Relation of Patient's Opinion of Alcohol's Health Effects and Drinking Habits Among Hospitalized Patients With Cardiovascular Disease

Medling, Theodore; Gobeil, Kyle; Sawalha, Khalid; Abozenah, Mohammed; Tavares, Paolo; Friedmann, Peter D.; Naimi, Timothy S.; Pack, Quinn R.

doi:10.1016/j.amjcard.2022.06.033

Cited by 5 publications

(21 citation statements)

References 20 publications

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“…In addition, long-term alcohol consumption will affect the metabolism of sugars and fats in the body, resulting in elevated triglycerides, obesity and hypertriglyceridemia in patients, thus increasing the risk of CVD. Other studies have shown that there is a causal relationship between alcohol consumption and CVD risk, and the trend is basically linear [42].…”

Section: Preliminary Selection Of Indicators For Risk Assessment Of Cvdmentioning

confidence: 86%

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Machine Learning-Based Decision-Making Mechanism for Risk Assessment of Cardiovascular Disease

Wang,

Zhu,

Rao

2024

Computer Modeling in Engineering &Amp; Sciences

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Cardiovascular disease (CVD) has gradually become one of the main causes of harm to the life and health of residents. Exploring the influencing factors and risk assessment methods of CVD has become a general trend. In this paper, a machine learning-based decision-making mechanism for risk assessment of CVD is designed. In this mechanism, the logistics regression analysis method and factor analysis model are used to select age, obesity degree, blood pressure, blood fat, blood sugar, smoking status, drinking status, and exercise status as the main pathogenic factors of CVD, and an index system of risk assessment for CVD is established. Then, a two-stage model combining K-means cluster analysis and random forest (RF) is proposed to evaluate and predict the risk of CVD, and the predicted results are compared with the methods of Bayesian discrimination, K-means cluster analysis and RF. The results show that the prediction effect of the proposed two-stage model is better than that of the compared methods. Moreover, several suggestions for the government, the medical industry and the public are provided based on the research results.

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Section: Preliminary Selection Of Indicators For Risk Assessment Of Cvdmentioning

confidence: 86%

“…Based on some existing relative work [1][2][3][4][5][37][38][39][40][41][42], the risk assessment indicators of CVD are selected initially as follows:…”

Section: Preliminary Selection Of Indicators For Risk Assessment Of Cvdmentioning

confidence: 99%

Machine Learning-Based Decision-Making Mechanism for Risk Assessment of Cardiovascular Disease

Wang,

Zhu,

Rao

2024

Computer Modeling in Engineering &Amp; Sciences

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“…These risks appear to be greatest among young adults [ 8 ]. Despite a shift towards alcohol use being considered an important modifiable cardiovascular risk factor [ 9 ], the purported ‘healthy heart’ effects of moderate drinking have received extensive media coverage and appear to have reached the attention of patients with cardiovascular diseases (CVDs) [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…In spite of widespread reports of alcohol’s purported cardiovascular effects, there has been remarkably little research on how risks of alcohol consumption are perceived by adults with CVDs [ 10 , 19 ]. Studies to date are restricted to the US, limiting generalizability to other contexts.…”

Section: Introductionmentioning

confidence: 99%

“…One survey, conducted during 2013–2014, found that 31% of participants were unsure whether alcohol affects the heart, while 30% viewed alcohol as good for the heart and 39% as unhealthy for the heart [ 19 ]. A more recent study of 290 patients hospitalized with acute cardiac events found that 69% of respondents had heard that that moderate alcohol consumption is good for the heart [ 10 ]. Most respondents who reported having heard about beneficial cardiovascular effects of alcohol indicated that they had done so via lay press [ 10 , 19 ], followed by family/friends.…”

Section: Introductionmentioning

confidence: 99%

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Mixed messages? Exposure to reports about alcohol’s suggested cardiovascular effects and hazardous alcohol use: a cross-sectional study of patients in cardiology care

