Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis
Aim: To estimate sex differences in health-care utilization among harmful/hazardous drinkers in the period before alcoholic cirrhosis diagnosis, and estimate sex differences in the extent to which alcohol use and brief alcohol interventions were documented for these individuals compared with a contr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Published: |
Wiley
2015
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/35767/ |
| _version_ | 1848795157218983936 |
|---|---|
| author | Otete, Harmony E. Orton, Elizabeth West, Joe Fleming, Kate M. |
| author_facet | Otete, Harmony E. Orton, Elizabeth West, Joe Fleming, Kate M. |
| author_sort | Otete, Harmony E. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Aim: To estimate sex differences in health-care utilization among harmful/hazardous drinkers in the period before alcoholic cirrhosis diagnosis, and estimate sex differences in the extent to which alcohol use and brief alcohol interventions were documented for these individuals compared with a control cohort.
Design: Retrospective study using linked general practice and hospital admissions data in England.
Setting: Three hundred and fifty-seven general practitioner (GP) practices in England.
Participants: A total of 2479 individuals with alcoholic cirrhosis (mean age at diagnosis = 56years), of whom 67% were men; and 24 790 controls without the disease.
Measurements: Rates of primary care visits and hospital admissions prior to the diagnosis of alcoholic cirrhosis for men and women, and the proportion of men and women with alcohol consumption and/or alcohol brief intervention documented in their medical record.
Findings: Compared with the general population, patients with alcoholic cirrhosis used primary and secondary health-care services more frequently in the years leading up to their diagnosis. In the years prior to diagnosis, men used primary and secondary health-care services more than did women (P for sex interaction P < 0.0001). Men were more likely than women to have their alcohol use recorded [odds ratio (OR) men = 1.96, 95% confidence interval (CI) = 1.7–2.3; women = 1.63, 95% CI = 1.4–1.8, P for sex interaction P < 0.0017]. By contrast, alcohol interventions were recorded more commonly among women (OR men = 4.3, 95% CI = 3.7–4.9; women = 5.8, 95% CI = 4.7–6.9, P for sex interaction = 0.07), although less common with increasing age (P for age interaction = 0.009).
Conclusions: In the United Kingdom, prior to alcoholic cirrhosis diagnosis, excess health-care utilization is higher in men than women and men are more likely than women to have their alcohol use recorded. However, women appear to be more likely than men to receive alcohol brief interventions. |
| first_indexed | 2025-11-14T19:27:37Z |
| format | Article |
| id | nottingham-35767 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:27:37Z |
| publishDate | 2015 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-357672024-08-15T15:32:30Z https://eprints.nottingham.ac.uk/35767/ Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis Otete, Harmony E. Orton, Elizabeth West, Joe Fleming, Kate M. Aim: To estimate sex differences in health-care utilization among harmful/hazardous drinkers in the period before alcoholic cirrhosis diagnosis, and estimate sex differences in the extent to which alcohol use and brief alcohol interventions were documented for these individuals compared with a control cohort. Design: Retrospective study using linked general practice and hospital admissions data in England. Setting: Three hundred and fifty-seven general practitioner (GP) practices in England. Participants: A total of 2479 individuals with alcoholic cirrhosis (mean age at diagnosis = 56years), of whom 67% were men; and 24 790 controls without the disease. Measurements: Rates of primary care visits and hospital admissions prior to the diagnosis of alcoholic cirrhosis for men and women, and the proportion of men and women with alcohol consumption and/or alcohol brief intervention documented in their medical record. Findings: Compared with the general population, patients with alcoholic cirrhosis used primary and secondary health-care services more frequently in the years leading up to their diagnosis. In the years prior to diagnosis, men used primary and secondary health-care services more than did women (P for sex interaction P < 0.0001). Men were more likely than women to have their alcohol use recorded [odds ratio (OR) men = 1.96, 95% confidence interval (CI) = 1.7–2.3; women = 1.63, 95% CI = 1.4–1.8, P for sex interaction P < 0.0017]. By contrast, alcohol interventions were recorded more commonly among women (OR men = 4.3, 95% CI = 3.7–4.9; women = 5.8, 95% CI = 4.7–6.9, P for sex interaction = 0.07), although less common with increasing age (P for age interaction = 0.009). Conclusions: In the United Kingdom, prior to alcoholic cirrhosis diagnosis, excess health-care utilization is higher in men than women and men are more likely than women to have their alcohol use recorded. However, women appear to be more likely than men to receive alcohol brief interventions. Wiley 2015-12 Article PeerReviewed Otete, Harmony E., Orton, Elizabeth, West, Joe and Fleming, Kate M. (2015) Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis. Addiction, 110 (12). pp. 1932-1940. ISSN 1360-0443 Alcohol interventions alcoholic cirrhosis primary care secondary care http://onlinelibrary.wiley.com/doi/10.1111/add.13081/abstract doi:10.1111/add.13081 doi:10.1111/add.13081 |
| spellingShingle | Alcohol interventions alcoholic cirrhosis primary care secondary care Otete, Harmony E. Orton, Elizabeth West, Joe Fleming, Kate M. Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title | Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title_full | Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title_fullStr | Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title_full_unstemmed | Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title_short | Sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| title_sort | sex and age differences in the early identification and treatment of alcohol use: a population-based study of patients with alcoholic cirrhosis |
| topic | Alcohol interventions alcoholic cirrhosis primary care secondary care |
| url | https://eprints.nottingham.ac.uk/35767/ https://eprints.nottingham.ac.uk/35767/ https://eprints.nottingham.ac.uk/35767/ |