Did Universal Alcohol Screening and Brief Interventions Delivered in the Context of Reproductive Health Care Universally Reach Demographically Diverse Patients?

Nursing for Women''s Health Pub Date : 2025-04-01 DOI:10.1016/j.nwh.2024.09.003

Megan Waddell, Janice Vendetti, Corrie B. Whitmore, Faith Ozer Green, Bonnie G. McRee, Karen Steinberg Gallucci, Diane K. King

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Abstract

Objective

To identify demographic disparities in rates of alcohol screening and brief intervention (ASBI) aimed at reducing the risk of alcohol-exposed pregnancy (AEP).

Design

Electronic health record data were analyzed to examine documented ASBI rates and contraceptive methods for patients who had wellness visits between June 1, 2020, and October 31, 2022.

Setting/Local Problem

This study included 15 health centers affiliated with Planned Parenthood of Southern New England (PPSNE) and 35 health centers affiliated with Planned Parenthood of the Great Northwest, Hawaii, Alaska, Indiana, Kentucky (PPGNHAIK). Affiliates collaborated on a 4-year project implementing universal ASBI to reduce risky alcohol use and prevent AEPs.

Participants

Data included 29,659 patients assigned female at birth, ages 18 to 49 years, who completed a wellness visit at a participating health center.

Intervention/Measurements

Electronic health record data encompassed demographic characteristics, contraception method, patient-completed alcohol screening score, and clinician-documented brief interventions.

Results

Although alcohol screening rates exceeded 85% of eligible visits, brief intervention completion rates for those at risk for AEP were low: 70.5% were missed at PPSNE and 78.2% were missed at PPGNHAIK. At PPSNE, Hispanic patients at risk for AEP were least likely to receive a brief intervention (75.9% missed) compared to Black (67.7%) or white (67.5%) patients (p < .001). At PPGNHAIK, Asian/Pacific Islander patients were most likely to miss receiving a brief intervention (92.2%) compared to Black (72.9%), race unknown (79.5%), white (77.9%), and multiracial/other (78.4%) patients (p < .003).

Conclusion

Universal ASBI is recommended to normalize asking about alcohol in reproductive health care, reduce subjectivity, and ensure that all patients benefit from alcohol education or intervention. Variation in screening rates and contraception type contribute to demographic differences in risk of AEP.

查看原文本刊更多论文

在生殖保健的背景下，普遍的酒精筛查和简短的干预措施是否能普遍地覆盖人口统计学上不同的患者？

目的：确定旨在降低酒精暴露妊娠（AEP）风险的酒精筛查和短暂干预（ASBI）率的人口统计学差异。设计：分析电子健康记录数据，以检查在2020年6月1日至2022年10月31日期间进行健康访问的患者的ASBI发生率和避孕方法。环境/当地问题：本研究包括新英格兰南部计划生育协会（PPSNE）的15个卫生中心和大西北、夏威夷、阿拉斯加、印第安纳、肯塔基州计划生育协会（PPGNHAIK）的35个卫生中心。附属机构合作开展了一个为期四年的项目，实施普遍的ASBI，以减少危险饮酒和预防急性脑卒中。参与者：数据包括29,659名出生时被指定为女性的患者，年龄在18至49岁之间，他们在参与的健康中心完成了一次健康访问。干预/测量：电子健康记录数据包括人口统计学特征、避孕方法、患者完成的酒精筛查评分和临床记录的简短干预措施。结果：尽管酒精筛查率超过85%，但AEP风险患者的短期干预完成率很低：PPSNE和PPGNHAIK的缺乏率分别为70.5%和78.2%。在PPSNE中，与黑人（67.7%）或白人（67.5%）患者相比，有AEP风险的西班牙裔患者接受短暂干预的可能性最低（75.9%）（p < 0.001）。在PPGNHAIK，与黑人（72.9%）、种族未知（79.5%）、白人（77.9%）和多种族/其他（78.4%）患者相比，亚洲/太平洋岛民患者最有可能错过短暂干预（92.2%）（p < 0.003）。结论：推广ASBI，规范生殖保健中的酒精询问，减少主观性，确保所有患者都能从酒精教育或干预中获益。筛查率和避孕方式的差异导致了AEP风险的人口统计学差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing for Women''s Health Nursing-Nursing (all)

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.