Trends and disparities in alcohol screening and brief counseling following the U.S. Affordable Care Act.

ABSTRACT:

Background

U.S. health reforms increased primary care access for underserved groups and provided support for alcohol screening and brief counseling (ASBC) in primary care. We examined temporal trends and changing disparities in ASBC from 2013 to 2019.

Methods

A sample of adults ages 18-64 who had consumed alcohol and received primary care in the past year (N = 150,332) was drawn from the 2013-2019 U.S. National Surveys on Drug Use and Health. ASBC outcomes included alcohol quantity screening, problem assessment, brief counseling, and provision of treatment information. We compared adjusted prevalence of ASBC across time by insurance type and by race and ethnicity for three alcohol severity groups (no heavy drinking (HD) or alcohol use disorder (AUD); HD without AUD; and AUD)

SUBMITTER: Cook WK 

PROVIDER: S-EPMC11879066 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature