PMID- 29241721
OWN - NLM
STAT- MEDLINE
DCOM- 20190405
LR  - 20210109
IS  - 1873-2607 (Electronic)
IS  - 0749-3797 (Print)
IS  - 0749-3797 (Linking)
VI  - 54
IP  - 2
DP  - 2018 Feb
TI  - Screening for Alcohol Misuse: Practices Among U.S. Primary Care Providers, 
      DocStyles 2016.
PG  - 173-180
LID - S0749-3797(17)30684-0 [pii]
LID - 10.1016/j.amepre.2017.11.008 [doi]
AB  - INTRODUCTION: Excessive alcohol use is associated with car crashes, violence, and 
      multiple disease conditions, including fetal alcohol spectrum disorders. The U.S. 
      Preventive Services Task Force (USPSTF) recommends that primary care providers 
      screen all adults and conduct brief counseling interventions with those who 
      misuse alcohol. The USPSTF prefers use of three screening tools that measure 
      alcohol consumption (Alcohol Use Disorders Identification Test, Alcohol Use 
      Disorders Identification Test-Consumption, and National Institute on Alcohol 
      Abuse and Alcoholism Single Question) because these tools detect the full 
      spectrum of alcohol misuse in adults. This study estimated the prevalence of 
      primary care provider screening practices for alcohol misuse and examined factors 
      associated with using a USPSTF-preferred screening tool. METHODS: In 2016, a 
      cross-sectional analysis was conducted on self-reported 2016 DocStyles data to 
      estimate the prevalence of different screening tools used by 1,506 primary care 
      providers-family practitioners, internists, obstetrician/gynecologists, and nurse 
      practitioners. Adjusted prevalence ratios were calculated using logistic 
      regression to examine the association between provider attributes and use of 
      USPSTF-preferred screening tools. RESULTS: In this study, 96% of providers 
      reported screening patients for alcohol misuse. Among those that screened, 38% 
      used a USPSTF-preferred screening tool. Provider specialty, awareness of USPSTF 
      guidelines, and mode of administering screening tool were associated with using a 
      preferred screening tool. CONCLUSIONS: Although most primary care providers 
      reported screening for alcohol misuse, about two thirds did not use a tool 
      capable of detecting the full spectrum of alcohol misuse. Using suitable 
      screening tools will better identify patients who misuse alcohol and increase the 
      opportunity for appropriate intervention, ultimately helping to reduce the burden 
      from the many conditions associated with excessive alcohol consumption.
CI  - Published by Elsevier Inc.
FAU - Tan, Cheryl H
AU  - Tan CH
AD  - Centers for Disease Control and Prevention, Atlanta, Georgia.
FAU - Hungerford, Daniel W
AU  - Hungerford DW
AD  - Centers for Disease Control and Prevention, Atlanta, Georgia.
FAU - Denny, Clark H
AU  - Denny CH
AD  - Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: 
      cdenny@cdc.gov.
FAU - McKnight-Eily, Lela R
AU  - McKnight-Eily LR
AD  - Centers for Disease Control and Prevention, Atlanta, Georgia.
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
PT  - Journal Article
DEP - 20171211
PL  - Netherlands
TA  - Am J Prev Med
JT  - American journal of preventive medicine
JID - 8704773
SB  - IM
MH  - Adult
MH  - Advisory Committees/standards
MH  - Alcohol Drinking/*adverse effects
MH  - Alcoholism/diagnosis/epidemiology/*prevention & control
MH  - Behavior Therapy/statistics & numerical data
MH  - Counseling/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Female
MH  - Guideline Adherence/statistics & numerical data
MH  - Health Care Surveys/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mass Screening/*organization & administration
MH  - Middle Aged
MH  - Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'/organization & 
      administration/standards/*statistics & numerical data
MH  - Prevalence
MH  - Preventive Health Services/standards
MH  - Primary Health Care/methods/*organization & administration/standards/statistics & 
      numerical data
MH  - Self Report/statistics & numerical data
MH  - United States
PMC - PMC5819002
MID - NIHMS942566
EDAT- 2017/12/16 06:00
MHDA- 2019/04/06 06:00
PMCR- 2019/02/01
CRDT- 2017/12/16 06:00
PHST- 2017/04/11 00:00 [received]
PHST- 2017/10/17 00:00 [revised]
PHST- 2017/11/07 00:00 [accepted]
PHST- 2017/12/16 06:00 [pubmed]
PHST- 2019/04/06 06:00 [medline]
PHST- 2017/12/16 06:00 [entrez]
PHST- 2019/02/01 00:00 [pmc-release]
AID - S0749-3797(17)30684-0 [pii]
AID - 10.1016/j.amepre.2017.11.008 [doi]
PST - ppublish
SO  - Am J Prev Med. 2018 Feb;54(2):173-180. doi: 10.1016/j.amepre.2017.11.008. Epub 
      2017 Dec 11.