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Comparison of brief interventions in primary care on smoking and excessive alcohol consumption in England: a population survey

Brown, J; West, R; Angus, C; Beard, E; Brennan, A; Drummond, C; Hickman, M; ... Michie, S; + view all (2016) Comparison of brief interventions in primary care on smoking and excessive alcohol consumption in England: a population survey. British Journal of General Practice , 66 (642) e1-e9. 10.3399/bjgp16X683149. Green open access

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Abstract

Background: Brief interventions in primary care have a modest but clinically important effect in promoting smoking cessation and reducing excessive alcohol consumption. Clinical guidelines recommend offering such advice opportunistically on a regular basis but incentives for doing so vary between the two behaviours. Aim: To assess the extent recommendations on brief intervention on smoking and alcohol are being adhered to under different conditions and the characteristics of patients receiving this advice. Design and setting: Data were collected using monthly cross-sectional household surveys from a representative sample of 15252 adults in England between March and November 2014. Method: Recall of brief interventions on smoking and alcohol, socio-demographic information, and smoking and alcohol consumption patterns were assessed among smokers and excessive drinkers (AUDIT score ≥ 8) who visited their GP surgery in the past year. Results: Of an unweighted sample of 1775 smokers, the weighted estimate was 50.4% (95%CI=48.0-52.8) recalled having received brief advice on smoking in the past year. Smokers receiving advice were more likely to be older (OR17-year increments=1.19, 95%CI=1.06-1.34), female (OR=1.35, 95%CI=1.10-1.65) and have a disability (OR=1.44, 95%CI=1.11-1.88), to have made more quit attempts in the past year (compared with no attempts: 1 attempt, OR=1.65, 95%CI=1.32-2.08; 2 or more attempts, OR=2.02, 95%CI=1.49-2.74), and have greater nicotine dependence (OR=1.17, 95%CI=1.05-1.31). They were less likely to have no post 16 qualifications (OR=0.81, 95%CI=0.66-1.00). Of an unweighted sample of 1110 excessive drinkers, the weighted estimate was 6.5% (95%CI=5.1-7.9) recalled having received advice within their GP surgery on their alcohol consumption in the past year. Those receiving advice had higher AUDIT scores (OR=1.17, 95%CI=1.12-1.23) and were less likely to be female (OR=0.44, 95%CI=0.23-0.87). Conclusion: Whereas approximately half of smokers in England visiting their GP in the past year report having received advice on cessation, less than 10% of those who drink excessively report having received advice on their alcohol consumption.

Type: Article
Title: Comparison of brief interventions in primary care on smoking and excessive alcohol consumption in England: a population survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.3399/bjgp16X683149
Publisher version: http://dx.doi.org/10.3399/bjgp16X683149
Language: English
Additional information: British Journal of General Practice is an editorially-independent publication of the Royal College of General Practitioners © 2016 British Journal of General Practice This article is Open Access: CC BY 3.0 license (http://creativecommons.org/licenses/by/3.0/).
Keywords: alcohol drinking; brief advice; brief intervention; counselling; smoking.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/1467272
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