title: Screening for alcohol abuse among urban Native Americans in a primary care setting.
abstract: The authors examined the rate of and factors associated with alcohol abuse among 754 urban American Indian and Alaska Native primary care patients. Data were collected through a self-administered survey and by abstracting medical records. A total of 423 respondents (56 percent) screened positive for lifetime alcohol abuse, and 202 (27 percent) reported current alcohol abuse. A diagnosis of alcohol abuse was found in the medical records of 68 of the patients who screened positive (16 percent). Logistic regression analysis showed that being male, having been a victim of violence, and feeling depressed were associated with alcohol abuse. Further research is warranted to help clinicians detect and treat alcohol abuse in this special population.
authors.affiliation: Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80220, USA. jay.shore@uchsc.edu
authors.forename: Jay
authors.initials: J
authors.lastname: Shore
authors.forename: Spero M
authors.initials: SM
authors.lastname: Manson
authors.forename: Dedra
authors.initials: D
authors.lastname: Buchwald
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska / Q000453:epidemiology; D000437:Alcoholism / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology; D019548:Crime Victims; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American / Q000523:psychology / Q000706:statistics & numerical data*; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D014754:Violence / Q000523:psychology; D014861:Washington