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Cited by 24Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsHomelessness and Social Issues

L’alcool en France et ses conséquences médicales et sociales : regard de l’entourage et des médecins généralistes

Hoertel, N., Crochard, A., Rouillon, F., Limosin, F.·2014·L'Encéphale
DOI 10.1016/j.encep.2014.02.008
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Abstract

Background Data on the frequency of high-risk alcohol consumption and its medical and social consequences in the French general population remain fragmented. Therefore, our aim was two-fold: (i) to assess the prevalence of different patterns of alcohol consumption using the AUDIT-C scale, according to two different perspectives, i.e., that of family circle members or friends, and that of the general practitioners (GPs), and (ii) to examine the prevalence of medical and social consequences associated with alcohol consumption profiles.Method Data were drawn from two national surveys conducted in 2013. Investigators were respectively GPs and family circle members or friends. These surveys were respectively representative of GPs (n=1308) and of the general adult population (n=1018).Results The 12-month prevalence rates of harmful or at risk alcohol consumption rose respectively to 11.1% in the GPs adult patients and to 11.9% in the general adult population. The majority of participants with "at risk" alcohol consumption presented with significant social and medical consequences. Thus, more than seven out of ten participants with chronic at risk consumption endorsed significant negative social event potentially associated with alcohol like withdrawal of driving licence, getting divorced or separated, and losing friends. Over 10% of these participants had liver disease and diabetes mellitus, more than 30% increased blood pressure and nearly 50% anxiety disorder or major depression. Following adjustments for sociodemographic characteristics and alcohol treatment, prevalences of numerous social and medical consequences significantly differed between alcohol-dependent participants, chronic at risk consumers and episodic at risk consumers.Conclusions Our results suggest that more than one adult out of ten in France showed during the past year harmful or "at risk" alcohol consumption, which appears insufficiently detected and treated. In addition, the majority of at risk alcohol consumers already presents with serious medical and social consequences. Furthermore, we found that AUDIT-C scale can identify different patterns of alcohol consumption, which form a continuum in terms of medical and social consequences. Our study indicates the need for vigorous education efforts for the public, professionals and policy makers about alcohol use disorders, to encourage help-seeking among those who cannot stop drinking despite considerable harm to themselves and others, and ideally to promote early detection and treatment of individuals with at risk alcohol consumption before the development of social and medical consequences and alcohol dependence.

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Authors
Hoertel, N., Crochard, A., Rouillon, F., & Limosin, F.
Affiliations
Inserm (FR)
Corresponding author
Hoertel, N.
ORCID
Venue
L'Encéphale
Publisher
Elsevier BV
Published
2014-04
Volume
40
Pages
S11-S31
ISSN
0013-7006 (ISSN-L)
DOI
10.1016/j.encep.2014.02.008
OpenAlex
W2340401793
Cited by
24
References
23
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 1 · 2019: 1 · 2018: 4 · 2016: 2 · 2015: 2 · 2014: 2
FWCI
1.51
Type
journal article
Language
fr
Open access
closed
Locations
  • L Encéphale (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
alcohol consumption, hazardous drinking, prevalence, AUDIT-C, general practitioners, liver disease, hypertension, depression, anxiety disorders, diabetes mellitus, alcohol prevention, France, adults, cross-sectional survey, primary care patients, general adult population
MeSH terms
Adolescent, Adult, Aged, Alcoholism, Automobile Driving, Cross-Sectional Studies, Divorce, Female, France, Health Surveys, Humans, Life Change Events, Male, Mass Screening, Middle Aged, Surveys and Questionnaires, Social Adjustment, Social Isolation, Caregivers, Risk Assessment, Alcohol-Related Disorders, Young Adult, General Practice

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