PMID- 38505370 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240322 IS - 2196-2952 (Print) IS - 2196-2952 (Electronic) VI - 10 DP - 2023 Dec TI - Alcohol Treatment Access and Engagement Among Women in the USA: a Targeted Review of the Literature 2012-2022. PG - 638-648 LID - 10.1007/s40429-023-00515-1 [doi] AB - PURPOSE OF REVIEW: The purpose of this review is to examine recent literature (2012-2022) on alcohol treatment access and engagement in women in the U.S. and propose future directions for research and clinical practice. RECENT FINDINGS: A targeted literature review resulted in 27 studies encompassing screening and brief intervention (SBIRT), treatment utilization, treatment engagement, and barriers to treatment. Recent literature demonstrates overall low rates of screening and brief interventions and treatment utilization in the population with women less likely to be screened and utilize alcohol treatment. The magnitude of these gender differences varies with race/ethnicity. Extensive barriers to care include provider knowledge, structural barriers, and attitudinal barriers and these vary with service setting, gender, and race/ethnicity. SUMMARY: There is an increasing prevalence of alcohol use and Alcohol Use Disorder (AUD) in women with low rates of screening, brief treatment, treatment, and engagement which have resulted from extensive barriers to care. Possible areas of further inquiry include the impact of race/ethnicity on gender differences, improving provider and system level policies to promote SBIRT and treatment engagement and utilization, further developing digital interventions, and implementation research to investigate factors associated with optimizing effectiveness of gender-responsive and culturally tailored interventions that address the unique needs of women. FAU - Levine, Emily A AU - Levine EA AUID- ORCID: 0000-0001-6928-0336 AD - McLean Hospital. FAU - Sugarman, Dawn E AU - Sugarman DE AUID- ORCID: 0000-0002-8390-4755 AD - McLean Hospital. AD - Department of Psychiatry, Harvard Medical School. FAU - Rockas, Mary AU - Rockas M AD - McLean Hospital. AD - Department of Psychiatry, Harvard Medical School. FAU - McHugh, R Kathryn AU - McHugh RK AUID- ORCID: 0000-0002-3011-8697 AD - McLean Hospital. AD - Department of Psychiatry, Harvard Medical School. FAU - Jordan, Chloe AU - Jordan C AUID- ORCID: 0000-0002-1843-227X AD - McLean Hospital. AD - Department of Psychiatry, Harvard Medical School. FAU - Greenfield, Shelly F AU - Greenfield SF AD - McLean Hospital. AD - Department of Psychiatry, Harvard Medical School. LA - eng GR - K23 DA050780/DA/NIDA NIH HHS/United States PT - Journal Article DEP - 20230912 PL - Switzerland TA - Curr Addict Rep JT - Current addiction reports JID - 101623508 PMC - PMC10948108 MID - NIHMS1930893 OTO - NOTNLM OT - alcohol OT - alcohol use disorders OT - drinking OT - gender OT - gender differences OT - treatment OT - women EDAT- 2024/03/20 06:45 MHDA- 2024/03/20 06:46 PMCR- 2024/12/01 CRDT- 2024/03/20 04:09 PHST- 2024/12/01 00:00 [pmc-release] PHST- 2024/03/20 06:46 [medline] PHST- 2024/03/20 06:45 [pubmed] PHST- 2024/03/20 04:09 [entrez] AID - 10.1007/s40429-023-00515-1 [doi] PST - ppublish SO - Curr Addict Rep. 2023 Dec;10:638-648. doi: 10.1007/s40429-023-00515-1. Epub 2023 Sep 12.