Physician Advice to Adolescents About Drinking and Other Health Behaviors

Hingson, Ralph; Zha, Wenxing; Iannotti, Ronald J.; Simons-Morton, Bruce G.

doi:10.1542/peds.2012-1496

Cited by 42 publications

(33 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite recommendations by the World Health Organization 14 and American Academy of Pediatrics [15][16][17] that all adolescents receive screening for ATOD use, most adolescent medicine providers do not follow these best practice guidelines. [18][19][20][21] Existing instruments for screening adolescents' ATOD use have notable limitations. The CRAFFT, a brief screening instrument recommended by the American Academy of Pediatrics, 17 has a number of strengths, including its brevity and good psychometric properties, 22 To assist pediatricians in identifying adolescents at risk for alcohol-related problems, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) developed a brief screening instrument 27 that asks patients about their frequency of drinking in the past year and that of their friends.…”

Section: Discussionmentioning

confidence: 99%

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: The National Institute on Alcohol Abuse and Alcoholism developed an alcohol screening instrument for youth based on epidemiologic data. This study examines the concurrent validity of this instrument, expanded to include tobacco and drugs, among pediatric patients, as well as the acceptability of its self-administration on an iPad. METHODS: Five hundred and twenty-five patients (54.5% female; 92.8% African American) aged 12 to 17 completed the Brief Screener for Tobacco, Alcohol, and other Drugs (BSTAD) via interviewer-administration or self-administration using an iPad. Diagnostic and Statistical Manual, Fifth Edition substance use disorders (SUDs) were identified using a modified Composite International Diagnostic Interview-2 Substance Abuse Module. Receiver operating characteristic curves, sensitivities, and specificities were obtained to determine optimal cut points on the BSTAD in relation to SUDs. RESULTS: One hundred fifty-nine (30.3%) adolescents reported past-year use of ≥1 substances on the BSTAD: 113 (21.5%) used alcohol, 84 (16.0%) used marijuana, and 50 (9.5%) used tobacco. Optimal cut points for past-year frequency of use items on the BSTAD to identify SUDs were ≥6 days of tobacco use (sensitivity = 0.95; specificity = 0.97); ≥2 days of alcohol use (sensitivity = 0.96; specificity = 0.85); and ≥2 days of marijuana use (sensitivity = 0.80; specificity = 0.93). iPad self-administration was preferred over interviewer administration (z = 5.8; P < .001). CONCLUSIONS: The BSTAD is a promising screening tool for identifying problematic tobacco, alcohol, and marijuana use in pediatric settings. Even low frequency of substance use among adolescents may indicate need for intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Between 36% and 50% of high school students currently drink alcohol, and 28% to 60% of them report binge drinking. 13,14 Nearly two-thirds of these students reported binge drinking on more than one occasion in the past 30 days. One in 10 high school seniors report drinking 10 or more drinks in a row, and 5.6% of high school seniors report consuming 15 or more drinks in a row.…”

Section: Epidemiology Of Binge Drinkingmentioning

confidence: 99%

Binge Drinking

Levy¹,

Ammerman²,

Gonzalez³

et al. 2015

Pediatrics

View full text Add to dashboard Cite

Alcohol is the substance most frequently abused by children and adolescents in the United States, and its use is associated with the leading causes of death and serious injury at this age (ie, motor vehicle accidents, homicides, and suicides). Among youth who drink, the proportion who drink heavily is higher than among adult drinkers, increasing from approximately 50% in those 12 to 14 years of age to 72% among those 18 to 20 years of age. In this clinical report, the definition, epidemiology, and risk factors for binge drinking; the neurobiology of intoxication, blackouts, and hangovers; genetic considerations; and adverse outcomes are discussed. The report offers guidance for the pediatrician. As with any high-risk behavior, prevention plays a more important role than later intervention and has been shown to be more effective. In the pediatric office setting, it is important to ask every adolescent about alcohol use.

show abstract

“…However, in a meta-analysis of over 185 studies by Tanner-Smith and Lipsey (2015), the authors found extensive empirical support for this intervention for adolescents and young adults. Recent national surveys have found most adults are not screened and counseled about alcohol in adult primary care (Hingson et al 2012; Hingson et al 2013), particularly young adults ages 18–24, those most likely to exceed low-risk guidelines and meet alcohol dependence criteria in the past year. The literature on SBIRT lists several barriers to implementation including the time required to ask questions and to counsel, the lack of provider training, treatment and referral resources, and reimbursement difficulties.…”

Section: Five Important But Not Highest Priority Strategiesmentioning

confidence: 99%

Can progress in reducing alcohol-impaired driving fatalities be resumed? Results of a workshop sponsored by the Transportation Research Board, Alcohol, Other Drugs, and Transportation Committee (ANB50)

Fell

Beirness

Voas

et al. 2016

Traffic Injury Prevention

View full text Add to dashboard Cite

Objective Despite successes in the 1980s and early 1990s, progress in reducing impaired driving fatalities in the United States has stagnated in recent years. Since 1997, the percentage of drivers involved in fatal crashes with illegal blood alcohol concentration (BAC) levels has remained at approximately 20% to 22%. Many experts believe that public complacency, competing social and public health issues, and the lack of political fortitude have all contributed to this stagnation. The number of alcohol-related crashes, injuries, and fatalities is still unacceptable, and most are preventable. The public needs to be aware that the problem presented by drinking drivers has not been solved. Political leaders need guidance on which measures will affect the problem, and stakeholders need to be motivated once again to implement effective strategies. Methods The National Academy of Sciences (NAS) Transportation Research Board (TRB) Alcohol, Other Drugs, and Transportation Committee (ANB50) sponsored a workshop held at the NAS facility in Woods Hole, MA, on August 24–25, 2015, to discuss the lack of progress in reducing impaired driving and to make recommendations for future progress. A total of 26 experts in research and policy related to alcohol-impaired driving participated in the workshop. The workshop began by examining the static situation in the rate of alcohol-impaired driving fatal crashes to determine what factors may be inhibiting further progress. The workshop then discussed eight effective strategies that have not been fully implemented in the United States. Workshop participants (16 of the 26) rated their top three strategies. Results Three strategies received the most support: Impose administrative sanctions for drivers with BACs = .05 to .08 g/dL.Require alcohol ignition interlocks for all alcohol-impaired driving offenders.Increase the frequency of sobriety checkpoints, including enacting legislation to allow them in the 11 states that currently prohibit them. Five other important strategies included the following: (a) increase alcohol taxes to raise the price and reduce alcohol consumption; (b) re-engage the public and raise the priority of impaired driving; (c) lower the illegal per se BAC limit to .05 for a criminal offense; (d) develop and implement in-vehicle alcohol detection systems; and (e) expand the use of screening and brief interventions in medical facilities. Conclusions Each of these strategies is proven to be effective, yet all are substantially underutilized. Each is used in some jurisdictions in the United States or Canada, but none is used extensively. Any one of the three strategies implemented on a widespread basis would decrease impaired driving crashes, injuries, and fatalities. Based on the research, all three together would have a substantial impact on the problem.

show abstract

Physician Advice to Adolescents About Drinking and Other Health Behaviors

Cited by 42 publications

References 27 publications

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

Validity of Brief Screening Instrument for Adolescent Tobacco, Alcohol, and Drug Use

Binge Drinking

Can progress in reducing alcohol-impaired driving fatalities be resumed? Results of a workshop sponsored by the Transportation Research Board, Alcohol, Other Drugs, and Transportation Committee (ANB50)

Contact Info

Product

Resources

About