PMID- 32163383
OWN - NLM
STAT- MEDLINE
DCOM- 20200316
LR  - 20200325
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Print)
IS  - 0149-2195 (Linking)
VI  - 69
IP  - 10
DP  - 2020 Mar 13
TI  - Screening for Alcohol Use and Brief Counseling of Adults - 13 States and the 
      District of Columbia, 2017.
PG  - 265-270
LID - 10.15585/mmwr.mm6910a3 [doi]
AB  - Binge drinking* is a leading preventable public health problem. From 2006 to 
      2010, binge drinking contributed to approximately 49,000 annual deaths resulting 
      from acute conditions (e.g., injuries and violence) (1). Binge drinking also 
      increases the risk for adverse health conditions, including some chronic diseases 
      (e.g., breast cancer) and fetal alcohol spectrum disorders (2). In 2004, 2013, 
      and again in 2018, for all U.S. adults aged >/=18 years in primary care, the U.S. 
      Preventive Services Task Force (USPSTF) recommended alcohol screening and brief 
      intervention (alcohol SBI) or counseling for persons whose screening indicated 
      drinking in excess of recommended limits or in ways that increase risk for poor 
      health outcomes (3-5). However, previous CDC surveillance data indicate that 
      patients report rarely talking to their provider about alcohol use,(dagger) and 
      alcohol SBI is traditionally delivered through conversation. CDC recently 
      analyzed 2017 data from the Behavioral Risk Factor Surveillance System (BRFSS) 
      survey's five-question module, which asked adults in 13 states( section sign) and the 
      District of Columbia (DC) about the delivery of alcohol SBI during their most 
      recent checkup in the past 2 years. Overall, 81.4% of adults (age-standardized 
      estimate) reported being asked about alcohol use by a health professional in 
      person or on a form during a checkup in the past 2 years, but only 37.8% reported 
      being asked a question about binge-level alcohol consumption, which is included 
      on USPSTF recommended instruments (3). Among module respondents who were asked 
      about alcohol use at a checkup in the past 2 years and reported current binge 
      drinking (past 30 days) at time of survey, only 41.7% were advised about the 
      harms of drinking too much at a checkup in the past 2 years, and only 20.1% were 
      advised to reduce or quit drinking at a checkup in the past 2 years. These 
      findings suggest that missed opportunities remain for health care providers to 
      intervene with patients who report binge drinking. Working to implement alcohol 
      SBI at a systems level, including the provision of the new Healthcare 
      Effectiveness Data Information Set (HEDIS) measure, Unhealthy Alcohol Use 
      Screening and Follow-Up, can improve alcohol SBI's use and benefit in primary 
      care.
FAU - McKnight-Eily, Lela R
AU  - McKnight-Eily LR
FAU - Okoro, Catherine A
AU  - Okoro CA
FAU - Turay, Khadija
AU  - Turay K
FAU - Acero, Cristian
AU  - Acero C
FAU - Hungerford, Dan
AU  - Hungerford D
LA  - eng
PT  - Journal Article
DEP - 20200313
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  - Behavioral Risk Factor Surveillance System
MH  - Binge Drinking/*diagnosis/*prevention & control
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 - PMC7075256
COIS- All authors have completed and submitted the International Committee of Medical 
      Journal Editors form for disclosure of potential conflicts of interest. No 
      potential conflicts of interest were disclosed.
EDAT- 2020/03/13 06:00
MHDA- 2020/03/17 06:00
PMCR- 2020/03/13
CRDT- 2020/03/13 06:00
PHST- 2020/03/13 06:00 [entrez]
PHST- 2020/03/13 06:00 [pubmed]
PHST- 2020/03/17 06:00 [medline]
PHST- 2020/03/13 00:00 [pmc-release]
AID - mm6910a3 [pii]
AID - 10.15585/mmwr.mm6910a3 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2020 Mar 13;69(10):265-270. doi: 
      10.15585/mmwr.mm6910a3.