Missed Opportunities: Screening and Brief Intervention for Risky Alcohol Use in Women's Health Settings

Hettema, Jennifer E.; Cockrell, Stephanie A.; Russo, Jennifer M.; Corder-Mabe, Joan; Yowell-Many, Alycia; Chisholm, Christian A.; Ingersoll, Karen S.

doi:10.1089/jwh.2014.4961

Cited by 18 publications

(19 citation statements)

References 26 publications

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“…Women usually visit their primary care physician for reasons other than their alcohol use. In primary care, unless alcohol screening is systematic, women tend to be missed (Amico, et al, 2005;Hettema et al, 2015;Weisner & Matzger, 2003); however, when screening is conducted systematically with a standardized instrument and a protocol that screens all women rather leaving it up to clinician judgement, there is no longer a difference (Ballesteros et al, 2004). Several screeners for women with alcohol use disorders have evidence of validity.…”

Section: Alcohol Treatment Services For Womenmentioning

confidence: 99%

Alcohol and Women: A Brief Overview

McCaul

Roach

Hasin

et al. 2019

Alcoholism Clin & Exp Res

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Section: Alcohol Treatment Services For Womenmentioning

confidence: 99%

Alcohol and Women: A Brief Overview

McCaul

Roach

Hasin

et al. 2019

Alcoholism Clin & Exp Res

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“… 18 For example, one study found that one-third of women who endorsed alcohol consumption in women’s health clinics were not asked how much they drank and that a majority of women drinking at risk levels did not receive advice on low-risk limits. 91 Another study concluded that approximately half of women at risk of an AEP did not receive information pertaining to this risk from their health care providers. 91 These findings corroborate national survey data of family planning clinicians, which found that of these clinicians, approximately one-third used a validated screening measure and one-fifth provided a referral that consisted of more than a list of treatment options.…”

Section: Barriers and Facilitators To Sbirt Implementationmentioning

confidence: 99%

“… 91 Another study concluded that approximately half of women at risk of an AEP did not receive information pertaining to this risk from their health care providers. 91 These findings corroborate national survey data of family planning clinicians, which found that of these clinicians, approximately one-third used a validated screening measure and one-fifth provided a referral that consisted of more than a list of treatment options. 92 …”

Section: Barriers and Facilitators To Sbirt Implementationmentioning

confidence: 99%

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Girls and Women

Hammock¹,

Velasquez²,

Alwan³

et al. 2020

ARCR

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Females ages 12 and older are the fastest growing segment of alcohol consumers in the United States, with the past decade showing a 16% increase in alcohol use per 12-month period and a 58% increase in high-risk drinking (i.e., > 3 drinks in a day and/or > 7 drinks in a week) per 12-month period. The increase in alcohol use and risk drinking poses unique and serious consequences for women. Women have a more rapid progression to alcohol-related problems and alcohol use disorders (AUD) than men, and if pregnant, women can potentially expose the fetus to alcohol. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based, integrated public health approach used to identify and address risky alcohol use among women in a variety of health and social service settings. This article presents the current status of SBIRT among girls ages 12 and older, women of childbearing age, and older women. Screening instruments, brief interventions, and implementation issues specific to women of all ages are described. Through this review of the current literature, care providers can determine best practices for the prevention and treatment of risk drinking in women of all ages presenting in health care settings.

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“…Service providers report being reluctant to ask women about their alcohol use, due to fears of jeopardizing their clinical relationship, or being perceived as judging and shaming women’s behavior [18,19]. While research [20] and prevention efforts such as the Women Want to Know campaign in Australia (fare.org.au) indicate that women appreciate the opportunity to discuss their alcohol use, and learn about ways to improve their health, persistent barriers exist for women to answering questions about alcohol use during pregnancy. For example, women report not feeling safe to report their alcohol use for fear they will be seen negatively by their service provider for their continued use in pregnancy, out of concern about involvement from the child welfare or justice systems, or out of the perception that accessible and helpful outpatient options are unavailable [19,21,22].…”

Section: Introductionmentioning

confidence: 99%

The Potential for Fetal Alcohol Spectrum Disorder Prevention of a Harmonized Approach to Data Collection about Alcohol Use in Pregnancy Cohort Studies

Poole

Schmidt

Bocking

et al. 2019

IJERPH

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Prenatal alcohol exposure is a leading cause of disability, and a major public health concern in Canada. There are well-documented barriers for women and for service providers related to asking about alcohol use in pregnancy. Confidential research is important for learning about alcohol use before, during and after pregnancy, in order to inform fetal alcohol spectrum disorder (FASD) prevention strategies. The Research Advancement through Cohort Cataloguing and Harmonization (ReACH) initiative provides a unique opportunity to leverage the integration of the Canadian pregnancy and birth cohort information regarding women’s drinking during pregnancy. In this paper, we identify: The data that can be collected using formal validated alcohol screening tools; the data currently collected through Canadian provincial/territorial perinatal surveillance efforts; and the data currently collected in the research context from 12 pregnancy cohorts in the ReACH Catalogue. We use these findings to make recommendations for data collection about women’s alcohol use by future pregnancy cohorts, related to the frequency and quantity of alcohol consumed, the number of drinks consumed on an occasion, any alcohol consumption before pregnancy, changes in use since pregnancy recognition, and the quit date. Leveraging the development of a Canadian standard to measure alcohol consumption is essential to facilitate harmonization and co-analysis of data across cohorts, to obtain more accurate data on women’s alcohol use and also to inform FASD prevention strategies.

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Missed Opportunities: Screening and Brief Intervention for Risky Alcohol Use in Women's Health Settings

Abstract: Women's health clinics may be an ideal setting to implement SBIRT and future research should address treatment efficacy in these settings.

Cited by 18 publications

References 26 publications

Alcohol and Women: A Brief Overview

Alcohol and Women: A Brief Overview

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Girls and Women

The Potential for Fetal Alcohol Spectrum Disorder Prevention of a Harmonized Approach to Data Collection about Alcohol Use in Pregnancy Cohort Studies

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