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The role of alcohol in the management of hypertension in patients in European primary health care practices - a survey in the largest European Union countries
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Number of Authors: 14
2016 (English)In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 17, 130Article in journal (Refereed) Published
Abstract [en]

Background: Even though addressing lifestyle problems is a major recommendation in most guidelines for the treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension in primary health care. Methods: Internet based survey of 3081 primary care physicians, recruited via the mailing lists of associations for general practitioners (GPs) in France, Germany, Italy, Spain and the UK. Clinical practice, attitudes, knowledge, education and training were assessed. Logistic regression to predict screening, brief intervention and treatment for alcohol dependence in the management of hypertension were assessed. Results: Overall, about one third of the interviewed GPs reported sufficient screening in cases with HTN (34.0 %, 95 % confidence interval (CI):32.1-35.8 %). One out of five GPs screened and delivered brief interventions in HTN patients with hazardous consumption (22.2 %, 95 % CI: 20.6-23.8 %) and about one in 13 GPs provided treatment for HTN patients with alcohol dependence other than advice or brief intervention (7.8 %, 95 % CI: 6.8-8.9 %). Post-graduate training and belief in their effectiveness predicted interventions. There were marked differences between countries. Conclusions: While current interventions were overall low, marked differences between countries indicate that current practices could be improved. Education and post-graduate training seems to be key in improving clinical practice of including interventions for problematic alcohol consumption and alcohol dependence in primary health care.

Place, publisher, year, edition, pages
2016. Vol. 17, 130
Keyword [en]
Primary health care, Blood pressure, Hypertension, Hazardous drinking, Alcohol use disorders, Disease management, Screening
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Family Medicine Substance Abuse
Identifiers
URN: urn:nbn:se:su:diva-135203DOI: 10.1186/s12875-016-0529-5ISI: 000383332600001PubMedID: 27608770OAI: oai:DiVA.org:su-135203DiVA: diva2:1047060
Available from: 2016-11-16 Created: 2016-11-01 Last updated: 2016-11-16Bibliographically approved

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Kraus, Ludwig
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Centre for Social Research on Alcohol and Drugs (SoRAD)
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Health Care Service and Management, Health Policy and Services and Health EconomyFamily MedicineSubstance Abuse

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