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5 years ago

NAT 6/08 - THL

NAT 6/08 - THL

Alcohol prevention

Alcohol prevention activity in Swedish primary health care and occupational health services 100 80 60 40 20 80 0 % 100 60 40 20 0 % Not particularly skilful Not particularly knowledgeable Physicians in ohs Somewhat skilful Figure 1. The relationship between reported skills and activity (proportion (%) who frequently (always/often) asked their patients about alcohol). Somewhat knowledgeable Education Moderately skilful Moderately knowledgeable Female physicians were twice as likely (OR 2.0) as male physicians to ask patients about alcohol. The physicians who estimated themselves as very knowledgeable were 13 times (OR 13.3) more likely to ask patients about alcohol compared to those who estimated themselves as not particu- 496 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 5. 2 0 0 8 . 6 Very skilful Very knowledgeable OHS Nurses OHS Physicians PHC Physicians PHC Nurses OHS Physicians OHS Nurses PHC Physicians PHC Nurses Figure 2. The relationship between reported knowledge and activity (proportion (%) who frequently (always/often) asked their patients about alcohol). larly knowledgeable. It was seven times more common (OR 7.3) that physicians who had acquired at least 3 days’ training had initiated alcohol discussions compared with those who lacked training. Due to the small number of physicians in OHS, the confidence intervals are wide.

% 100 80 60 40 20 0 nurses in ohs None Half day or shorter 1–2 days 3 days or more Received training / Education Few significant associations were found between OHS nurses’ activity and the predictor variables. Nurses aged 46–55 initiated alcohol discussions more often than nurses aged 45 years or younger (OR 1.2). The nurses who rated their skills in influencing patients’ alcohol habits highest (very skilful) were 11 times more likely (OR 11.1) to ask patients about alcohol than nurses who considered themselves not particularly skilful. Physicians in Phc Female physicians were more likely (OR 1.7) than male physicians to ask patients about alcohol. Physicians who worked in a major city (> 250 000 residents) were more likely (OR 1.8) than those working in a rural area to ask patients about alcohol. Physicians who rated themselves as very skilful in influencing patients’ alcohol habits and those who estimated themselves as very knowledgeable concerning providing advice to patients with risky Alcohol prevention activity in Swedish primary health care and occupational health services OHS Physicians OHS Nurses PHC Physicians PHC Nurses Figure 3. The association between education and activity (proportion (%) who frequently (always/often) asked their patients about alcohol). alcohol consumption were more likely to initiate alcohol discussions with their patients compared with those who estimated themselves as not particularly skilful and not particularly knowledgeable (very skilful OR 2.5; very knowledgeable OR 6.1). nurses in Phc Female nurses were twice as likely (OR 2.4) to ask patients about alcohol than male nurses. The nurses who rated themselves as very skilful were 4 times more likely (OR 3.6) to address alcohol issues than those who considered themselves not particularly skilful. Further, the nurses who believed they were very knowledgeable were 8 times more likely (OR 7.6) to initiate alcohol discussions with patients compared to those who rated themselves as not particularly knowledgeable. The nurses with some training in handling risky drinking were more likely than those lacking such training to ask patients about alcohol (half day or shorter OR 1.3; 1-2 days OR 1.4; 3 days or more OR 1.4). NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 497