RT Journal Article
SR Electronic
T1 Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP e1
OP e9
DO 10.3399/bjgp16X683149
VO 66
IS 642
A1 Jamie Brown
A1 Robert West
A1 Colin Angus
A1 Emma Beard
A1 Alan Brennan
A1 Colin Drummond
A1 Matthew Hickman
A1 John Holmes
A1 Eileen Kaner
A1 Susan Michie
YR 2016
UL http://bjgp.org/content/66/642/e1.abstract
AB Background Brief interventions have a modest but meaningful effect on promoting smoking cessation and reducing excessive alcohol consumption. Guidelines recommend offering such advice opportunistically and regularly but incentives vary between the two behaviours.Aim To use representative data from the perspective of patients to compare the prevalence and characteristics of people who smoke or drink excessively and who receive a brief intervention.Design and setting Data was from a representative sample of 15 252 adults from household surveys in England.Method Recall of brief interventions on smoking and alcohol use, sociodemographic information, and smoking and alcohol consumption patterns were assessed among smokers and those who drink excessively (AUDIT score of ≥8), who visited their GP surgery in the previous year.Results Of 1775 smokers, 50.4% recalled receiving brief advice on smoking in the previous year. Smokers receiving advice compared with those who did not were more likely to be older (odds ratio [OR] 17-year increments 1.19, 95% confidence interval [CI] =1.06 to 1.34), female (OR 1.35, 95% CI =1.10 to 1.65), have a disability (OR 1.44, 95% CI = 1.11 to 1.88), have made more quit attempts in the previous year (compared with no attempts: one attempt, OR 1.65, 95% CI = 1.32 to 2.08; ≥2 attempts, OR 2.02, 95% CI =1.49 to 2.74), and have greater nicotine dependence (OR 1.17, 95% CI =1.05 to 1.31) but were less likely to have no post-16 qualifications (OR 0.81, 95% CI = 0.66 to 1.00). Of 1110 people drinking excessively, 6.5% recalled receiving advice in their GP surgery on their alcohol consumption in the previous year. Those receiving advice compared with those who did not had higher AUDIT scores (OR 1.17, 95% CI =1.12 to 1.23) and were less likely to be female (OR 0.44, 95% CI = 0.23 to 0.87).Conclusion Whereas approximately half of smokers in England visiting their GP in the past year report having received advice on cessation, <10% of those who drink excessively report having received advice on their alcohol consumption.