| Alcohol screening and changes in problem drinking behaviors in medical care settings: a longitudinal perspective. | |
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MedLine Citation:
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PMID: 21513684 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Although the effect of alcohol assessment in medical settings has received attention, the longitudinal study of such efforts has been restricted to studying a single assessment/intervention dose. Such interventions can be recurrent and have effects on subsequent problem drinking. METHOD: A sample of problem drinkers in the general population (n = 672) and with admissions to chemical-dependency programs (n = 926) was interviewed at baseline and 1, 3, 5, and 7 years later. At each wave, respondents were asked about their drinking, their medical visits, and the intensity of the medical contact (whether during the visit they were asked about their drinking and, if so, whether they received or were referred to alcohol treatment). RESULTS: Rates of problem drinking declined over time, from 48% at the 1-year follow up to 38% at the 7-year follow-up. Problem drinkers were more likely at each wave to receive or be referred to treatment. Alcohol and drug severity increased with more intensive medical-contact types over time. Predicting subsequent problem drinking status from prior intensity of medical contact, odds of problem drinking at subsequent waves decreased with time, age, and prior drug severity while increasing with volume and alcohol severity. Odds of problem drinking were lower among prior problem drinkers receiving assessment and treatment/referral, compared with the assessed-only group. Examined separately, this effect was found only for those drinkers with lower volumes (average < 0.5 drinks/day). Conclusions: Alcohol assessment may be effective in reducing problem drinking but may be most effective among the non-heaviest drinkers. |
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Authors:
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Jason C Bond; Constance M Weisner; Kevin L Delucchi |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of studies on alcohol and drugs Volume: 72 ISSN: 1938-4114 ISO Abbreviation: J Stud Alcohol Drugs Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-25 Completed Date: 2011-08-12 Revised Date: 2012-05-01 |
Medline Journal Info:
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Nlm Unique ID: 101295847 Medline TA: J Stud Alcohol Drugs Country: United States |
Other Details:
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Languages: eng Pagination: 471-9 Citation Subset: IM |
Affiliation:
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Alcohol Research Group, 6475 Christie Avenue, Suite #400, Emeryville, California 94608, USA. jbond@arg.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Alcohol Drinking / epidemiology* Alcohol-Related Disorders / diagnosis, epidemiology* Delivery of Health Care / methods* Female Follow-Up Studies Humans Longitudinal Studies Male Mass Screening / methods* Severity of Illness Index Substance-Related Disorders / rehabilitation Time Factors |
| Grant Support | |
ID/Acronym/Agency:
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R01 AA010359/AA/NIAAA NIH HHS; R01 AA015927/AA/NIAAA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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