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Alcohol prevention activity in Swedish primary health care and occupational health services: Asking patients about their drinking
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. (Landstinget i Östergötland; Local Health Care Services in the West of Östergötland; Department of Acute Internal Medicine MH; Närsjukvården i västra Östergötland; Akutmottagningen LiM)
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2008 (English)In: Nordic Studies on Alcohol and Drugs, Vol. 25, no 6, 489-504 p.Article in journal (Refereed) Published
Abstract [en]

Aims

To investigate the alcohol preventive activity in Swedish Occupational health services (OHS) and Primary health care (PHC) in relation to education in handling risky drinking, perceived skills in achieving change in patients’ alcohol habits, and knowledge in alcohol issues among the physicians and nurses in these two settings.

Design and Methods

All Swedish physicians and nurses in OHS and PHC having the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 313 OHS physicians (response rate 54%), 759 OHS nurses (69%), 1821 PHC physicians (47%), and 3125 PHC nurses (55%). Regression analyses were used to assess the independent and interacting effects of skills, knowledge, education, sex, age, and years in practice, patient encounters per week, and location of unit.

Results

OHS professionals were more active in initiating discussions about alcohol with their patients than their colleagues in PHC. OHS professionals considered themselves more skilful and knowledgeable than PHC professionals. OHS nurses and PHC physicians were the professional categories that had received most education in handling risky drinking. Skills were positively associated with activity for all categories except OHS physicians. Knowledge and education were positively associated with activity for all categories except OHS nurses.

Conclusions

OHS professionals were more active than the PHC professionals in addressing alcohol issues with their patients. Education, knowledge, and skills were positively associated with activity for most professional categories in the two settings.

 

Place, publisher, year, edition, pages
2008. Vol. 25, no 6, 489-504 p.
Keyword [en]
Occupational health care, primary health care, alcohol intervention, risk consumption, Sweden
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-16804OAI: oai:DiVA.org:liu-16804DiVA: diva2:174179
Available from: 2009-02-19 Created: 2009-02-19 Last updated: 2009-03-02Bibliographically approved
In thesis
1. Addressing Alcohol: Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
Open this publication in new window or tab >>Addressing Alcohol: Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Att tala om alkohol
Abstract [en]

Alcohol consumption in Sweden has reached its highest levels of the past 100 years in the wake of the country’s entry into the European Union in 1995. Increased alcohol prevention efforts in Swedish health care settings have been given high priority by the authorities. The Swedish parliament’s national action plan up to 2010 emphasises that public health must be protected by achieving reductions in alcohol consumption and limiting the negative physical, psychological, and social effects of alcohol.

This thesis aims to investigate various aspects related to the current alcoholpreventive activity in 2006 among health care professionals in three important health care settings: primary health care (PHC), occupational health services (OHS), and maternity health care (MHC). The thesis includes four studies based on a total population mail questionnaire survey.

Results from the studies show that alcohol issues in both PHC and OHS were addressed less frequently than all other lifestyle issues, i.e. smoking, physical activity, overweight, and stress. Important barriers to alcohol-preventive activity in these settings were perceived lack of time, scepticism regarding the effectiveness of addressing the issue of alcohol, fear of potentially negative patient responses, uncertainty about how to ask, uncertainty about how to give advice regarding alcohol, and uncertainty concerning where to refer the patient.

OHS professionals generally considered themselves more skilful than their PHC counterparts in achieving change in patients’ alcohol habits and more knowledgeable about providing advice to patients with risky alcohol consumption. The overall frequency of initiating discussions about alcohol with patients in PHC and OHS was positively associated with self-assessed skills, knowledge, and education for all professional categories.

Slightly more than one-third of the MHC midwives used a questionnaire to assess the woman’s alcohol intake before the pregnancy; AUDIT was the most commonly used questionnaire. Their perceived knowledge concerning alcohol and pregnancy matters was generally high, but the midwives considered themselves less proficient at detecting pregnant women with risky alcohol consumption before the pregnancy.

MHC midwives had participated in more continuing professional education in handling risky drinking than all other categories investigated. PHC nurses was the category that had the highest proportion of professionals who lacked education in handling risky drinking. Professionals in PHC, OHS, and MHC to a large extent believed that provision of more knowledge about counselling techniques to use when alcohol-related symptoms are evident could facilitate increased alcohol intervention activity.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 97 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1094
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-16815 (URN)978-91-7393-714-6 (ISBN)
Public defence
2009-03-06, Hälsans hus, ingång 16, Campus US, Linköpings Universitet , Linköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2009-02-19 Created: 2009-02-19 Last updated: 2009-04-17Bibliographically approved

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Holmqvist, MarikaBendtsen, Preben Nilsen, Per

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