title: [Detection and prevalence of alcohol use disorders in primary health care in Catalonia].
abstract: OBJECTIVE
  To describe the detection by general practitioners (GP) of alcohol use disorders (AUD) and alcohol dependence, and their prevalence in primary health settings.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Twenty Catalan primary health care centres (Spain).
  
  
  METHODS
  Twenty three randomly selected GP were surveyed about alcohol and other diseases of their patients. A total of 1,372 patient interviews were collected. Patients and GPs were asked about AUD and other mental and health conditions. The Composite International Diagnostic Interview (CIDI) as the gold standard was used, as well as other structured interviews (K10 screening and World Health Organization Disability Assessment Schedule 2.0).
  
  
  RESULTS
  The CIDI diagnosed 9.6% of the total sample with an AUD, and 4.8% diagnosed by GPs. CIDI could detect more AUD in young adults, while GPs diagnosed more AUD and alcohol dependence in elderly people, who also had more health conditions. GPs recognised AUD in 28.8% of patients diagnosed with CIDI, but 42.4% of patients diagnosed by GPs were not detected with CIDI. Taking both into consideration, the gold standard and the GP clinical impression, 11.7% of patients had an AUD and 8.6% an AD.
  
  
  CONCLUSIONS
  GP recognise AUD better in the elderly with worst health conditions than CIDI. AUD and alcohol dependence prevalence is high in primary health care centres.
authors.affiliation: Grup de Recerca en Addiccions Clínic (GRAC), Unidad de Conductas Adictivas, Departamento de Psiquiatría, Instituto Clínico de Neurociencias, Hospital Clínico Universitario de Barcelona, Universidad de Barcelona, Barcelona, España; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, España; Red de Trastornos Adictivos (RTA), Barcelona, España. Electronic address: MIQUEL@clinic.cat.
authors.forename: Laia
authors.initials: L
authors.lastname: Miquel
authors.affiliation: Grup de Recerca en Addiccions Clínic (GRAC), Unidad de Conductas Adictivas, Departamento de Psiquiatría, Instituto Clínico de Neurociencias, Hospital Clínico Universitario de Barcelona, Universidad de Barcelona, Barcelona, España; Red de Trastornos Adictivos (RTA), Barcelona, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Barrio
authors.affiliation: Grup de Recerca en Addiccions Clínic (GRAC), Unidad de Conductas Adictivas, Departamento de Psiquiatría, Instituto Clínico de Neurociencias, Hospital Clínico Universitario de Barcelona, Universidad de Barcelona, Barcelona, España.
authors.forename: Jose
authors.initials: J
authors.lastname: Moreno-España
authors.affiliation: Grup de Recerca en Addiccions Clínic (GRAC), Unidad de Conductas Adictivas, Departamento de Psiquiatría, Instituto Clínico de Neurociencias, Hospital Clínico Universitario de Barcelona, Universidad de Barcelona, Barcelona, España; Red de Trastornos Adictivos (RTA), Barcelona, España.
authors.forename: Lluisa
authors.initials: L
authors.lastname: Ortega
authors.affiliation: Institute of Clinical Psychology and Psychotherapy & Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universität Dresden, Dresde, Alemania.
authors.forename: Jakob
authors.initials: J
authors.lastname: Manthey
authors.affiliation: Institute of Clinical Psychology and Psychotherapy & Center of Clinical Epidemiology and Longitudinal Studies (CELOS), Technische Universität Dresden, Dresde, Alemania; Centre for Addiction and Mental Health, Toronto, Canada; Addiction Policy, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute of Medical Science, University of Toronto, Faculty of Medicine, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Rehm
authors.affiliation: Grup de Recerca en Addiccions Clínic (GRAC), Unidad de Conductas Adictivas, Departamento de Psiquiatría, Instituto Clínico de Neurociencias, Hospital Clínico Universitario de Barcelona, Universidad de Barcelona, Barcelona, España; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, España; Red de Trastornos Adictivos (RTA), Barcelona, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Gual
mesh_terms: D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D058005:General Practitioners; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Alcohol use disorders; Atención primaria; Epidemiology; Epidemiología; Primary care; Trastorno por uso de alcohol