The USPSTF uses the term “unhealthy alcohol use” to define a spectrum of behaviors, from risky drinking to alcohol use disorder (AUD) (eg, harmful alcohol use, abuse, or dependence) ( Table). The USPSTF has made recommendations on screening for and interventions to reduce the unhealthy use of other substances, including illicit drugs and tobacco.įor a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents, please go to. The USPSTF was unable to identify specific intervention characteristics or components that were clearly associated with improved outcomes. Effective behavioral counseling interventions vary in their specific components, administration, length, and number of interactions. These instruments include the AUDIT-C and the SASQ.īrief behavioral counseling interventions were found to reduce unhealthy alcohol use in adults 18 years or older, including pregnant women. One- to 3-item screening instruments have the best accuracy for assessing unhealthy alcohol use in adults 18 years or older. Numerous brief screening instruments can detect unhealthy alcohol use with acceptable sensitivity and specificity in primary care settings. Screen for unhealthy alcohol use and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions.
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