Models predicting general practitioners’ likelihood to routinely ask about alcohol use, confidence to assess and manage alcohol issues and lack of time to ask about alcohol (N=805)
| Model* | Adjusted agreement ratio (95% CI) | Adjusted agreement difference (95% CI) | p Value† |
|---|---|---|---|
| Likely to routinely ask about alcohol consumption: | |||
| Confidence in ability to assess and manage alcohol issues | 1.12 (1.07 to 1.18) | 0.10 (0.05 to 0.14) | <0.001 |
| Can usually tell if patients have alcohol issues | 1.11 (1.08 to 1.14) | 0.08 (0.05 to 0.10) | <0.001 |
| Female sex | 1.09 (1.04 to 1.15) | 0.07 (0.02 to 0.11) | <0.001 |
| Not enough time to ask | 0.80 (0.73 to 0.88) | −0.18 (−0.25 to −0.11) | <0.001 |
| Confidence in ability to assess and manage alcohol issues: | |||
| Has sufficient skills to assess alcohol problems | 1.89 (1.52 to 2.34) | 0.28 (0.21 to 0.36) | <0.001 |
| Was sufficiently informed about alcohol during medical education | 1.27 (1.13 to 1.44) | 0.14 (0.07 to 0.20) | <0.001 |
| Can usually tell if patients have alcohol issues | 1.26 (1.13 to 1.41) | 0.16 (0.09 to 0.24) | <0.001 |
| Male sex | 1.15 (1.03 to 1.28) | 0.11 (0.03 to 0.18) | 0.010 |
| Not enough time to ask | 0.78 (0.65 to 0.93) | −0.17 (−0.24 to −0.10) | 0.005 |
| Usually not enough time to enquire about each patient's alcohol intake: | |||
| Not always discussed because not a priority in patients with competing health issues | 1.91 (1.46 to 2.50) | 0.15 (0.09 to 0.22) | <0.001 |
| Does not always raise alcohol consumption because it can elicit negative responses | 1.56 (1.18 to 2.06) | 0.14 (0.04 to 0.24) | 0.002 |
| Confidence in ability to assess and manage alcohol issues | 0.65 (0.50 to 0.85) | −0.10 (−0.15 to −0.04) | 0.001 |
*All factors adjusted for sex and practice duration as well as all other factors presented in each model.
†Log binomial models used.