Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England

A general population survey

Jacklyn Dunne, Andreas Kimergård, Jamie Brown, Emma Beard, Penny Buykx, Susan Michie, Colin Drummond

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Aims: To compare the proportion of people in England with probable alcohol dependence [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 20] with those with other drinking patterns (categorized by AUDIT scores) in terms of motivation to reduce drinking and use of alcohol support resources. Design: A combination of random probability and simple quota sampling to conduct monthly cross-sectional household computer-assisted interviews between March 2014 and August 2017. Setting: The general population in all nine regions of England. Participants: Participants in the Alcohol Toolkit Study (ATS), a monthly household survey of alcohol consumption among people aged 16 years and over in England (n = 69826). The mean age was 47 years [standard deviation (SD) = 18.78; 95% confidence interval (CI) = 46.8-47] and 51% (n = 35560) were female. Measurements: χ2 tests were used to investigate associations with demographic variables, motivation to quit drinking, attempts to quit drinking, general practitioner (GP) engagement and types of support accessed in the last 12 months across AUDIT risk zones. Findings: A total of 0.6% were classified as people with probable alcohol dependence (95% CI = 0.5-0.7). Motivation to quit (χ2 = 1692.27, P < 0.001), current attempts (χ2 = 473.94, P < 0.001) and past-year attempts (χ2 = 593.67, P < 0.001) differed by AUDIT risk zone. People with probable dependence were more likely than other ATS participants to have a past-year attempt to cut down or quit (51.8%) and have received a specialist referral from their GP about drinking (13.7%), and less likely to report no motivation to reduce their drinking (26.2%). Those with probable dependence had higher use of self-help books and mobile applications (apps) than other ATS participants; however, 27.7% did not access any resources during their most recent attempt to cut down. Conclusions: Adults in England with probable alcohol dependence, measured through the Alcohol Use Disorders Identification Test, demonstrate higher motivation to quit drinking and greater use of both specialist treatment and self-driven support compared with those in other Alcohol Use Disorders Identification Test zones, but most do not access treatment resources to support their attempts.

Original languageEnglish
Pages (from-to)1430-1438
Number of pages9
JournalAddiction
Volume113
Issue number8
DOIs
Publication statusPublished - Aug 2018
Externally publishedYes

Keywords

  • Alcohol
  • Alcohol treatment
  • General practice
  • Hazardous and harmful drinking
  • Motivation
  • Probable alcohol dependence

Cite this

Dunne, Jacklyn ; Kimergård, Andreas ; Brown, Jamie ; Beard, Emma ; Buykx, Penny ; Michie, Susan ; Drummond, Colin. / Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England : A general population survey. In: Addiction. 2018 ; Vol. 113, No. 8. pp. 1430-1438.
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title = "Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England: A general population survey",
abstract = "Aims: To compare the proportion of people in England with probable alcohol dependence [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 20] with those with other drinking patterns (categorized by AUDIT scores) in terms of motivation to reduce drinking and use of alcohol support resources. Design: A combination of random probability and simple quota sampling to conduct monthly cross-sectional household computer-assisted interviews between March 2014 and August 2017. Setting: The general population in all nine regions of England. Participants: Participants in the Alcohol Toolkit Study (ATS), a monthly household survey of alcohol consumption among people aged 16 years and over in England (n = 69826). The mean age was 47 years [standard deviation (SD) = 18.78; 95{\%} confidence interval (CI) = 46.8-47] and 51{\%} (n = 35560) were female. Measurements: χ2 tests were used to investigate associations with demographic variables, motivation to quit drinking, attempts to quit drinking, general practitioner (GP) engagement and types of support accessed in the last 12 months across AUDIT risk zones. Findings: A total of 0.6{\%} were classified as people with probable alcohol dependence (95{\%} CI = 0.5-0.7). Motivation to quit (χ2 = 1692.27, P < 0.001), current attempts (χ2 = 473.94, P < 0.001) and past-year attempts (χ2 = 593.67, P < 0.001) differed by AUDIT risk zone. People with probable dependence were more likely than other ATS participants to have a past-year attempt to cut down or quit (51.8{\%}) and have received a specialist referral from their GP about drinking (13.7{\%}), and less likely to report no motivation to reduce their drinking (26.2{\%}). Those with probable dependence had higher use of self-help books and mobile applications (apps) than other ATS participants; however, 27.7{\%} did not access any resources during their most recent attempt to cut down. Conclusions: Adults in England with probable alcohol dependence, measured through the Alcohol Use Disorders Identification Test, demonstrate higher motivation to quit drinking and greater use of both specialist treatment and self-driven support compared with those in other Alcohol Use Disorders Identification Test zones, but most do not access treatment resources to support their attempts.",
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Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England : A general population survey. / Dunne, Jacklyn; Kimergård, Andreas; Brown, Jamie; Beard, Emma; Buykx, Penny; Michie, Susan; Drummond, Colin.

