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Comparison of data sources on alcohol problems: An exploratory exercise using surveys vs. national healthcare registers

Nordisk alkohol- & narkotikatidskrift : NAT, 2021-04, Vol.38 (2), p.125-140 [Peer Reviewed Journal]

The Author(s) 2020 ;The Author(s) 2020. ;The Author(s) 2020. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 2020 SAGE Publications Ltd, or Nordic Centre for Welfare and Social Issues, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses ;ISSN: 1455-0725 ;EISSN: 1458-6126 ;DOI: 10.1177/1455072520968021 ;PMID: 35310008

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  • Title:
    Comparison of data sources on alcohol problems: An exploratory exercise using surveys vs. national healthcare registers
  • Author: Mäkelä, Pia ; Kuussaari, Kristiina ; Partanen, Airi ; Rautiainen, Elina
  • Subjects: Alcohol ; Alcohol use ; Alcohols ; Data sources ; Drug abuse ; Health care ; Middle age ; Polls & surveys ; Primary care ; Registers ; Research Reports ; Substance use ; Substance use disorder ; Underreporting
  • Is Part Of: Nordisk alkohol- & narkotikatidskrift : NAT, 2021-04, Vol.38 (2), p.125-140
  • Description: Aims: Both survey and healthcare register data struggle as data sources to capture the phenomenon of alcohol problems. We study a large group of people for whom survey data and two types of register data are available, and examine the overlaps of similar or related measures in the different data sources to learn about potential weaknesses in each. We also examine how register-based data on the prevalence of alcohol problems change depending on which register data are used. Design: We use data from the Regional Health and Wellbeing Study (ATH) of the adult Finnish population collected in 2013 and 2014 (n = 69,441), individually linked with data on two national healthcare registers (Care Register for Health Care; Register of Primary Health Care visits) for the survey year and previous year. Results: The prevalence of substance-abuse-related healthcare was almost two-fold if data on outpatient primary care visits were included in addition to hospitalisations. Forty-six per cent of the survey respondents self-reporting substance-abuse-related healthcare service use were identified in the registers, and 22% of all respondents with such service use according to registers reported this in the survey. Records of substance-abuse-related healthcare service use, controlled for self-reported alcohol use and self-reported substance-abuse-related service use, were found more often for men, the middle-aged, people with basic education only, and the non-employed. Conclusions: The results are suggestive of underreporting in both data sources. There is an evident need to develop recording practices in the healthcare registers regarding substance use disorders.
  • Publisher: London, England: SAGE Publications
  • Language: English;Danish;Norwegian;Swedish
  • Identifier: ISSN: 1455-0725
    EISSN: 1458-6126
    DOI: 10.1177/1455072520968021
    PMID: 35310008
  • Source: ProQuest One Psychology
    SAGE Open Access Journals
    PubMed Central (Open access)
    ProQuest Central
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