Abstract
Patients from 47 group practices recruited from the Medical Research Council's general practice research framework participated in a study involving the collection of information about smoking, drinking, exercise and dieting and weight. This paper is concerned with the data on alcohol consumption obtained in the first stage of the study in which a self-administered questionnaire, the health survey questionnaire, was distributed by hand or by post to patients registered with the participating practices.
Of the 25496 men who completed the questionnaire, 83.6% stated that they had been drinking in the previous three months compared with 69.2% of the 36657 women. For both sexes, abstinence rates were significantly lower in the younger age groups (P<O.001). Of the men, 7.6% admitted to a weekly alcohol consumption of 35 units or more and 2.7% women were drinking 21 units per week or more.
Of the 1948 male excessive drinkers 45.9% expressed concern about their drinking through a positive CAGE response and/or self assessment of a drinking problem, while for the 989 female excessive drinkers the figure was 44.1%. A positive response to these questions was strongly related to alcohol consumption and was more frequent among women than men at most levels of consumption.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson P., Cremona A., Wallace P. What are safe levels of alcohol consumption? Br Med J (Clin Res Ed) 1984 Dec 15;289(6459):1657–1658. doi: 10.1136/bmj.289.6459.1657. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Babor T. F., Ritson E. B., Hodgson R. J. Alcohol-related problems in the primary health care setting: a review of early intervention strategies. Br J Addict. 1986 Feb;81(1):23–46. doi: 10.1111/j.1360-0443.1986.tb00291.x. [DOI] [PubMed] [Google Scholar]
- Coates R. A., Halliday M. L., Rankin J. G., Feinman S. V., Fisher M. M. Risk of fatty infiltration or cirrhosis of the liver in relation to ethanol consumption: a case-control study. Clin Invest Med. 1986;9(1):26–32. [PubMed] [Google Scholar]
- Cummins R. O., Shaper A. G., Walker M., Wale C. J. Smoking and drinking by middle-aged British men: effects of social class and town of residence. Br Med J (Clin Res Ed) 1981 Dec 5;283(6305):1497–1502. doi: 10.1136/bmj.283.6305.1497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fullard E., Fowler G., Gray M. Facilitating prevention in primary care. Br Med J (Clin Res Ed) 1984 Dec 8;289(6458):1585–1587. doi: 10.1136/bmj.289.6458.1585. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mayfield D., McLeod G., Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974 Oct;131(10):1121–1123. doi: 10.1176/ajp.131.10.1121. [DOI] [PubMed] [Google Scholar]
- Reid A. L., Webb G. R., Hennrikus D., Fahey P. P., Sanson-Fisher R. W. Detection of patients with high alcohol intake by general practitioners. Br Med J (Clin Res Ed) 1986 Sep 20;293(6549):735–737. doi: 10.1136/bmj.293.6549.735. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richmond R., Webster I. Evaluation of general practitioners' use of a smoking intervention programme. Int J Epidemiol. 1985 Sep;14(3):396–401. doi: 10.1093/ije/14.3.396. [DOI] [PubMed] [Google Scholar]
- Russell M. A., Wilson C., Taylor C., Baker C. D. Effect of general practitioners' advice against smoking. Br Med J. 1979 Jul 28;2(6184):231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott A. Alcohol--finding solutions. J R Coll Gen Pract. 1986 Sep;36(290):396–397. [PMC free article] [PubMed] [Google Scholar]
- Wallace P. G., Brennan P. J., Haines A. P. Are general practitioners doing enough to promote healthy lifestyle? Findings of the Medical Research Council's general practice research framework study on lifestyle and health. Br Med J (Clin Res Ed) 1987 Apr 11;294(6577):940–942. doi: 10.1136/bmj.294.6577.940. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallace P. G., Haines A. P. General practitioner and health promotion: what patients think. Br Med J (Clin Res Ed) 1984 Sep 1;289(6444):534–536. doi: 10.1136/bmj.289.6444.534. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wallace P., Haines A. Use of a questionnaire in general practice to increase the recognition of patients with excessive alcohol consumption. Br Med J (Clin Res Ed) 1985 Jun 29;290(6486):1949–1953. doi: 10.1136/bmj.290.6486.1949. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wiseman S. M., McCarthy S. N., Mitcheson M. C. Assessment of drinking patterns in general practice. J R Coll Gen Pract. 1986 Sep;36(290):407–408. [PMC free article] [PubMed] [Google Scholar]