Aims:

The aims of this study were to evaluate and compare popular beliefs and attitudes regarding alcohol conversations in healthcare in Sweden and Norway; and to explore which factors were associated with different levels of support for alcohol-prevention work in the two countries.

Methods:

Population-based cross-sectional surveys were conducted in Sweden (n = 3000) and Norway (n = 1208). Logistic regression was used to identify the characteristics of participants who were supportive of routine alcohol screening and brief intervention delivery.

Results:

A higher proportion of Swedish respondents agreed to a large extent that healthcare professionals should routinely ask about alcohol consumption. In addition, a higher proportion of Swedish respondents compared to respondents from Norway agreed that healthcare providers should only ask about patient’s alcohol consumption if this was related to specific symptoms. There were similar correlates of being supportive of routine alcohol screening and brief intervention delivery in both countries. Support was lower in both countries amongst moderate and risky drinkers, and among single adults or those on parental leave, but higher amongst older individuals. Having had an alcohol conversation in healthcare increased the level of support for alcohol prevention in routine healthcare among risky drinkers.

Conclusions:

There is a high level of support for preventative alcohol conversations in routine healthcare in Norway and Sweden, although there was a lower proportion of respondents who were positive to alcohol prevention in routine healthcare in Norway compared to Sweden. Experiencing alcohol conversation may positively affect risky drinkers’ attitudes towards and support for alcohol prevention. Thus, more frequent alcohol conversations in routine healthcare may also result in increased level of support for alcohol prevention among risky drinkers.

中文翻译：

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公众对瑞典和挪威医疗保健中如何处理酒精消费的看法

目标：

本研究的目的是评估和比较瑞典和挪威医疗保健中关于酒精对话的流行信念和态度；并探讨哪些因素与两国对酒精预防工作的不同支持程度有关。

方法：

在瑞典（ n = 3000）和挪威（n = 1208）进行了基于人口的横断面调查。逻辑回归用于确定支持常规酒精筛查和简短干预措施的参与者的特征。

结果：

较高比例的瑞典受访者在很大程度上同意医疗保健专业人员应定期询问饮酒情况。此外，与挪威受访者相比，更高比例的瑞典受访者同意医疗保健提供者只应询问与特定症状相关的患者饮酒情况。在这两个国家，支持常规酒精筛查和简短干预措施具有相似的相关性。在这两个国家，中度和高风险饮酒者、单身成年人或休育儿假的人的支持率较低，但老年人的支持率较高。在医疗保健领域进行过酒精对话，提高了高风险饮酒者对常规医疗保健中酒精预防的支持水平。

结论：

挪威和瑞典对常规医疗保健中预防性酒精对话的支持程度很高，尽管与瑞典相比，挪威常规医疗保健中对酒精预防持积极态度的受访者比例较低。经历酒精对话可能会对高风险饮酒者对酒精预防的态度和支持产生积极影响。因此，在日常医疗保健中更频繁地谈论酒精也可能导致高风险饮酒者对酒精预防的支持程度增加。