In: Addiction, Vol. 113, No. 8, 08.2018, p. 1430-1438.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Attempts to reduce alcohol intake and treatment needs among people with probable alcohol dependence in England

T2 - A general population survey

AU - Dunne, Jacklyn

AU - Kimergård, Andreas

AU - Brown, Jamie

AU - Beard, Emma

AU - Buykx, Penny

AU - Michie, Susan

AU - Drummond, Colin

PY - 2018/8

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N2 - Aims: To compare the proportion of people in England with probable alcohol dependence [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 20] with those with other drinking patterns (categorized by AUDIT scores) in terms of motivation to reduce drinking and use of alcohol support resources. Design: A combination of random probability and simple quota sampling to conduct monthly cross-sectional household computer-assisted interviews between March 2014 and August 2017. Setting: The general population in all nine regions of England. Participants: Participants in the Alcohol Toolkit Study (ATS), a monthly household survey of alcohol consumption among people aged 16 years and over in England (n = 69826). The mean age was 47 years [standard deviation (SD) = 18.78; 95% confidence interval (CI) = 46.8-47] and 51% (n = 35560) were female. Measurements: χ2 tests were used to investigate associations with demographic variables, motivation to quit drinking, attempts to quit drinking, general practitioner (GP) engagement and types of support accessed in the last 12 months across AUDIT risk zones. Findings: A total of 0.6% were classified as people with probable alcohol dependence (95% CI = 0.5-0.7). Motivation to quit (χ2 = 1692.27, P < 0.001), current attempts (χ2 = 473.94, P < 0.001) and past-year attempts (χ2 = 593.67, P < 0.001) differed by AUDIT risk zone. People with probable dependence were more likely than other ATS participants to have a past-year attempt to cut down or quit (51.8%) and have received a specialist referral from their GP about drinking (13.7%), and less likely to report no motivation to reduce their drinking (26.2%). Those with probable dependence had higher use of self-help books and mobile applications (apps) than other ATS participants; however, 27.7% did not access any resources during their most recent attempt to cut down. Conclusions: Adults in England with probable alcohol dependence, measured through the Alcohol Use Disorders Identification Test, demonstrate higher motivation to quit drinking and greater use of both specialist treatment and self-driven support compared with those in other Alcohol Use Disorders Identification Test zones, but most do not access treatment resources to support their attempts.

AB - Aims: To compare the proportion of people in England with probable alcohol dependence [Alcohol Use Disorders Identification Test (AUDIT) score ≥ 20] with those with other drinking patterns (categorized by AUDIT scores) in terms of motivation to reduce drinking and use of alcohol support resources. Design: A combination of random probability and simple quota sampling to conduct monthly cross-sectional household computer-assisted interviews between March 2014 and August 2017. Setting: The general population in all nine regions of England. Participants: Participants in the Alcohol Toolkit Study (ATS), a monthly household survey of alcohol consumption among people aged 16 years and over in England (n = 69826). The mean age was 47 years [standard deviation (SD) = 18.78; 95% confidence interval (CI) = 46.8-47] and 51% (n = 35560) were female. Measurements: χ2 tests were used to investigate associations with demographic variables, motivation to quit drinking, attempts to quit drinking, general practitioner (GP) engagement and types of support accessed in the last 12 months across AUDIT risk zones. Findings: A total of 0.6% were classified as people with probable alcohol dependence (95% CI = 0.5-0.7). Motivation to quit (χ2 = 1692.27, P < 0.001), current attempts (χ2 = 473.94, P < 0.001) and past-year attempts (χ2 = 593.67, P < 0.001) differed by AUDIT risk zone. People with probable dependence were more likely than other ATS participants to have a past-year attempt to cut down or quit (51.8%) and have received a specialist referral from their GP about drinking (13.7%), and less likely to report no motivation to reduce their drinking (26.2%). Those with probable dependence had higher use of self-help books and mobile applications (apps) than other ATS participants; however, 27.7% did not access any resources during their most recent attempt to cut down. Conclusions: Adults in England with probable alcohol dependence, measured through the Alcohol Use Disorders Identification Test, demonstrate higher motivation to quit drinking and greater use of both specialist treatment and self-driven support compared with those in other Alcohol Use Disorders Identification Test zones, but most do not access treatment resources to support their attempts.

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KW - Alcohol treatment

KW - General practice

KW - Hazardous and harmful drinking

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