Alcohol-related problems have been found to be over-represented among patients seen in some primary care settings compared to the general population. Rates of heavy alcohol use and alcohol-related problems have also been found to vary by region of the country, as well as within the same geographic locality depending upon the type of facility and demographic characteristics of clientele served. Alcohol abuse and alcohol dependence are an ever increasing burden to society, totaling an estimated $85.8 billion in 1988. It is also estimated that over 500,000 outpatient visits are made each year for alcohol-related problems, and many of these individuals are seen in primary care settings. Identification of those who could benefit from a brief intervention in primary care settings is important for early intervention and prevention of alcohol-related problems. Little information is available, however, on the most efficient screening methods for identifying problem drinkers in primary care settings, particularly among women and ethnic minorities. The general aims of this project are two: 1) to further explore the over- representation of alcohol-related problems in primary care settings by comparing patients seen in primary care clinics to those seen for non- injury problems in the emergency room (ER) in the same geographic location, to those seen in primary care settings in another region of the country, and to the general population; and, 2) to determine the most efficient screener for identifying those in primary care settings who may benefit from a brief intervention for alcohol-related problems. The project extends work currently funded under both the Alcohol Research Group's Center grant and separate R01 funding. The project involves new data collection in two primary care clinics in Jackson and Hinds County, Mississippi (N=1,048), and comparisons of these data with similar data already collected from the University of mississippi Medical Center ER in Jackson, and from the 5 county-operated primary care clinics and 3 Kaiser Permanente urgent care clinics in Contra Costa County, California. Data on drinking patterns, alcohol-related problems and alcohol dependence from the proposed project will also be compared to data which will be collected in the 1995 National Alcohol Survey (under present center funding) and to data from a new general population survey of Contra Costa County, CA, to be collected in 1995 under separate funding.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Specialized Center (P50)
Project #
7P50AA005595-18
Application #
6267060
Study Section
Project Start
1997-12-01
Project End
1998-11-30
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
18
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Public Health Institute
Department
Type
DUNS #
128663390
City
Oakland
State
CA
Country
United States
Zip Code
94607
Mulia, Nina; Tam, Tammy W; Bond, Jason et al. (2018) Racial/ethnic differences in life-course heavy drinking from adolescence to midlife. J Ethn Subst Abuse 17:167-186
McGeough, Briana L; Sterzing, Paul R (2018) A Systematic Review of Family Victimization Experiences Among Sexual Minority Youth. J Prim Prev :
Kaplan, Lauren M; Greenfield, Thomas K; Karriker-Jaffe, Katherine J (2018) Examination of associations between early life victimisation and alcohol's harm from others. Drug Alcohol Rev 37:365-374
Lui, Camillia K; Mulia, Nina (2018) A Life Course Approach to Understanding Racial/Ethnic Differences in Transitions Into and Out of Alcohol Problems. Alcohol Alcohol 53:487-496
Gilbert, Paul A; Pass, Lauren E; Keuroghlian, Alex S et al. (2018) Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies. Drug Alcohol Depend 186:138-146
Zemore, Sarah E; Karriker-Jaffe, Katherine J; Mulia, Nina et al. (2018) The Future of Research on Alcohol-Related Disparities Across U.S. Racial/Ethnic Groups: A Plan of Attack. J Stud Alcohol Drugs 79:7-21
Wallisch, Lynn; Zemore, Sarah E; Borges, Guilherme et al. (2018) Prevalence and correlates of arrests or stops for drunk driving on both sides of the U.S.-Mexico border. J Ethn Subst Abuse 17:478-500
Seelig, Amber D; Bensley, Kara M; Williams, Emily C et al. (2018) Longitudinal Examination of the Influence of Individual Posttraumatic Stress Disorder Symptoms and Clusters of Symptoms on the Initiation of Cigarette Smoking. J Addict Med 12:363-372
Matson, Theresa E; McGinnis, Kathleen A; Rubinsky, Anna D et al. (2018) Gender and alcohol use: influences on HIV care continuum in a national cohort of patients with HIV. AIDS 32:2247-2253
Karriker-Jaffe, Katherine J; Room, Robin; Giesbrecht, Norman et al. (2018) Alcohol's Harm to Others: Opportunities and Challenges in a Public Health Framework. J Stud Alcohol Drugs 79:239-243

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