چکیده (انگلیسی):

Background:Even though addressing lifestyle problems is a major recommendation in most guidelines for the
treatment of hypertension (HTN), alcohol problems are not routinely addressed in the management of hypertension
in primary health care.
Methods:Internet based survey of 3081 primary care physicians, recruited via the mailing lists of associations for
general practitioners (GPs) in France, Germany, Italy, Spain and the UK. Clinical practice, attitudes, knowledge,
education and training were assessed. Logistic regression to predict screening, brief intervention and treatment for
alcohol dependence in the management of hypertension were assessed.
Results:Overall, about one third of the interviewed GPs reported sufficient screening in cases with HTN (34.0 %,
95 % confidence interval (CI):32.1–35.8 %). One out of five GPs screened and delivered brief interventions in HTN
patients with hazardous consumption (22.2 %, 95 % CI: 20.6–23.8 %) and about one in 13 GPs provided treatment
for HTN patients with alcohol dependence other than advice or brief intervention (7.8 %, 95 % CI: 6.8–8.9 %).
Post-graduate training and belief in their effectivenesspredicted interventions. There were marked differences
between countries.
Conclusions:While current interventions were overall low, marked differences between countries indicate that
current practices could be improved. Education and post-graduate training seems to be key in improving
clinical practice of including interventions for problematic alcohol consumption and alcohol dependence in
primary health care.