Factors associated with the intention to reduce alcohol consumption among people who drink at risky levels in a university hospital in Bogotá D.C., Colombia

Virginia Cuevas; Maylin Peñaloza; Peter Olejua; Lina Olaya; Ingrid Almonacid; Luz Helena Alba

doi:10.15446/revfacmed.v71n2.98969

Factors associated with the intention to reduce alcohol consumption among people who drink at risky levels in a university hospital in Bogotá D.C., Colombia

Título traducido de la contribución: Factores asociados a la intención de disminuir el consumo de alcohol en personas con consumo riesgoso en un hospital universitario de Bogotá D.C., Colombia

Virginia Cuevas, Maylin Peñaloza, Peter Olejua, Lina Olaya, Ingrid Almonacid, Luz Helena Alba

Departamento de Medicina Preventiva

Producción: Contribución a una revista › Artículo › revisión exhaustiva

1 Cita (Scopus)

Resumen

Introducción. Las intervenciones para reducir el consumo riesgoso de alcohol son una prioridad en todos los escenarios clínicos, incluido el hospitalario. Objetivos. Describir las características sociodemográficas, familiares y clínicas en personas con consumo riesgoso de alcohol en un hospital universitario y evaluar la asociación entre estos factores y la intención de disminuir el consumo, medida según la etapa de cambio comportamental y denominada en este estudio como “intención de cambio”.Materiales y métodos. Estudio descriptivo transversal realizado en 176 pacientes entre 19 y 64 años con consumo riesgoso de alcohol (según puntaje AUDIT) sometidos a una intervención quirúrgica o procedi-miento diagnóstico entre abril de 2018 y marzo de 2020 en un hospital de cuarto nivel de Bogotá, Colombia. Se realizó un análisis bivariado (Chi-cuadrado) y uno multivariado (regresión logística ordinal) para evaluar las asociaciones entre las variables independientes (características sociodemográficas, familiares, clínicas y relacionadas con el consumo de alcohol) y la intención de cambio. Se calcularon Odds Ratio ajustados (ORa) y se consideró un nivel de significancia de p<0.05 Resultados. La prevalencia de consumo riesgoso de alcohol fue de 4.88% (IC95%: 4.17-5.58) (176/3 609). La mayoría de participantes eran hombres (82.95%), tenían más de 30 años (71.02%) y estaban en la etapa “prepara-ción” de cambio comportamental (63.63%). En el análisis multivariado, ser mayor de 30 años se asoció con mayor intención de cambio (31-45 años: ORa=3.68, IC95%:1.56-9.06; 46-64 años: ORa=2.63; IC95%: 1.20-5.86) y, por el contrario, ser de un estrato socioeconómico alto se asoció con menor intención (ORa=0.06; IC95%: 0.01-0.50). Conclusiones. Se observó una mayor intención de disminuir el consumo de alcohol en los participantes mayores de 30 años, aquellos con mayor percepción de los beneficios de dicha disminución, aquellos con mayor percepción de autoeficacia, y en los pacientes con intentos previos de disminución; en contraposición, el estrato socioeconómico alto se asoció con menor intención de cambio.

Título traducido de la contribución	Factores asociados a la intención de disminuir el consumo de alcohol en personas con consumo riesgoso en un hospital universitario de Bogotá D.C., Colombia
Idioma original	Inglés
Número de artículo	e98969
Número de páginas	13
Publicación	Revista Facultad de Medicina
Volumen	71
N.º	2
DOI	https://doi.org/10.15446/revfacmed.v71n2.98969
Estado	Publicada - 07 jul. 2022

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@article{427f40c6c97444578b7ac8daba6dbce2,

title = "Factors associated with the intention to reduce alcohol consumption among people who drink at risky levels in a university hospital in Bogot{\'a} D.C., Colombia",

abstract = "Introduction: Interventions to reduce risky alcohol use are a priority in all clinical settings, including the hospital setting. Objectives: To describe the sociodemographic, family, and clinical characteristics of people who drink at risky levels in a university hospital, and to evaluate the association between these factors and their intention to reduce alcohol use, measured according to the stage of behavioral change they are at, which is referred to in this study as “intention to change”. Materials and methods: Descriptive cross-sectional study conducted in 176 patients between 19 and 64 years-old classified as risky drinkers (according to AUDIT score) who underwent a surgical or a diagnostic procedure in a quaternary care hospital in Bogot{\'a}, Colombia, between April 2018 and March 2020. Bivariate (chi-square) and multivariate (ordinal logistic regression) analyses were performed to evaluate associations between independent variables (sociodemographic, family, clinical, and alcohol use-related characteristics) and intention to change. Adjusted odds ratios (aOR) were calculated, and a significance level of p<0.05 was considered. Results: The prevalence of risky alcohol use was 4.88% (95%CI: 4.17-5.58) (176/3 609). Most participants were male (82.95%), over 30 years old (71.02%), and in the “preparation” stage of behavior change (63.63%). In the multivariate analysis, being older than 30 years was associated with a greater intention to change (31-45 years: aOR=3.68; 95%CI:1.56-9.06; 46-64 years: aOR=2.63; 95%CI:1.20-5.86), while having a high socioeconomic level was associated with a lower intention to change (aOR=0.06; 95%CI:0.01-0.50). Conclusions. A greater intention to reduce alcohol use was observed in individuals over 30 years of age, as well as in those with a greater perception of the benefits of such reduction, those with a better perception of self-efficacy, and patients with previous attempts to reduce their alcohol use. In contrast, having a high socioeconomic level was associated with a lower intention to change.",

