Is clinicians' alcohol consumption associated with their preventive practices to reduce unhealthy alcohol use? A systematic review of current evidence

• Published in: Alcohol, clinical & experimental research Vol. 47; no. 1; pp. 7 - 17
• Main Authors: Romero‐Rodríguez, Esperanza, Fuster, Daniel, Pérula de Torres, Luis Ángel, Saitz, Richard
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01-01-2023
• Subjects: Alcohol Drinking - prevention & control; Alcohol use; clinician; Counseling; Disease prevention; Health behavior; Humans; Medical personnel; Meta-analysis; Physicians; prevention; Risk-Taking; Role models; screening; Statistical analysis; Systematic review; clinician; screening; alcohol use; prevention
• ISSN: 0145-6008; 1530-0277; 2993-7175
• DOI: 10.1111/acer.14962

Clinicians' risk behaviors, including their personal alcohol use, may influence patients' attitudes and motivation to make changes in their lifestyle, as well as the provision of clinical preventive services to reduce unhealthy behaviors. The aim of the systematic review was to summarize the existing evidence on the association between clinicians' alcohol consumption and their preventive practices to reduce unhealthy alcohol use. The review was conducted following Cochrane guidelines and Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidance. Three databases (Cochrane, MEDLINE, Web of Science) were queried from July 1, 2021, through November 30, 2021. We included quantitative observational studies reporting clinicians' alcohol use associations with relevant preventive practices. Two reviewers independently screened articles for inclusion, extracted data, and assessed the quality of selected studies. Ten studies, published from 1986 to 2018, were included. We found a statistically significant association between clinicians' alcohol consumption and their preventive practices to reduce unhealthy alcohol use in eight of the 10 studies. Clinicians who drank larger quantities of alcohol offered less screening and counseling to their patients about alcohol use. Clinicians who drank regularly (3 days a week or more) were less likely to screen for alcohol use, and the frequency of alcohol use by those professionals was inversely related to recommending quitting. Clinicians' alcohol use appears to be associated with their screening for unhealthy alcohol use and counseling to reduce it. The frequency and quantity of clinicians' alcohol consumption were also associated with their practices to address unhealthy alcohol use.