Hazardous and harmful alcohol consumption in primary care.
paper
Cited
Public
Unavailable
- Authors
- Reid, M C; Fiellin, D A; O'Connor, P G
- Year
- 1999
- Journal
- Archives of internal medicine
- PMID
- 10448769
- DOI
- 10.1001/archinte.159.15.1681
Increasing emphasis has been placed on the detection and treatment of hazardous and harmful drinking disorders, particularly among patients who are seen in primary care settings. In this review, we summarize the epidemiology and health-related effects of hazardous and harmful drinking and discuss current methods for their detection and treatment. Hazardous drinking is defined as a quantity or pattern of alcohol consumption that places patients at risk for adverse health events, while harmful drinking is defined as alcohol consumption that results in adverse events (e.g., physical or psychological harm). Prevalence estimates range from 4% to 29% for hazardous drinking and from less than 1% to 10% for harmful drinking. Data from several recent large prospective studies suggest that alcohol consumption in quantities consistent with hazardous or harmful drinking may increase risk for adverse health events, such as hemorrhagic stroke and breast cancer. Existing screening instruments, such as the Michigan Alcoholism Screening Test (MAST) or the CAGE questionnaire, while excellent for detecting alcohol abuse or dependence, should not be used alone to screen for hazardous and harmful drinking. The Alcohol Use Disorders Identification Test (AUDIT) is currently the only instrument specifically designed to identify hazardous and harmful drinking. Treatment of these disorders in the form of brief interventions can be successfully accomplished in primary care settings, as demonstrated by a number of well-conducted randomized trials. Given its proven efficacy in the primary care setting, we recommend routine application of this treatment approach.
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| The role of alcohol on platelets, thymus and cognitive performance among HIV-infected subjects: are they related? | MΓguez-Burbano MJ et al. | β | 2009 | β |
| Adjusting alcohol quantity for mean consumption and intoxication threshold improves prediction of nonadherence in HIV patients and HIV-negative controls. | Braithwaite RS et al. | β | 2008 | β |
| Hazardous drinking: prevalence and associations in the Finnish general population. | Halme JT et al. | β | 2008 | β |
| Meta-analysis: are 3 questions enough to detect unhealthy alcohol use? | Kriston L et al. | β | 2008 | β |
| The role of aldehyde dehydrogenase-1 (ALDH1A1) polymorphisms in harmful alcohol consumption in a Finnish population. | Lind PA et al. | β | 2008 | β |
| Validation and comparison of alcohol-screening instruments for identifying hazardous drinking in hospitalized patients in Taiwan. | Wu SI et al. | β | 2008 | β |
| Co-morbid health conditions at mid-life in the Iowa adoptees. | Spinks R et al. | β | 2007 | β |
| Controlled study of brief personalized assessment-feedback for drinkers interested in self-help. | Wild TC et al. | β | 2007 | β |
| Pathological personality traits and suicidal ideation among older adolescents and young adults with alcohol misuse: a pilot case-control study in a primary care setting. | Carballo JJ et al. | β | 2007 | β |
| Positive CAGE screen correlates with cirrhosis in veterans with chronic hepatitis C. | Kamal A et al. | β | 2007 | β |
| Smoking status as a clinical indicator for alcohol misuse in US adults. | McKee SA et al. | β | 2007 | β |
| Alcohol use and abuse in training conscripts of the Hellenic navy. | Moussas G et al. | β | 2006 | β |
| Alcohol Use Disorder Identification Test (AUDIT): what does it screen? Performance of the AUDIT against four different criteria in a Swedish population sample. | Selin KH | β | 2006 | β |
| Alcohol use disorders in primary care patients in Cagliari, Italy. | Agabio R et al. | β | 2006 | β |
| Associations between alcohol use and homelessness with healthcare utilization among human immunodeficiency virus-infected veterans. | Gordon AJ et al. | β | 2006 | β |
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| Validation of the revised Self-Administered Alcohol Screening Test (SAAST-R). | Patten CA et al. | β | 2006 | β |
| Alcohol abuse screening in primary care. | Harwood GA | β | 2005 | β |
| Ankle fractures: emergency department management...is there room for improvement? | Deasy C et al. | β | 2005 | β |
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| Concurrent and construct validity of the audit in an urban brazilian sample. | Lima CT et al. | β | 2005 | β |
| Evaluation of a brief intervention in an inner-city emergency department. | Bazargan-Hejazi S et al. | β | 2005 | β |
| Older adults' health and changes in late-life drinking patterns. | Moos RH et al. | β | 2005 | β |
| Screening for alcohol use disorders among medical outpatients: the influence of individual and facility characteristics. | Desai MM et al. | β | 2005 | β |
| The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. | Gache P et al. | β | 2005 | β |
| The Bayesian Alcoholism Test had better diagnostic properties for confirming diagnosis of hazardous and harmful alcohol use. | Korzec A et al. | β | 2005 | β |
| The prevalence and impact of alcohol problems in major depression: a systematic review. | Sullivan LE et al. | β | 2005 | β |
| The use of audit to assess level of alcohol problems in rural Vietnam. | Giang KB et al. | β | 2005 | β |
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| Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. | Whitlock EP et al. | β | 2004 | β |
| Brief interventions for hazardous drinkers delivered in primary care are equally effective in men and women. | Ballesteros J et al. | β | 2004 | β |
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| Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendation statement. | U.S. Preventive Services Task Force | β | 2004 | β |
| Screening and brief intervention in primary care settings. | Fleming MF | β | 2004 | β |
| Screening for substance abuse in individuals with traumatic brain injury. | Ashman TA et al. | β | 2004 | β |
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| Requiring a one-week addiction treatment experience in a six-week psychiatry clerkship: effects on attitudes toward substance-abusing patients. | Christison GW et al. | β | 2003 | β |
| The TWEAK is weak for alcohol screening among female Veterans Affairs outpatients. | Bush KR et al. | β | 2003 | β |
| Treating pain patients at risk: evaluation of a screening tool in opioid-treated pain patients with and without addiction. | Friedman R et al. | β | 2003 | β |
| Alcohol use disorders in primary care: do gender-specific differences exist? | Brienza RS et al. | β | 2002 | β |
| Evaluating the crash and citation rates of Utah drivers licensed with medical conditions, 1992-1996. | Vernon DD et al. | β | 2002 | β |
| Office-based intervention for adolescent substance abuse. | Levy S et al. | β | 2002 | β |
| Problem substance use among depressed patients in managed primary care. | Roeloffs CA et al. | β | 2002 | β |
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| Use of opioid medications for chronic noncancer pain syndromes in primary care. | Reid MC et al. | β | 2002 | β |
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| Prolonged neurophysiological effects of cumulative wine drinking. | Ilan AB et al. | β | 2001 | β |
| The role of the primary care provider in preventing and treating alcohol problems in adolescents. | Knight JR | β | 2001 | β |
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