PDF(Pubmed)
Abstract：
BACKGROUND: Hazardous alcohol use is a leading risk factor for disability and death, yet observational studies have also reported reduced cardiovascular disease mortality among regular, low-level drinkers. Such findings are refuted by more recent research, yet have received significant media coverage. We aimed to explore: (1) how patients with cardiovascular diseases access health information about moderate drinking and cardiovascular health; (2) the perceived messages these sources convey, and (3) associations with own level of alcohol use.
METHODS: We conducted a cross-sectional survey of patients in cardiology services at three hospitals in Sweden. The study outcome was hazardous alcohol use, assessed using the AUDIT-C questionnaire and defined as ≥ 3 in women and ≥ 4 in men. The exposure was accessing information sources suggesting that moderate alcohol consumption can be good for the heart, as opposed to accessing information that alcohol is bad for the heart. Health information sources were described using descriptive statistics. Gender, age and education were adjusted for in multiple logistic regression analyses.
RESULTS: A total of 330 (66.3%) of 498 patients (mean age 70.5 years, 65% males) who had heard that drinking moderately can affect the heart described being exposed to reports that moderate alcohol use can be good for the heart, and 108 (21.7%) met criteria for hazardous alcohol use. Health information sources included newspapers (32.9%), television (29.2%), healthcare staff (13.4%), friends/family (11.8%), social media (8.9%) and websites (3.7%). Participants indicated that most reports (77.9%) conveyed mixed messages about the cardiovascular effects of moderate drinking. Exposure to reports of healthy heart effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use (OR = 1.67, 95%CI = 1.02-2.74).
CONCLUSIONS: This study suggests that many patients in cardiology care access health information about alcohol from media sources, which convey mixed messages about the cardiovascular effects of alcohol. Exposure to reports that moderate drinking has protective cardiovascular effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use. Findings highlight a need for clear and consistent messages about the health effects of alcohol.
METHODS: We conducted a cross-sectional survey of patients in cardiology services at three hospitals in Sweden. The study outcome was hazardous alcohol use, assessed using the AUDIT-C questionnaire and defined as ≥ 3 in women and ≥ 4 in men. The exposure was accessing information sources suggesting that moderate alcohol consumption can be good for the heart, as opposed to accessing information that alcohol is bad for the heart. Health information sources were described using descriptive statistics. Gender, age and education were adjusted for in multiple logistic regression analyses.
RESULTS: A total of 330 (66.3%) of 498 patients (mean age 70.5 years, 65% males) who had heard that drinking moderately can affect the heart described being exposed to reports that moderate alcohol use can be good for the heart, and 108 (21.7%) met criteria for hazardous alcohol use. Health information sources included newspapers (32.9%), television (29.2%), healthcare staff (13.4%), friends/family (11.8%), social media (8.9%) and websites (3.7%). Participants indicated that most reports (77.9%) conveyed mixed messages about the cardiovascular effects of moderate drinking. Exposure to reports of healthy heart effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use (OR = 1.67, 95%CI = 1.02-2.74).
CONCLUSIONS: This study suggests that many patients in cardiology care access health information about alcohol from media sources, which convey mixed messages about the cardiovascular effects of alcohol. Exposure to reports that moderate drinking has protective cardiovascular effects, or mixed messages about the cardiovascular effects of alcohol, was associated with increased odds of hazardous alcohol use. Findings highlight a need for clear and consistent messages about the health effects of alcohol.
摘要：
背景：有害酒精的使用是导致残疾和死亡的主要危险因素，然而，观察性研究也报道了心血管疾病死亡率在常规人群中降低，低水平饮酒者。这些发现被最近的研究驳斥了，然而，已经得到了媒体的大量报道。我们旨在探索：（1）心血管疾病患者如何获取有关适度饮酒和心血管健康的健康信息；（2）这些来源传达的感知信息，和（3）与自己的酒精使用水平的关联。
方法：我们对瑞典三家医院的心脏病患者进行了横断面调查。研究结果是有害饮酒，使用AUDIT-C问卷进行评估，女性定义为≥3，男性定义为≥4。接触的信息来源表明适度饮酒对心脏有益，而不是获取酒精对心脏有害的信息。使用描述性统计数据描述健康信息来源。性别,在多因素logistic回归分析中对年龄和教育程度进行了校正.
结果：498名患者（平均年龄70.5岁，65％的男性）听说过适度饮酒会影响心脏，描述了接触适度饮酒对心脏有益的报道，108（21.7％）符合危险酒精使用标准。健康信息来源包括报纸(32.9%)，电视(29.2%)，医护人员（13.4%），朋友/家人(11.8%),社交媒体(8.9%)和网站(3.7%)。参与者表示，大多数报告（77.9％）传达了有关适度饮酒对心血管影响的混合信息。接触健康心脏影响的报告，或者关于酒精对心血管的影响的混合信息，与危险酒精使用几率增加相关(OR=1.67,95CI=1.02-2.74).
结论：这项研究表明，许多心脏病患者从媒体来源获取有关酒精的健康信息，传达了关于酒精对心血管影响的混合信息。接触到适度饮酒具有保护性心血管作用的报告，或者关于酒精对心血管的影响的混合信息，与危险饮酒的几率增加有关。研究结果强调需要关于酒精对健康的影响的明确和一致的信息。
方法：我们对瑞典三家医院的心脏病患者进行了横断面调查。研究结果是有害饮酒，使用AUDIT-C问卷进行评估，女性定义为≥3，男性定义为≥4。接触的信息来源表明适度饮酒对心脏有益，而不是获取酒精对心脏有害的信息。使用描述性统计数据描述健康信息来源。性别,在多因素logistic回归分析中对年龄和教育程度进行了校正.
结果：498名患者（平均年龄70.5岁，65％的男性）听说过适度饮酒会影响心脏，描述了接触适度饮酒对心脏有益的报道，108（21.7％）符合危险酒精使用标准。健康信息来源包括报纸(32.9%)，电视(29.2%)，医护人员（13.4%），朋友/家人(11.8%),社交媒体(8.9%)和网站(3.7%)。参与者表示，大多数报告（77.9％）传达了有关适度饮酒对心血管影响的混合信息。接触健康心脏影响的报告，或者关于酒精对心血管的影响的混合信息，与危险酒精使用几率增加相关(OR=1.67,95CI=1.02-2.74).
结论：这项研究表明，许多心脏病患者从媒体来源获取有关酒精的健康信息，传达了关于酒精对心血管影响的混合信息。接触到适度饮酒具有保护性心血管作用的报告，或者关于酒精对心血管的影响的混合信息，与危险饮酒的几率增加有关。研究结果强调需要关于酒精对健康的影响的明确和一致的信息。