keywords = "Alcohol Drinking, Health Risk Behaviors, Hospital Medicine, Primary Prevention (MeSH)",

author = "Virginia Cuevas and Maylin Pe{\~n}aloza and Peter Olejua and Lina Olaya and Ingrid Almonacid and Alba, {Luz Helena}",

note = "Funding Information: Funds for the development of this study were provided by the Hospital Universitario de San Ignacio and the Pontificia Universidad Javeriana. Publisher Copyright: {\textcopyright} 2023 Universidad Nacional de Colombia.",

year = "2022",

month = jul,

day = "7",

doi = "10.15446/revfacmed.v71n2.98969",

language = "English",

volume = "71",

journal = "Revista Facultad de Medicina",

issn = "0120-0011",

publisher = "Universidad Nacional de Colombia",

number = "2",

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TY - JOUR

T1 - Factors associated with the intention to reduce alcohol consumption among people who drink at risky levels in a university hospital in Bogotá D.C., Colombia

AU - Cuevas, Virginia

AU - Peñaloza, Maylin

AU - Olejua, Peter

AU - Olaya, Lina

AU - Almonacid, Ingrid

AU - Alba, Luz Helena

N1 - Funding Information: Funds for the development of this study were provided by the Hospital Universitario de San Ignacio and the Pontificia Universidad Javeriana. Publisher Copyright: © 2023 Universidad Nacional de Colombia.

PY - 2022/7/7

Y1 - 2022/7/7

N2 - Introduction: Interventions to reduce risky alcohol use are a priority in all clinical settings, including the hospital setting. Objectives: To describe the sociodemographic, family, and clinical characteristics of people who drink at risky levels in a university hospital, and to evaluate the association between these factors and their intention to reduce alcohol use, measured according to the stage of behavioral change they are at, which is referred to in this study as “intention to change”. Materials and methods: Descriptive cross-sectional study conducted in 176 patients between 19 and 64 years-old classified as risky drinkers (according to AUDIT score) who underwent a surgical or a diagnostic procedure in a quaternary care hospital in Bogotá, Colombia, between April 2018 and March 2020. Bivariate (chi-square) and multivariate (ordinal logistic regression) analyses were performed to evaluate associations between independent variables (sociodemographic, family, clinical, and alcohol use-related characteristics) and intention to change. Adjusted odds ratios (aOR) were calculated, and a significance level of p<0.05 was considered. Results: The prevalence of risky alcohol use was 4.88% (95%CI: 4.17-5.58) (176/3 609). Most participants were male (82.95%), over 30 years old (71.02%), and in the “preparation” stage of behavior change (63.63%). In the multivariate analysis, being older than 30 years was associated with a greater intention to change (31-45 years: aOR=3.68; 95%CI:1.56-9.06; 46-64 years: aOR=2.63; 95%CI:1.20-5.86), while having a high socioeconomic level was associated with a lower intention to change (aOR=0.06; 95%CI:0.01-0.50). Conclusions. A greater intention to reduce alcohol use was observed in individuals over 30 years of age, as well as in those with a greater perception of the benefits of such reduction, those with a better perception of self-efficacy, and patients with previous attempts to reduce their alcohol use. In contrast, having a high socioeconomic level was associated with a lower intention to change.

AB - Introduction: Interventions to reduce risky alcohol use are a priority in all clinical settings, including the hospital setting. Objectives: To describe the sociodemographic, family, and clinical characteristics of people who drink at risky levels in a university hospital, and to evaluate the association between these factors and their intention to reduce alcohol use, measured according to the stage of behavioral change they are at, which is referred to in this study as “intention to change”. Materials and methods: Descriptive cross-sectional study conducted in 176 patients between 19 and 64 years-old classified as risky drinkers (according to AUDIT score) who underwent a surgical or a diagnostic procedure in a quaternary care hospital in Bogotá, Colombia, between April 2018 and March 2020. Bivariate (chi-square) and multivariate (ordinal logistic regression) analyses were performed to evaluate associations between independent variables (sociodemographic, family, clinical, and alcohol use-related characteristics) and intention to change. Adjusted odds ratios (aOR) were calculated, and a significance level of p<0.05 was considered. Results: The prevalence of risky alcohol use was 4.88% (95%CI: 4.17-5.58) (176/3 609). Most participants were male (82.95%), over 30 years old (71.02%), and in the “preparation” stage of behavior change (63.63%). In the multivariate analysis, being older than 30 years was associated with a greater intention to change (31-45 years: aOR=3.68; 95%CI:1.56-9.06; 46-64 years: aOR=2.63; 95%CI:1.20-5.86), while having a high socioeconomic level was associated with a lower intention to change (aOR=0.06; 95%CI:0.01-0.50). Conclusions. A greater intention to reduce alcohol use was observed in individuals over 30 years of age, as well as in those with a greater perception of the benefits of such reduction, those with a better perception of self-efficacy, and patients with previous attempts to reduce their alcohol use. In contrast, having a high socioeconomic level was associated with a lower intention to change.

KW - Alcohol Drinking

KW - Health Risk Behaviors

KW - Hospital Medicine

KW - Primary Prevention (MeSH)

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DO - 10.15446/revfacmed.v71n2.98969

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AN - SCOPUS:85172883163

SN - 0120-0011

VL - 71

JO - Revista Facultad de Medicina

JF - Revista Facultad de Medicina

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Factors associated with the intention to reduce alcohol consumption among people who drink at risky levels in a university hospital in Bogotá D.C., Colombia

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