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Alcohol and Alcoholism Vol. 37, No. 3, pp. 289-294, 2002
© 2002 Medical Council on Alcohol

AT-RISK DRINKING AMONG PATIENTS IN AN OCCUPATIONAL MEDICINE CLINIC

Susan J. Curry1,2,*, Evette Ludman1, Louis Grothaus1, Tim Gilmore3 and Dennis Donovan4

1 Center for Health Studies, Group Health Cooperative,
2 Department of Health Services, School of Public Health and Community Medicine, University of Washington,
3 Occupational Medicine Clinic, Group Health Cooperative and
4 Alcohol and Drug Abuse Institute and Department of Psychiatry, School of Medicine, University of Washington, USA

Received 31 July 2001; first review notified 5 November 2001; accepted 28 November 2001

— This study described the prevalence and characteristics of at-risk drinkers among adults receiving care at an urban occupational medicine clinic. Comparisons were also made between occupational medicine and primary care patients. Among occupational medicine patients, prevalences were: 11% at-risk drinking; 51% light–moderate drinking; 38% abstinence. Abstainers differed from alcohol users with regard to race (fewer Caucasian) and marijuana use (lower rates). Compared to light–moderate drinkers, at-risk drinkers were more likely to be smokers. Compared to a primary care sample, non-at-risk drinkers in occupational medicine reported poorer health, more activity limitations, higher rates of smoking and more stress and depressive symptoms. In contrast, at-risk drinkers in occupational medicine were quite similar to those in primary care. Occupational medicine clinics are viable settings in which to screen for at-risk drinking patterns and to implement primary and secondary prevention strategies.


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