Aims:

Both survey and healthcare register data struggle as data sources to capture the phenomenon of alcohol problems. We study a large group of people for whom survey data and two types of register data are available, and examine the overlaps of similar or related measures in the different data sources to learn about potential weaknesses in each. We also examine how register-based data on the prevalence of alcohol problems change depending on which register data are used.

Design:

We use data from the Regional Health and Wellbeing Study (ATH) of the adult Finnish population collected in 2013 and 2014 (n = 69,441), individually linked with data on two national healthcare registers (Care Register for Health Care; Register of Primary Health Care visits) for the survey year and previous year.

Results:

The prevalence of substance-abuse-related healthcare was almost two-fold if data on outpatient primary care visits were included in addition to hospitalisations. Forty-six per cent of the survey respondents self-reporting substance-abuse-related healthcare service use were identified in the registers, and 22% of all respondents with such service use according to registers reported this in the survey. Records of substance-abuse-related healthcare service use, controlled for self-reported alcohol use and self-reported substance-abuse-related service use, were found more often for men, the middle-aged, people with basic education only, and the non-employed.

Conclusions:

The results are suggestive of underreporting in both data sources. There is an evident need to develop recording practices in the healthcare registers regarding substance use disorders.

中文翻译：

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酒精问题数据来源的比较：使用调查与国家医疗保健登记的探索性练习

目标：

调查和医疗保健登记数据都难以作为数据来源来捕捉酒精问题的现象。我们研究了一大群人，他们可以获得调查数据和两种类型的登记数据，并检查不同数据源中类似或相关措施的重叠，以了解每个人的潜在弱点。我们还研究了基于登记册的酒精问题流行率数据如何根据使用的登记册数据而变化。

设计：

我们使用了 2013 年和 2014 年收集的芬兰成人人口区域健康和福祉研究 (ATH) 的数据（n = 69,441），分别与两个国家医疗保健登记册（医疗保健登记册；初级卫生保健登记册）的数据相关联访问）的调查年份和上一年。

结果：

如果除住院数据外，还包括门诊初级保健就诊数据，药物滥用相关医疗保健的流行率几乎是两倍。46% 的调查受访者自我报告与药物滥用相关的医疗服务使用情况在登记册中被确定，根据登记册，在所有使用此类服务​​的受访者中，有 22% 的受访者在调查中报告了这一点。男性、中年人、仅受过基础教育的人和受过基础教育的人更常发现与药物滥用相关的医疗保健服务使用记录，对自我报告的酒精使用和自我报告的药物滥用相关服务使用进行控制。无业。

结论：

结果表明这两个数据源都漏报了。显然需要在医疗保健登记册中制定有关物质使用障碍的记录做法。