PMID- 28358798 OWN - NLM STAT- MEDLINE DCOM- 20170403 LR - 20181113 IS - 1545-861X (Electronic) IS - 0149-2195 (Print) 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 PMC - PMC5657951 EDAT- 2017/03/31 06:00 MHDA- 2017/04/04 06:00 PMCR- 2017/03/31 CRDT- 2017/03/31 06:00 PHST- 2017/03/31 06:00 [entrez] PHST- 2017/03/31 06:00 [pubmed] PHST- 2017/04/04 06:00 [medline] PHST- 2017/03/31 00:00 [pmc-release] AID - mm6612a1 [pii] 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.