Alcohol screening among young people: a prospective study from the Swiss Sentinel Surveillance System (Sentinella) of physicians' a priori opinions.

Détails

ID Serval
serval:BIB_94A3217D5DB1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Alcohol screening among young people: a prospective study from the Swiss Sentinel Surveillance System (Sentinella) of physicians' a priori opinions.
Périodique
Family practice
Auteur(s)
Wenger-Bonny C., N'goran A.A., Pasquier J., Dvorak C., Haller D.M., Herzig L.
ISSN
1460-2229 (Electronic)
ISSN-L
0263-2136
Statut éditorial
Publié
Date de publication
01/08/2017
Peer-reviewed
Oui
Volume
34
Numéro
4
Pages
423-429
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Systematic screening for excessive alcohol use among young people is recommended but rarely implemented. Family practitioners tend to select patients for screening, based on their preliminary subjective opinions, which may be biased.
To evaluate the ability of family practitioners to identify excessive alcohol use among young people prior to screening them.
This prospective study was conducted through Sentinella, an epidemiological network involving 150 family practitioners across Switzerland. All patients aged 10-24 years old, consulting participating physicians between January 1 and December 31, 2014 were eligible. First, physicians were asked to give their a priori opinion about patients' potential alcohol use. Subsequently, they asked two screening questions: (i) 'Do you drink alcohol?' and (ii) 'How many times have you had 5 (4 for girls) or more standard drinks in one day over the past year?'. Excessive alcohol use was defined as ≥1 episode of binge drinking a month. Physicians' a priori opinions were regarded as a screening test and were compared with patients' answers.
7723 patients were eligible for analysis. Their mean age (SD) was 17.3(4.0) years. The two screening questions identified 3559 (46.1%) and 509 (6.6%) patients who consumed alcohol occasionally and regularly, respectively. 406 patients (5.3%) reported excessive alcohol use. Physicians' a priori opinions had a sensitivity of 26.4% and a positive predictive value of 35.5% for the identification of excessive alcohol use.
The systematic use of a screening tool should be preferred over family practitioners' subjective opinions to identify excessive alcohol use in young people.
Mots-clé
Adolescent, Aged, Attitude, Binge Drinking/epidemiology, Family Practice, Female, Humans, Male, Physicians/psychology, Prospective Studies, Sentinel Surveillance, Switzerland/epidemiology, Young Adult, alcohol drinking, binge drinking, epidemiological monitoring, general practitioners, paediatrics
Pubmed
Web of science
Open Access
Oui
Création de la notice
04/04/2017 19:28
Dernière modification de la notice
20/08/2019 15:57
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