General practitioners recognizing alcohol dependence: a large cross-sectional study in 6 European countries


27/1/2015
pubblicazioni scientifiche ARS Toscana 2015Autori: Rehm J, Allamani A, Vedova RD, Elekes Z, Jakubczyk A, Landsmane I, Manthey J,  Moreno-España J, Pieper L, Probst C, Snikere S, Struzzo P, Voller F, Wittchen HU, Gual A, Wojnar M.
Rivista: Ann Fam Med. 2015 Jan;13(1):28-32

PURPOSE: Although alcohol dependence causes marked mortality and disease burden in Europe, the treatment rate is low. Primary care could play a key role in reducing alcohol-attributable harm by screening, brief interventions, and initiating or referral to treatment. This study investigates identification of alcohol dependence in European primary care settings.

METHODS: Assessments from 13,003 general practitioners, and 9,098 interviews (8,476 joint number of interviewed patients with a physician's assessment) were collected in 6 European countries. Alcohol dependence, comorbidities, and health service utilization were assessed by the general practitioner and independently using the Composite International Diagnostic Interview (CIDI) and other structured interviews. Weighted regression analyses were used to compare the impact of influencing variables on both types of diagnoses.

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