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Screening for Excessive Alcohol Use and Brief Counseling of Adults - 17 States and the District of Columbia, 2014.

Abstract Excessive and/or risky alcohol use* resulted in $249 billion in economic costs in 2010 (1) and >88,000 deaths in the United States every year from 2006 to 2010 (2). It is associated with birth defects and disabilities (e.g., fetal alcohol spectrum disorders [FASDs]), increases in chronic diseases (e.g., heart disease and breast cancer), and injuries and violence (e.g., motor vehicle crashes, suicide, and homicide).(†) Since 2004, the U.S. Preventive Services Task Force (USPSTF) has recommended alcohol misuse screening and brief counseling (also known as alcohol screening and brief intervention or ASBI) for adults aged ≥18 years (3).(§) Among adults, ASBI reduces episodes of binge-level consumption, reduces weekly alcohol consumption, and increases compliance with recommended drinking limits in those who have an intervention in comparison to those who do not (3). A recent study suggested that health care providers rarely talk with patients about alcohol use (4). To estimate the prevalence of U.S. adults who reported receiving elements of ASBI, CDC analyzed 2014 Behavioral Risk Factor Surveillance System (BRFSS) data from 17 states(¶) and the District of Columbia (DC). Weighted crude and age-standardized overall and state-level prevalence estimates were calculated by selected drinking patterns and demographic characteristics. Overall, 77.7% of adults (age-standardized estimate) reported being asked about alcohol use by a health professional in person or on a form during a checkup, but only 32.9% reported being asked about binge-level alcohol consumption (3). Among binge drinkers, only 37.2% reported being asked about alcohol use and advised about the harms of drinking too much, and only 18.1% reported being asked about alcohol use and advised to reduce or quit drinking. Widespread implementation of ASBI and other evidence-based interventions could help reduce excessive alcohol use in adults and related harms.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28358798
OWN - NLM
STAT- MEDLINE
DA  - 20170330
DCOM- 20170403
LR  - 20170403
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 12
DP  - 2017 Mar 31
TI  - Screening for Excessive Alcohol Use and Brief Counseling of Adults - 17 States
      and the District of Columbia, 2014.
PG  - 313-319
LID - 10.15585/mmwr.mm6612a1 [doi]
AB  - Excessive and/or risky alcohol use* resulted in $249 billion in economic costs in
      2010 (1) and >88,000 deaths in the United States every year from 2006 to 2010
      (2). It is associated with birth defects and disabilities (e.g., fetal alcohol
      spectrum disorders [FASDs]), increases in chronic diseases (e.g., heart disease
      and breast cancer), and injuries and violence (e.g., motor vehicle crashes,
      suicide, and homicide).dagger Since 2004, the U.S. Preventive Services Task Force
      (USPSTF) has recommended alcohol misuse screening and brief counseling (also
      known as alcohol screening and brief intervention or ASBI) for adults aged >/=18 
      years (3). section sign Among adults, ASBI reduces episodes of binge-level
      consumption, reduces weekly alcohol consumption, and increases compliance with
      recommended drinking limits in those who have an intervention in comparison to
      those who do not (3). A recent study suggested that health care providers rarely 
      talk with patients about alcohol use (4). To estimate the prevalence of U.S.
      adults who reported receiving elements of ASBI, CDC analyzed 2014 Behavioral Risk
      Factor Surveillance System (BRFSS) data from 17 states paragraph sign and the
      District of Columbia (DC). Weighted crude and age-standardized overall and
      state-level prevalence estimates were calculated by selected drinking patterns
      and demographic characteristics. Overall, 77.7% of adults (age-standardized
      estimate) reported being asked about alcohol use by a health professional in
      person or on a form during a checkup, but only 32.9% reported being asked about
      binge-level alcohol consumption (3). Among binge drinkers, only 37.2% reported
      being asked about alcohol use and advised about the harms of drinking too much,
      and only 18.1% reported being asked about alcohol use and advised to reduce or
      quit drinking. Widespread implementation of ASBI and other evidence-based
      interventions could help reduce excessive alcohol use in adults and related
      harms.
FAU - McKnight-Eily, Lela R
AU  - McKnight-Eily LR
FAU - Okoro, Catherine A
AU  - Okoro CA
FAU - Mejia, Roberto
AU  - Mejia R
FAU - Denny, Clark H
AU  - Denny CH
FAU - Higgins-Biddle, John
AU  - Higgins-Biddle J
FAU - Hungerford, Dan
AU  - Hungerford D
FAU - Kanny, Dafna
AU  - Kanny D
FAU - Sniezek, Joseph E
AU  - Sniezek JE
LA  - eng
PT  - Journal Article
DEP - 20170331
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Alcoholism/*prevention & control
MH  - Behavioral Risk Factor Surveillance System
MH  - Counseling/methods/*statistics & numerical data
MH  - District of Columbia
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening/*statistics & numerical data
MH  - Middle Aged
MH  - United States
MH  - Young Adult
EDAT- 2017/03/31 06:00
MHDA- 2017/04/04 06:00
CRDT- 2017/03/31 06:00
AID - 10.15585/mmwr.mm6612a1 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Mar 31;66(12):313-319. doi:
      10.15585/mmwr.mm6612a1.

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