse (p <0.001), female (p = 0.010), between 46 and 55 years old (p <0.001). Conclusions PC providers’ knowledge and preventive practices regarding alcohol use are scarce, hence specific training strategies to increase their knowledge and improve their attitude and skills with regard to this health problem should be considered a healthcare policy priority.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

et al. 2019

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“…In Spain, various local studies have identified the level of knowledge among healthcare professionals regarding alcohol consumption. A study in Catalonia revealed a low level of knowledge in addressing alcohol consumption, primarily due to a lack of training in the prevention of alcohol consumption [40].…”

Section: Discussionmentioning

confidence: 99%

Primary Care Professionals’ Empathy and Its Relationship to Approaching Patients with Risky Alcohol Consumption

Pérula-Jiménez,

Romero-Rodríguez,

Fernández-Solana

et al. 2024

Healthcare

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The aim of this study was to estimate the level of empathy among primary care (PC) health professionals and its relationship with their approach to patients at risk due to alcohol consumption. This is an observational, descriptive, and multicenter study that included 80 PHC professionals. The professionals completed a questionnaire comprising socio-occupational questions and inquiries regarding their actions when dealing with patients suspected of risky alcohol consumption. The Jefferson Scale of Empathy was used to measure their level of empathy and was completed by 80 professionals, of whom 57.5% were family physicians, 10% were nurses, and 32.5% were family- and community-medicine residents. The mean age was 39.5 ± 13.1 (SD) (range of 24–65 years) and 71.3% were females. The mean empathy level score was 112.9 ± 11.1 (95% CI: 110.4–115.4; range: 81–132 points). Actions that stood out for their frequency were providing health advice in the general population, offering advice to pregnant women, and recommending abstinence to users of hazardous machinery or motor vehicles. The level of empathy was associated with age (p = 0.029), the health center’s scope (p = 0.044), systematic alcohol exploration (p = 0.034), and follow-ups for patients diagnosed with risky consumption (p = 0.037). The mean score obtained indicated a high level of empathy among professionals. Professionals with greater empathy more frequently conducted systematic screening for risky alcohol consumption.

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“…Desde una perspectiva sanitaria en cambio, de estos datos se deduce precisamente lo contrario: la necesidad de intervenciones más tempranas con la finalidad, precisamente, de evitar la progresión de la enfermedad a niveles de mayor severidad. En este punto merece la pena destacar los datos de un estudio reciente (Miquel et al, 2015) donde se aprecia que los médicos de atención primaria reconocen más la dependencia del alcohol en pacientes de mayor edad, mientras que las entrevistas semiestructuradas como la CIDI identifican a este grupo de pacientes de manera más temprana. Todo esto, sumado a los enormes costes que la enfermedad supone para la sociedad (Rehm et al, 2009), hace resaltar la idea de implementar el cribado universal de la dependencia alcohólica mediante herramientas diseñadas para tal efecto en atención primaria, tal y como ya recomiendan múltiples Pablo Barrio, Laia Miquel, Jose Moreno-España, Alicia Martínez, Lluisa Ortega, Lidia Teixidor, Jakob Manthey, Jürgen Rehm, Antoni Gual…”

Section: Discussionunclassified

Alcohol in Primary Care. Differential characteristics between alcohol-dependent patients who are receiving or not receiving treatment

et al. 2016

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primary health care services for other reasons. The aim of the present study is to describe the differential characteristics of AD patients in primary care, distinguishing between those who receive treatment and those who do not, and their reasons for not seeking it. In a cross-sectional study patients were evaluated by their general practitioner (GP) and interviewed by a member of the research team. Sociodemographic, diagnostic and clinical data were collected. From 1,372 patients interviewed in Catalonia, 118 (8.6%) were diagnosed as AD. These patients showed a lower socioeconomic status (48.3% vs 33.3%, odds ratio 2.02), higher unemployment rates (32.2% vs 19.2 %, odds ratio 2.11), and greater psychological distress and disability. Patients with AD receiving treatment (16.9%), were older (44 vs 36 years of age), reported higher unemployment rates (66% vs 25.5%, odds ratio 6.32) and higher daily alcohol consumption (61.5 vs 23.7 grams), suggesting a more advanced disease. Patients with AD in general showed a higher degree of comorbidity compared to other patients, with patients in treatment showing the most elevated level. The main reasons given for not seeking treatment were shame, fear of giving up drinking and barriers to treatment. Taken together, the data suggest the need to implement earlier strategies for the detection and treatment of AD.

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Detección y prevalencia del trastorno por uso de alcohol en los centros de atención primaria de Cataluña

Abstract: GP recognise AUD better in the elderly with worst health conditions than CIDI. AUD and alcohol dependence prevalence is high in primary health care centres.

Cited by 5 publications

References 30 publications

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

Primary Care Professionals’ Empathy and Its Relationship to Approaching Patients with Risky Alcohol Consumption

Alcohol in Primary Care. Differential characteristics between alcohol-dependent patients who are receiving or not receiving treatment

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