Variation in documented care for unhealthy alcohol consumption across race/ethnicity in the Department of Veterans Affairs Healthcare System.
- Authors
- Williams, Emily C; Lapham, Gwen T; Hawkins, Eric J; Rubinsky, Anna D; Morales, Leo S; Young, Bessie A; Bradley, Katharine A
- Year
- 2012
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 22404130
- DOI
- 10.1111/j.1530-0277.2012.01761.x
BACKGROUND: The VA Healthcare System has made progress implementing evidence-based care for unhealthy alcohol use, but whether there are differences in care across race/ethnicity is unclear. We describe alcohol-related care for 3 racial/ethnic groups among VA outpatients with unhealthy alcohol use. METHODS: This cross-sectional study utilized secondary quality improvement data collected for the VA Office of Quality and Performance (July 2006 to June 2007) to identify a sample of 9,194 black (n = 1,436), Hispanic (n = 500), and white (n = 7,258) VA outpatients who screened positive for unhealthy alcohol use (AUDIT-C score ≥4 men; ≥3 women). Alcohol-related care was defined as medical record documentation of brief intervention (advice or feedback) and/or referral (discussion of or scheduled). Logistic regression models estimated the prevalence of alcohol-related care among black, Hispanic, and white patients after adjustment for sociodemographic characteristics, alcohol use severity, other substance use, and mental health comorbidity. RESULTS: Among all eligible patients, 2,903 (32%) had documented alcohol-related care. Adjusted prevalences were 35.3% (95% CI 30.0 to 40.5) for black, 27.3% (95% CI 21.1 to 33.5) for Hispanic, and 28.9% (95% CI 25.5 to 32.3) for white patients. Differences in documented alcohol-related care between all racial/ethnic groups were significant (p-values all < 0.05). CONCLUSIONS: Among VA patients with unhealthy alcohol use, black patients had the highest, and Hispanic the lowest, prevalence of documented alcohol-related care. Future research should evaluate contextual and system-, provider-, or patient-level factors that may attenuate racial/ethnic differences in documented alcohol-related care, as well as whether differences in documented care are associated with differences in outcomes.
No figures extracted from this document.
No chunks — full text not yet ingested.
No entities extracted from this document yet.
No uploaded files.
No citations found.
In this knowledge base
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Trends and disparities in alcohol screening and brief counseling following the U.S. Affordable Care Act. | Cook WK et al. | — | 2025 | → |
| Addressing Disparities in Alcohol Use Disorder Treatment: A Call to Action. | Kranzler HR et al. | — | 2024 | → |
| Disparities in Treatment for Alcohol Use Disorder Among All of Us Participants. | Le P et al. | — | 2024 | → |
| Patient navigation for pregnant individuals with opioid use disorder: Results of a randomized multi-site pilot trial. | Cochran G et al. | — | 2024 | → |
| Racial and Ethnic Bias in the Diagnosis of Alcohol Use Disorder in Veterans. | Vickers-Smith R et al. | — | 2023 | → |
| Residence in a Medicaid-expansion state and receipt of alcohol screening and brief counseling by adults with lower incomes: Is increased access to primary care enough? | Phillips AZ et al. | — | 2023 | → |
| Unhealthy alcohol use and brief intervention rates among high and low complexity veterans seeking primary care services in the Veterans Health Administration. | Jia-Richards M et al. | — | 2023 | → |
| Alcohol brief intervention, specialty treatment and drinking outcomes at 12 months: Results from a systematic alcohol screening and brief intervention initiative in adult primary care. | Chi FW et al. | — | 2022 | → |
| Neighborhood Disadvantage, Patterns of Unhealthy Alcohol Use, and Differential Associations by Gender, Race/Ethnicity, and Rurality: A Study of Veterans Health Administration Patients. | Edmonds AT et al. | — | 2022 | → |
| Patient-centered primary care and receipt of evidence-based alcohol-related care in the national Veterans Health Administration. | Edmonds AT et al. | — | 2022 | → |
| Predictors of alcohol screening quality in a US general population sample and subgroups of heavy drinkers. | Subbaraman MS et al. | — | 2022 | → |
| Geographic differences in receipt of addictions treatment in a national sample of patients with alcohol use disorders from the U.S. Veterans Health Administration. | Edmonds AT et al. | — | 2021 | → |
| Missed opportunities by health care providers to reduce racial/ethnic disparities in the use of alcohol treatment services. | Pinedo M | — | 2021 | → |
