Factors associated with favorable drinking outcome 12 months after hospitalization in a prospective cohort study of inpatients with unhealthy alcohol use.

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ID Serval
serval:BIB_2B50C1D85F4C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Factors associated with favorable drinking outcome 12 months after hospitalization in a prospective cohort study of inpatients with unhealthy alcohol use.
Périodique
Journal of General Internal Medicine
Auteur(s)
Bertholet Nicolas, Cheng Debbie M., Palfai Tibor P., Saitz Richard
ISSN
1525-1497[electronic], 0884-8734[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
25
Numéro
10
Pages
1024-1029
Langue
anglais
Résumé
BACKGROUND: Prevalence of unhealthy alcohol use among medical inpatients is high.
OBJECTIVE: To characterize the course and outcomes of unhealthy alcohol use, and factors associated with these outcomes. DESIGN: Prospective cohort study.
PARTICIPANTS: A total of 287 medical inpatients with unhealthy alcohol use.
MAIN MEASURES: At baseline and 12 months later, consumption and alcohol-related consequences were assessed. The outcome of interest was a favorable drinking outcome at 12 months (abstinence or drinking "moderate" amounts without consequences). The independent variables evaluated included demographics, physical/sexual abuse, drug use, depressive symptoms, alcohol dependence, commitment to change (Taking Action), spending time with heavy-drinking friends and receipt of alcohol treatment (after hospitalization). Adjusted regression models were used to evaluate factors associated with a favorable outcome.
KEY RESULTS: Thirty-three percent had a favorable drinking outcome 1 year later. Not spending time with heavy-drinking friends [adjusted odds ratio (AOR) 2.14, 95% CI: 1.14-4.00] and receipt of alcohol treatment [AOR (95% CI): 2.16(1.20-3.87)] were associated with a favorable outcome. Compared to the first quartile (lowest level) of Taking Action, subjects in the second, third and highest quartiles had higher odds of a favorable outcome [AOR (95% CI): 3.65 (1.47, 9.02), 3.39 (1.38, 8.31) and 6.76 (2.74, 16.67)].
CONCLUSIONS: Although most medical inpatients with unhealthy alcohol use continue drinking at-risk amounts and/or have alcohol-related consequences, one third are abstinent or drink "moderate" amounts without consequences 1 year later. Not spending time with heavy-drinking friends, receipt of alcohol treatment and commitment to change are associated with this favorable outcome. This can inform efforts to address unhealthy alcohol use among patients who often do not seek specialty treatment.
Mots-clé
Author Keywords: unhealthy alcohol use, medical inpatients, factors associated with drinking and consequences, randomized controlled-trial, emergency-department, medical inpatients, brief intervention, dependence, questionnaire, consumption, predictor, drinkers, recovery
Pubmed
Web of science
Open Access
Oui
Création de la notice
20/10/2010 15:53
Dernière modification de la notice
01/10/2019 6:17
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