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Understanding At-Risk Drinking & Alcohol-Related Issues - Importance of Screening

Learn about the prevalence and impact of alcohol problems, the scope of the issue in different age groups, and why Screening and Brief Intervention (SBI) is crucial in addressing risky drinking behaviors. Discover key statistics and risk factors.

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Understanding At-Risk Drinking & Alcohol-Related Issues - Importance of Screening

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  1. At Risk and Dependent Drinking: Scope of the Problem

  2. Why is SBI Important? • Alcohol problems are common • Overall economic cost $185 billion/1998 • Risk factor injury and illness • Problems occur throughout the life cycle

  3. Scope of the Problem • 31% of adults presenting to and urban ED reported > to 2 CAGE positive (Bernstein, 1996) • 24% of adults presenting by ambulance to an urban ED reported > 2 CAGE positive (Whiteman, 2000) • ED patients are 1.5-3.0 times more likely to report heavy drinking or consequences than those in primary care (Cherpitel, 1999)

  4. Morbidity and Mortality • >107,000 alcohol related deaths each year • 1/3 of adult admissions are alcohol related • Attributable risk factor for multiple illnesses • Major risk factor for all categories of injury • Problem drinkers have 2x injury events/yr and 4x as many hospitalizations for injury • A single alcohol-related visit predicts continued problem drinking

  5. Alcohol-Related Fatalities Source: FARS

  6. BAC Levels for Alcohol Positive Drivers Involved in Alcohol-Related Fatal Crashes .16 = Median and Mode BAC Source: 2002 ARF FARS

  7. Predicted Lives Saved by Countermeasure All OtherCombined Impaired Driving 36% 30% 34% Safety Belts at 90% Use

  8. Youths and Young Adults Youths • 20% of 8th graders and 48% or 12th graders report consuming alcohol in the past month • 12% of 8th graders and 28% of 12th graders report 5 or more drinks on a single occasion (Johnson L, O’Malley P, Bachman J. Monitoring the Future, 2003) Young Adults • Highest prevalence of alcohol consumption • 1400 college students aged 18-24 die each year from alcohol related unintentional injuries • Drivers between the ages of 16-25 account for 30% of alcohol-related fatalities

  9. Elderly • 10% of ED patients with alcohol problems are > 60 years of age • Increased sensitivity to alcohol effects • Associated with depression and suicide attempts, falls and fractures and motor vehicle crashes • At risk for medication interactions

  10. Drinking Patterns in the U. S. Abstain 49% Dependent 7% Risky drinking 29% Low Risk 22% Grant et al. Drug and Alcohol Dependence, 2004

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