Study finds missed opportunities for underage alcohol screening
Physicians often fail to ask high school-aged patients about alcohol use and to advise young people to reduce or stop drinking, according to a study led by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health.
In a random survey of more than 2,500 10th grade students with an average age of 16 years, researchers from NIAAA and the Eunice Kennedy Shriver National Institute of Child Health and Human Development found that 34 percent reported drinking alcohol in the past month. Twenty-six percent said they had binged, defined as five or more drinks per occasion for males, and four or more for females.
"While more than 80 percent of 10th graders said they had seen a doctor in the past year, just 54 percent of that group were asked about drinking, and 40 percent were advised about alcohol harms," says lead author Ralph W. Hingson, Sc.D., M.P.H., director of NIAAA's division of epidemiology and prevention research. He adds that, among students who had been seen by a doctor in the past year and who reported drinking in the past month, only 23 percent said they were advised to reduce or stop drinking. The findings are now online in the February issue of Pediatrics.
The researchers also reported that students who said that they had been asked about their drinking were more likely to be advised about alcohol. Nevertheless, among the 43 students who said that they were drunk six times or more in the past month and who said they had been asked about their drinking by a doctor, about 30 percent were not advised about drinking risks, and two-thirds were not advised to reduce or stop drinking.
The researchers caution that in the survey students were asked about past-month drinking, not what they may have told their physicians about their drinking.
Studies have shown that screening and brief interventions by health care providers—asking patients about alcohol use and advising them to reduce risky drinking mdash can promote significant, lasting reductions in drinking levels and alcohol-related problems among adults. Accumulating evidence supports the use of alcohol screening among adolescents.
In 2011, NIAAA and the American Academy of Pediatrics released a two-question screening tool designed to help clinicians overcome time constraints and other common barriers to youth alcohol screening. Examples of these questions, which vary slightly for elementary, middle, and high school ages, include:
"Do you have any friends who drank beer, wine, or any drink containing alcohol in the past year?"
"How about you—in the past year, on how many days have you had more than a few sips of beer, wine, or any drink containing alcohol?"
"Alcohol is by far the drug of choice among youth," says NIAAA acting director Kenneth R. Warren, Ph.D. "The findings reported by Dr. Hingson and his colleagues indicate that we must redouble our efforts to help clinicians make alcohol screening a routine part of patient care for young people in the United States."
More information: Hingson, R. et al. Physician Advice to Adolescents About Drinking and Other Health Behaviors, Pediatrics (online January 28, 2013).
Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide, and its accompanying pocket-sized version, can be downloaded or ordered from the NIAAA website at: www.niaaa.nih.gov/… ention-youth
Journal reference: Pediatrics
Provided by National Institutes of Health
- Do TV liquor ads drive kids to drink? Jan 28, 2013 | not rated yet | 0
- Intervention method reduces binge drinking Jan 30, 2009 | not rated yet | 0
- Underage drinking among close friends high indicator of future alcohol use by black teens Nov 01, 2011 | not rated yet | 0
- New study sheds light on excessive drinking among the elderly Mar 05, 2008 | not rated yet | 0
- 'Hazardous drinking' may be a new 'check stop' on the way to alcohol dependence Jun 17, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Faraday's law on circular wire
17 minutes ago In my examples on Faraday's law in my book, they use a drawing of a magnet approaching a circular wire. The changing magnetic flux then induces an...
Specific Exergy vs Specific Flow Exergy
1 hour ago I'm having some difficulty understanding exactly what the difference between the definitions of these values are. As I understand it, in terms of...
The Durability of Bone: Long Falls
10 hours ago I am doing a paper on the physics in Valve's Portal and got interested in the "Long Fall Boots" that prevent any damage no matter how far you fall. I...
Is energy convertible to matter?
11 hours ago Can we convert energy to matter?
Rotating electron as a dipole is this right?
14 hours ago An electron as shown by the Stern Gerlach experiment behaves like a dipole (albeit only in one of two states). I have been trying to figure out how...
Dipole term in multipole expansion
18 hours ago Hi. I'm having some difficult in understanding something about the dipole term in a multipole expansion. Griffiths writes the expansion as a sum of...
- More from Physics Forums - Classical Physics
More news stories
Phthalates: Study links chemicals widely found in plastics, processed food to elevated blood pressure in children, teens
Plastic additives known as phthalates (pronounced THAL-ates) are odorless, colorless and just about everywhere: They turn up in flooring, plastic cups, beach balls, plastic wrap, intravenous tubing and—according to the ...
Pediatrics 3 hours ago | not rated yet | 1 |
A study by Alexandra L. C. Martiniuk, M.Sc, Ph.D., of The George Institute for Global Health, Sydney, Australia, and colleagues suggests less sleep per night is associated with a significant increase in the risk for motor ...
Pediatrics May 20, 2013 | not rated yet | 0
Whole-cell pertussis vaccines were more effective at protecting against pertussis than acellular pertussis vaccines during a large recent outbreak, according to a new Kaiser Permanente study published in Pediatrics.
Pediatrics May 20, 2013 | not rated yet | 0 |
Levels of physical inactivity and obesity are very high in children, with fewer than 50% of primary school-aged boys and fewer than 28% of girls meeting the minimum levels of physical activity required to maintain health. ...
Pediatrics May 17, 2013 | 5 / 5 (1) | 0
Poisonings in young children have increased over the past decade, mainly due to medications in the home. A new study led by the Central Ohio Poison Center at Nationwide Children's Hospital, found that medication-related poisonings ...
Pediatrics May 16, 2013 | not rated yet | 0
Italian lawmakers on Wednesday gave their final approval to a law that allows limited use of a controversial type of stem cell therapy which has been condemned by many scientists but has given hope to families of terminally-ill ...
38 minutes ago | not rated yet | 0
Beta-blockers, normally used for high blood pressure, could enhance the effectiveness of chemotherapies in treating neuroblastoma, a type of children's cancer, according to a new study published in the British Jo ...
8 minutes ago | not rated yet | 0
A Japanese cancer specialist said Wednesday she has started the world's first clinical trial of a powerful, non-surgical, short-term radiation therapy for breast cancer.
18 minutes ago | not rated yet | 0
(AP)—Alabama health officials say a mysterious respiratory illness has left five people hospitalized and two dead in the southeastern part of the state.
48 minutes ago | not rated yet | 0
New research at The University of Nottingham aimed at preventing harmful blood clots associated with heart disease and stroke has recently received a major funding boost from the British Heart Foundation.
23 minutes ago | not rated yet | 0
New mothers throughout Australia are needed to help QUT sleep researchers investigate whether the disrupted sleep experienced by mothers when caring for their new baby raises the risk of injury while driving.
16 minutes ago | not rated yet | 0