| Patient and provider factors associated with receipt and delivery of brief interventions for unhealthy alcohol use in primary care. | Lu Y et al. | — | 2021 | → |
| Receipt of evidence-based alcohol-related care in a national sample of transgender patients with unhealthy alcohol use: Overall and relative to non-transgender patients. | Williams EC et al. | — | 2021 | → |
| Documented brief intervention associated with reduced linkage to specialty addictions treatment in a national sample of VA patients with unhealthy alcohol use with and without alcohol use disorders. | Frost MC et al. | — | 2020 | → |
| Racial/ethnic and gender differences in receipt of brief intervention among patients with unhealthy alcohol use in the U.S. Veterans Health Administration. | Chen JA et al. | — | 2020 | → |
| Referral to Treatment After Positive Screens for Unhealthy Drug Use in an Outpatient Veterans Administration Setting. | Hodgkin D et al. | — | 2020 | → |
| Cognitive Behavioral Therapy for Insomnia in Alcohol-Dependent Veterans: A Randomized, Controlled Pilot Study. | Chakravorty S et al. | — | 2019 | → |
| Differences in Receipt of Alcohol-Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use. | Bensley KM et al. | — | 2019 | → |
| Influence of comorbid drug use disorder on receipt of evidence-based treatment for alcohol use disorder among VA patients with alcohol use disorder and Hepatitis C and/or HIV. | Frost MC et al. | — | 2019 | → |
| Gender and ethnic differences in primary care patients' response to computerized vs. in-person brief intervention for illicit drug misuse. | Gryczynski J et al. | — | 2018 | → |
| Predictors of Treatment Referral after AUDIT-C Screening for Heavy Drinking. | Naps MS et al. | — | 2018 | → |
| Receipt of alcohol-related care among patients with HCV and unhealthy alcohol use. | Owens MD et al. | — | 2018 | → |
| Among patients with unhealthy alcohol use, those with HIV are less likely than those without to receive evidence-based alcohol-related care: A national VA study. | Williams EC et al. | — | 2017 | → |
| Behavioral, mental, and physical health characteristics and opioid medication misuse among community pharmacy patients: A latent class analysis. | Cochran G et al. | — | 2017 | → |
| Delivery of screening and brief intervention for unhealthy alcohol use in an urban academic Federally Qualified Health Center. | Bachhuber MA et al. | — | 2017 | → |
| Frequency of Cannabis Use Among Primary Care Patients in Washington State. | Lapham GT et al. | — | 2017 | → |
| Opioid medication misuse among unhealthy drinkers. | Cochran G et al. | — | 2017 | → |
| Prescription Opioid Misuse Among Rural Community Pharmacy Patients: Pilot Study for Screening and Implications for Future Practice and Research. | Cochran GT et al. | — | 2017 | → |
| Racial/ethnic differences in initiation of and engagement with addictions treatment among patients with alcohol use disorders in the veterans health administration. | Bensley KM et al. | — | 2017 | → |
| Variation in receipt of pharmacotherapy for alcohol use disorders across racial/ethnic groups: A national study in the U.S. Veterans Health Administration. | Williams EC et al. | — | 2017 | → |
| Drug allergies documented in electronic health records of a large healthcare system. | Zhou L et al. | — | 2016 | → |
| Prescription opioid use: Patient characteristics and misuse in community pharmacy. | Cochran G et al. | — | 2016 | → |
| Racial/Ethnic Differences in Primary Care Experiences in Patient-Centered Medical Homes among Veterans with Mental Health and Substance Use Disorders. | Jones AL et al. | — | 2016 | → |
| Racial/Ethnic Differences in the Prevalence of Clinically Recognized Alcohol Use Disorders Among Patients from the U.S. Veterans Health Administration. | Williams EC et al. | — | 2016 | → |
| A conceptual model to facilitate transitions from primary care to specialty substance use disorder care: a review of the literature. | Cucciare MA et al. | — | 2015 | → |
| Adapting Screening, Brief Intervention, and Referral to Treatment for Alcohol and Drugs to Culturally Diverse Clinical Populations. | Manuel JK et al. | — | 2015 | → |
| Care utilization and patient characteristics of veterans who misuse alcohol. | Halvorson MA et al. | — | 2014 | → |
| Psychiatric comorbidity and perceived alcohol stigma in a nationally representative sample of individuals with DSM-5 alcohol use disorder. | Glass JE et al. | — | 2014 | → |
| Racial and ethnic differences in receipt of antidepressants and psychotherapy by veterans with chronic depression. | Quiñones AR et al. | — | 2014 | → |
| Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. | Glass JE et al. | — | 2013 | → |