Welfordsson,

Danielsson,

Björck

et al. 2024

BMC Public Health

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Background Hazardous alcohol use is a leading risk factor for disability and death, yet observational studies have also reported reduced cardiovascular disease mortality among regular, low-level drinkers. Such findings are refuted by more recent research, yet have received significant media coverage. We aimed to explore: (1) how patients with cardiovascular diseases access health information about moderate drinking and cardiovascular health; (2) the perceived messages these sources convey, and (3) associations with own level of alcohol use. Methods We conducted a cross-sectional survey of patients in cardiology services at three hospitals in Sweden. The study outcome was hazardous alcohol use, assessed using the AUDIT-C questionnaire and defined as ≥ 3 in women and ≥ 4 in men. The exposure was accessing information sources suggesting that moderate alcohol consumption can be good for the heart, as opposed to accessing information that alcohol is bad for the heart. Health information sources were described using descriptive statistics. Gender, age and education were adjusted for in multiple logistic regression analyses. Results A total of 330 (66.3%) of 498 patients (mean age 70.5 years, 65% males) who had heard that drinking moderately can affect the heart described being exposed to reports that moderate alcohol use can be good for the heart, and 108 (21.7%) met criteria for hazardous alcohol use. Health information sources included newspapers (32.9%), television (29.2%), healthcare staff (13.4%), friends/family (11.8%), social media (8.9%) and websites (3.7%). Participants indicated that most reports (77.9%) conveyed mixed messages about the cardiovascular effects of moderate drinking. Exposure to reports of healthy heart effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use (OR = 1.67, 95%CI = 1.02–2.74). Conclusions This study suggests that many patients in cardiology care access health information about alcohol from media sources, which convey mixed messages about the cardiovascular effects of alcohol. Exposure to reports that moderate drinking has protective cardiovascular effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use. Findings highlight a need for clear and consistent messages about the health effects of alcohol.

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Mixed messages? Information about cardiovascular health and alcohol use: a cross-sectional study of patients in cardiology care

Wallhed Finn,

Welfordsson,

Bjorck

et al. 2024

European Journal of Preventive Cardiology

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Background Hazardous alcohol use is a leading risk factor for disability and death, yet observational studies have also reported reduced cardiovascular disease mortality among regular, low-level drinkers. Such findings are refuted by more recent research, yet have received significant media coverage. There has been little research on how adults with cardiovascular disease access information and how they perceive risks of alcohol consumption. Studies to date are restricted to the United States, limiting generalizability to other contexts. Purpose To explore: 1) how patients with cardiovascular diseases access health information about moderate drinking and cardiovascular health; 2) the perceived messages these sources convey, and 3) associations with own level of alcohol use. Method We conducted a cross-sectional survey of patients in cardiology services at three hospitals in three different regions in Sweden. The study outcome was hazardous alcohol use, assessed using the Alcohol Use Disorders Identification Test-C questionnaire and defined as ≥3 in women and ≥4 in men. The exposure was accessing information sources suggesting that moderate alcohol consumption can be good for the heart, as opposed to accessing information that alcohol is bad for the heart. Health information sources were described using descriptive statistics. Gender, age and education were adjusted for in multiple logistic regression analyses. Results From 1230 eligible patients, 83% responded to relevant survey questions. Of these, 48.6% had heard that drinking moderately can affect the heart (mean age 70.5 years, 65% males). A total of 330 (62.3%) patients who had heard that drinking moderately can affect the heart described being exposed to reports that moderate alcohol use can be good for the heart, and 108 (21.7%) met criteria for hazardous alcohol use. Health information sources included newspapers (32.9%), television (29.2%), healthcare staff (13.4%), friends/family (11.8%), social media (8.9%) and websites (3.7%). Participants indicated that most reports (77.9%) conveyed mixed messages about the cardiovascular effects of moderate drinking. Exposure to reports of healthy heart effects was associated with increased odds of hazardous alcohol use (odds ratio=1.67, 95% confidence interval=1.02–2.74). Conclusions This study suggests that many patients in cardiology care access health information about alcohol from media sources, which convey mixed messages about the cardiovascular effects of alcohol. Exposure to reports suggesting that moderate drinking has protective cardiovascular effects was associated with increased odds of hazardous alcohol use. Findings highlight a need for clear and consistent messages about the health effects of alcohol. Table Health information sources

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Relation of Patient's Opinion of Alcohol's Health Effects and Drinking Habits Among Hospitalized Patients With Cardiovascular Disease

Cited by 5 publications

References 20 publications

Machine Learning-Based Decision-Making Mechanism for Risk Assessment of Cardiovascular Disease

Machine Learning-Based Decision-Making Mechanism for Risk Assessment of Cardiovascular Disease

Mixed messages? Exposure to reports about alcohol’s suggested cardiovascular effects and hazardous alcohol use: a cross-sectional study of patients in cardiology care

Mixed messages? Information about cardiovascular health and alcohol use: a cross-sectional study of patients in cardiology care

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