TY - JOUR
T1 - Alcohol and smoking brief interventions by socioeconomic position
T2 - British population-based survey
AU - Buss, Vera Helen
AU - Cox, Sharon
AU - Moore, Graham
AU - Angus, Colin
AU - Shahab, Lion
AU - Bauld, Linda
AU - Brown, Jamie
N1 - Copyright © 2023, The Authors.
This work was supported by Cancer Research UK (C1417/A14135, C36048/A11654 and C44576/A19501) and the UK Prevention Research Partnership (MR/S037519/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and Wellcome.
PY - 2023/12/19
Y1 - 2023/12/19
N2 - BACKGROUND: Alcohol and smoking brief interventions (BI) in general practice have been shown to be effective in lowering alcohol- and smoking-related harm.AIM: Assess prevalence of self-reported BI receipt among increasing/higher risk drinkers and past-year smokers in Great Britain (GB) and associations between intervention receipt and socioeconomic position.DESIGN & SETTING: Monthly population-based survey in England, Scotland, and Wales. The study comprised 47,799 participants (15,573 increasing/higher risk drinkers (AUDIT-C score ≥5), 7791 past-year smokers) surveyed via telephone in 2020-2022 (during the COVID-19 pandemic). All data were self-reported.METHOD: Prevalence of self-reported BI receipt was assessed descriptively; associations between receipt and socioeconomic position were analysed using logistic regression.RESULTS: Among adults in GB, 32.2% (95% CI 31.8-32.7) reported increasing/higher risk drinking and 17.7% (95% CI 17.3-18.1) past-year smoking. Among increasing/higher risk drinkers, 58.0% (95% CI 57.1-58.9) consulted with a general practitioner in the past year, and of these, 4.1% (95% CI 3.6-4.6) reported receiving BIs. Among past-year smokers, 55.8% (95% CI 54.5-57.1) attended general practice in the past year. Of these, 41.0% (95% CI 39.4-42.7) stated receiving BIs. There was a tendency for socioeconomically disadvantaged patients to receive more alcohol (adjusted odds ratio (aOR) 1.38; 95% CI 1.10-1.73) or smoking BIs (aOR 1.11; 95% CI 0.98-1.26), but for the latter the results were statistically non-significant. Results did not differ notably by nation within GB.CONCLUSION: BIs in general practice are more common for smoking than for alcohol, but for alcohol a greater proportion is delivered to socioeconomically disadvantaged increasing/higher risk drinkers.
AB - BACKGROUND: Alcohol and smoking brief interventions (BI) in general practice have been shown to be effective in lowering alcohol- and smoking-related harm.AIM: Assess prevalence of self-reported BI receipt among increasing/higher risk drinkers and past-year smokers in Great Britain (GB) and associations between intervention receipt and socioeconomic position.DESIGN & SETTING: Monthly population-based survey in England, Scotland, and Wales. The study comprised 47,799 participants (15,573 increasing/higher risk drinkers (AUDIT-C score ≥5), 7791 past-year smokers) surveyed via telephone in 2020-2022 (during the COVID-19 pandemic). All data were self-reported.METHOD: Prevalence of self-reported BI receipt was assessed descriptively; associations between receipt and socioeconomic position were analysed using logistic regression.RESULTS: Among adults in GB, 32.2% (95% CI 31.8-32.7) reported increasing/higher risk drinking and 17.7% (95% CI 17.3-18.1) past-year smoking. Among increasing/higher risk drinkers, 58.0% (95% CI 57.1-58.9) consulted with a general practitioner in the past year, and of these, 4.1% (95% CI 3.6-4.6) reported receiving BIs. Among past-year smokers, 55.8% (95% CI 54.5-57.1) attended general practice in the past year. Of these, 41.0% (95% CI 39.4-42.7) stated receiving BIs. There was a tendency for socioeconomically disadvantaged patients to receive more alcohol (adjusted odds ratio (aOR) 1.38; 95% CI 1.10-1.73) or smoking BIs (aOR 1.11; 95% CI 0.98-1.26), but for the latter the results were statistically non-significant. Results did not differ notably by nation within GB.CONCLUSION: BIs in general practice are more common for smoking than for alcohol, but for alcohol a greater proportion is delivered to socioeconomically disadvantaged increasing/higher risk drinkers.
KW - General Practice
KW - Drinking Behaviour
KW - Smoking
KW - Socioeconomic Position
KW - Cross-Sectional Studies
KW - Substance Intervention
U2 - 10.3399/BJGPO.2023.0087
DO - 10.3399/BJGPO.2023.0087
M3 - Article
C2 - 37549977
SN - 2398-3795
VL - 7
JO - BJGP Open
JF - BJGP Open
IS - 4
M1 - 0087
ER -