دورية أكاديمية
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Prevalence of hazardous drinking and suspected alcohol dependence in Japanese primary care settings.

التفاصيل البيبلوغرافية
العنوان: Prevalence of hazardous drinking and suspected alcohol dependence in Japanese primary care settings.
المؤلفون: So R; Okayama Psychiatric Medical Center, Okayama, Japan; CureApp, Inc., Tokyo, Japan; Departments of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Kyoto, Japan; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan. Electronic address: nexttext@gmail.com., Kariyama K; Department of Gastroenterology, Okayama City Hospital, Okayama, Japan., Oyamada S; Department of Biostatistics, JORTC Data Center, Tokyo, Japan., Matsushita S; National Hospital Organization Kurihama Medical and Addiction Center, Yokosuka, Kanagawa, Japan., Nishimura H; Okayama Psychiatric Medical Center, Okayama, Japan; CureApp, Inc., Tokyo, Japan., Tezuka Y; Department of Psychiatry, Okinawa Rehabilitation Center Hospital, Okinawa, Japan., Sunami T; Saga Prefecture Medical Center Koseikan, Saga, Japan., Furukawa TA; Office of Institutional Advancement and Communications, Kyoto University, Kyoto, Japan; Kyoto University, Graduate School of Medicine / School of Public Health, Kyoto, Japan., Kawaguchi M; Kawaguchi Medical Clinic, Okayama, Japan., Kobashi H; Department of Hepatology, Japanese Red Cross Okayama Hospital, Okayama, Japan., Nishina S; Department of Gastroenterology and Hepatology, Kawasaki Medical School, Okayama, Japan., Otsuka Y; Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan., Tsujimoto Y; Departments of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Kyoto, Japan; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan; Oku Medical Clinic, Osaka, Japan., Horie Y; Keiai Clinic, Tokyo, Japan., Yoshiji H; Department of Gastroenterology, Nara Medical University, Nara, Japan., Yuzuriha T; National Hospital Organization Hizen Psychiatric Medical Center, Saga, Japan; Chikugo Yoshii Cocoro Hospital, Fukuoka, Japan., Nouso K; Department of Gastroenterology, Okayama City Hospital, Okayama, Japan.
المصدر: General hospital psychiatry [Gen Hosp Psychiatry] 2024 Jul-Aug; Vol. 89, pp. 8-15. Date of Electronic Publication: 2024 Apr 04.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Elsevier/North-Holland Country of Publication: United States NLM ID: 7905527 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7714 (Electronic) Linking ISSN: 01638343 NLM ISO Abbreviation: Gen Hosp Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, Elsevier/North-Holland.
مواضيع طبية MeSH: Alcoholism*/epidemiology , Primary Health Care*/statistics & numerical data, Humans ; Male ; Adult ; Female ; Middle Aged ; Japan/epidemiology ; Cross-Sectional Studies ; Aged ; Prevalence ; Young Adult ; Alcohol Drinking/epidemiology ; East Asian People
مستخلص: Objective: We aimed to assess the prevalence of hazardous drinking and potential alcohol dependence among Japanese primary care patients, and their readiness to change and awareness of others' concerns.
Methods: From July to August 2023, we conducted a multi-site cross-sectional study as a screening survey for participants in a cluster randomized controlled trial. The trial included outpatients aged 20-74 from primary care clinics. Using the Alcohol Use Disorders Identification Test (AUDIT) alongside a self-administered questionnaire, we evaluated the prevalence of hazardous drinking and suspected alcohol dependence, patients' readiness to change, and their awareness of others' concerns.
Results: Among the 1388 participants from 18 clinics, 22% (95% confidence interval (CI): 20% to 24%) were identified as engaging in hazardous drinking or suspected of being alcohol dependent. As the AUDIT scores increased, so did their readiness to change. However, only 22% (95%CI: 16% to 28%) of those with scores ranging from 8 to 14 reported that others, including physicians, had expressed concerns about their drinking during the past year. For those with scores of 15 or higher, the figure was 74%.
Conclusions: This study underscores the need for universal or high-risk alcohol screening and brief intervention in Japanese primary care settings. Trial registry UMIN-CTR (https://www.umin.ac.jp/ctr/) (UMIN000051388).
Competing Interests: Declaration of competing interest RS and HN were employees of CureApp, Inc. during the conduct of the study. RS reports grants from Osake-no-Kagaku Foundation, grants from The Mental Health Okamoto Memorial Foundation, grants from Kobayashi Magobe Memorial Medical Foundation, personal fees from Otsuka Pharmaceutical Co., Ltd., Nippon Shinyaku Co., Ltd., Takeda Pharmaceutical Co., Ltd., and Sumitomo Pharma Co., Ltd. outside the submitted work; In addition, RS has a patent JP2022049590A, US20220084673A1 pending, a patent JP2022178215A pending, a patent JP2022070086 pending, and a patent JP2023074128A pending. TAF reports personal fees from Boehringer-Ingelheim, Daiichi Sankyo, DT Axis, Kyoto University Original, Shionogi, SONY and UpToDate, and a grant from DT Axis and Shionogi, outside the submitted work; In addition, TAF has patents 2020–548,587 and 2022–082495 pending, and intellectual properties for Kokoro-app licensed to Mitsubishi-Tanabe. YH and HY report personal fees from Otsuka Pharmaceutical and Cure App Inc. outside the submitted work. SM has received a research grant from Asahi Quality & Innovations, Ltd. and has received speaker's honoraria from EA Pharma, Otsuka Pharmaceutical, Yoshitomi Yakuhin, Eisai, Nippon Shinyaku, Otsuka Pharmaceutical and MSD, and personal fees for coordinating a pivotal study from Cure App Inc. outside the submitted work within the past three years. YT reports personal fees from Otsuka Pharmaceutical Co., MSD K.K. TY reports personal fees from Otsuka Pharmaceutical, Cure App Inc., and Nippon Shinyaku Co., Ltd. outside the submitted work. KN received personal fees for coordinating a pivotal study from Cure App Inc. outside the submitted work. Other authors report no conflict of interest.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Alcohol dependence; Alcohol use disorders identification test; Hazardous drinking; Japan; Prevalence; Primary care; Public health
تواريخ الأحداث: Date Created: 20240424 Date Completed: 20240612 Latest Revision: 20240612
رمز التحديث: 20240613
DOI: 10.1016/j.genhosppsych.2024.04.002
PMID: 38657355
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-7714
DOI:10.1016/j.genhosppsych.2024.04.002