title: Missed Opportunities: Screening and Brief Intervention for Risky Alcohol Use in Women's Health Settings.
abstract: BACKGROUND
  Although women's health settings could provide access to women for screening, brief intervention, and referral to treatment (SBIRT) for risky alcohol use, little is known about rates of alcohol use or associated risk for alcohol-exposed pregnancy (AEP) among women's health patients, receipt of SBIRT services in these settings, or patient attitudes towards SBIRT services.
  
  
  METHODS
  This study reports the results of a self-administered survey to a convenience sample of women's health patients attending public clinics for family planning or sexually transmitted infection visits.
  
  
  RESULTS
  Surveys were analyzed for 199 reproductive-aged women who had visited the clinic within the past year. The rate of risky drinking among the sample was (44%) and risk for AEP was (17%). Despite this, many patients did not receive SBIRT services, with more than half of risky drinking patients reporting that they were not advised about safe drinking limits (59%) and similar rates of patients at risk for AEP reporting that their medical provider did not discuss risk factors of AEP (53%). Patient attitudes towards receipt of SBIRT services were favorable; more than 90% of women agreed or strongly agreed that if their drinking was affecting their health, their women's health provider should advise them to cut down.
  
  
  CONCLUSIONS
  Women's health clinics may be an ideal setting to implement SBIRT and future research should address treatment efficacy in these settings.
authors.affiliation: 1 Department of Family and Community Medicine, University of New Mexico , Albuquerque, New Mexico.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hettema
authors.affiliation: 1 Department of Family and Community Medicine, University of New Mexico , Albuquerque, New Mexico.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Cockrell
authors.affiliation: 2 Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine , Charlottesville, Virginia.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Russo
authors.affiliation: 3 Office of Family Health , Virginia Department of Health, Richmond, Virginia.
authors.forename: Joan
authors.initials: J
authors.lastname: Corder-Mabe
authors.affiliation: 3 Office of Family Health , Virginia Department of Health, Richmond, Virginia.
authors.forename: Alycia
authors.initials: A
authors.lastname: Yowell-Many
authors.affiliation: 2 Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine , Charlottesville, Virginia.
authors.forename: Christian
authors.initials: C
authors.lastname: Chisholm
authors.affiliation: 2 Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine , Charlottesville, Virginia.
authors.forename: Karen
authors.initials: K
authors.lastname: Ingersoll
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology; D000554:Ambulatory Care Facilities; D001294:Attitude to Health; D005260:Female; D006306:Health Surveys; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D011320:Primary Health Care / Q000379:methods*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D016387:Women's Health; D055815:Young Adult