Alcohol use disorders in Europe: A comparison of general population and primary health care prevalence rates.

Aims. Alcohol use disorders (AUDs) are prevalent in Europe but occurrence in primary care and the proportion of treated cases are understudied. This study reports prevalence of AUDs and their treatment in European primary health care settings and compares them with general population estimates.Proce...

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Publicado en:Journal of Substance Use Vol. 21; no. 5; pp. 478 - 485
Autores principales: Manthey, Jakob, Gual, Antoni, Jakubczyk, Andrzej, Pieper, Lars, Probst, Charlotte, Struzzo, Pierluigi, Trapencieris, Marcis, Wojnar, Marcin, Rehm, Jürgen
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/14659891.2015.1063719
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        atl: Alcohol use disorders in Europe: A comparison of general population and primary health care prevalence rates.
      aug:
        au:
          Manthey, Jakob
          Gual, Antoni
          Jakubczyk, Andrzej
          Pieper, Lars
          Probst, Charlotte
          Struzzo, Pierluigi
          Trapencieris, Marcis
          Wojnar, Marcin
          Rehm, Jürgen
        affil: Institute of Clinical Psychology and Psychotherapy & Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universität Dresden, Dresden, Germany
      sug:
        subj:
          Alcohol Abuse Epidemiology
          Alcohol Abuse Therapy
          Primary Health Care
          Human
          Europe
          Prevalence
          Semi-Structured Interview
          Interview Guides
          Questionnaires
          Adolescence
          Adult
          Middle Age
          Germany
          Poland
          Italy
          Hungary
          Spain
          Latvia
          Odds Ratio
          Confidence Intervals
          Chi Square Test
          Help Seeking Behavior
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: Aims. Alcohol use disorders (AUDs) are prevalent in Europe but occurrence in primary care and the proportion of treated cases are understudied. This study reports prevalence of AUDs and their treatment in European primary health care settings and compares them with general population estimates.Procedure. We sampled 358 general practitioners (GPs, refusal rate: 56.4%) across six European countries (Germany, Hungary, Italy, Latvia, Poland, and Spain) who assessed 13,003 patients including providing AUD diagnoses. A subsample of 8,476 patients (refusal rate: 17.8%) was interviewed subsequently, assessing DSM-IV AUD diagnoses via the Composite International Diagnostic Interview. Final AUD diagnoses combined GP and patient interview information.Findings. Past year AUDs were prevalent with 11.8% (95% CI: 11.2–12.5%) across all regions, which is 1.6 times the European general population AUD estimate. Of those diagnosed with AUDs, 17.7% (95% CI: 15.4–20.0%) received professional help. Compared to general population estimates, AUDs and their treatment were more prevalent in primary care settings in most countries, with disproportionally high AUD rates in Italy and Spain and unexpectedly low AUD rates in Hungary.Conclusions. We found higher prevalence and treatment rates of AUDs in primary health care compared to general population surveys, with large variability between the observed countries.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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