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Cited by 62Substance Abuse Treatment and OutcomesMental Health Treatment and AccessAlcohol Consumption and Health Effects

Low identification of alcohol use disorders in general practice in England

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Cheeta, Survjit, Drummond, Colin, Oyefeso, Adenekan, Phillips, Tom, Deluca, Paolo, Perryman, Katherine, Coulton, Simon·2008·Addiction
DOI 10.1111/j.1360-0443.2008.02198.x
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Abstract

Aims The prevalence of alcohol use disorders (AUDs) in the United Kingdom is estimated at 25%, and primary care has been identified as the first line of treatment for this population. However, there is a paucity of evidence regarding the current rates of identification of AUDs in primary care. The aim of the present study was to compare the observed rates of AUDs in general practice with expected rates, which are based on general population prevalence rates of AUDs. Design, participants and measurements Epidemiological data on individuals aged 16–64 years with an AUD was obtained from the General Practice Research Database. General population prevalence rates of AUDs were obtained from the Psychiatric Morbidity Survey. χ 2 tests and identification ratios were used to analyse the data. Results There was a significant relationship between type of AUD and identification (χ 2 = 1466.89, P < 0.001), and general practitioners were poorer at identifying harmful/hazardous drinkers when compared with dependent drinkers. No gender differences in the identification of hazardous/harmful drinking were found, but female dependent drinkers were significantly more likely to be identified than males (identification ratio 0.07; 95% confidence interval 0.06–0.07). The identification of AUDs was significantly lower for the 16–24‐year age group compared with all other age groups. Conclusion Despite attempts at targeting hazardous/harmful drinkers for brief interventions in primary care, the present findings suggest that this group are still under‐identified. Furthermore, this under‐identification is even more apparent in men and in young people who have high general population prevalence rates for AUDs. In conclusion, increasing identification rates could be incorporated into brief intervention strategies in primary care.

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Authors
Cheeta, S., Drummond, C., Oyefeso, A., Phillips, T., Deluca, P., Perryman, K., & Coulton, S.
Affiliations
  • Brunel University of London (GB)
  • St George's, University of London (GB)
  • University of York (GB)
Corresponding author
Cheeta, Survjit
ORCID
Venue
Addiction
Publisher
Wiley
Published
2008-04-14
Volume
103
Issue
5
Pages
766-773
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2008.02198.x
OpenAlex
W2071737870
Cited by
62
References
41
Citations by year
2023: 2 · 2022: 5 · 2021: 9 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 3 · 2016: 5 · 2015: 1 · 2013: 5 · 2012: 9
FWCI
2.47
Type
journal article
Language
en
Open access
Licence
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
  • Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
  • Repository@Hull (Worktribe) (University of Hull) (submittedVersion)
  • Kent Academic Repository (University of Kent) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
National Institute for Health and Care Research
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
alcoholism, underidentification, general practice, primary care, hazardous drinking, brief intervention, youth, gender differences, alcohol use prevalence
MeSH terms
Adolescent, Adult, England, Family Practice, Female, Humans, Male, Middle Aged, Sex Factors, Alcohol-Related Disorders, Needs Assessment

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