ArticleJournal of substance abuse treatment2020
Racial/ethnic and gender differences in receipt of brief intervention among patients with unhealthy alcohol use in the U.S. Veterans Health Administration.
Article in Journal of substance abuse treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- An Evidence Map of the Women Veterans' Health Literature, 2016 to 2023: A Systematic Review.JAMA network open · 2025Pooled it
- Women and alcohol: A call to action.Alcohol, clinical & experimental research · 2026Article
- Rates and Predictors of Follow-Up Care and Treatment Initiation Among Women Veterans After a Positive Alcohol Screen.Substance use & addiction journal · 2026Article
- Trajectories of alcohol screening and brief intervention (ASBI) performance and their associations with long-term performance and alcohol use outcomes: an observational study in a large US integrated healthcare delivery system.Implementation science communications · 2025Article
- Design of a cluster-randomized, hybrid type 1 effectiveness-implementation trial of a care navigation intervention to increase substance use disorder treatment engagement: study protocol.Addiction science & clinical practice · 2025Article
- Disparities in group-based medical mistrust and associations with mental health symptoms during the COVID-19 pandemic.Journal of affective disorders · 2025Article
- Trends and disparities in alcohol screening and brief counseling following the U.S. Affordable Care Act.Drug and alcohol dependence · 2025Article
- Contextual factors associated with successful alcohol screening and brief intervention implementation and sustainment in adult primary care.Journal of substance use and addiction treatment · 2025Article
- Prospective changes in drinking during the COVID-19 pandemic among adults with unhealthy alcohol use.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Racial and ethnic disparities in receipt of specialty treatment across risk profiles of adults with heavy alcohol use.Alcohol, clinical & experimental research · 2024Article
- Review
- Experiences of ethnic minority personnel in the armed forces: A systematic review.Journal of military, veteran and family health · 2024Review
- Demographic differences in the cascade of care for unhealthy alcohol use: A cross-sectional analysis of data from the 2015-2019 National Survey on Drug Use and Health.Alcohol, clinical & experimental research · 2023Article
- Motives for and Barriers to Research Participation Among Racially and Ethnically Diverse Veterans.Military medicine · 2023Article
- Residence in a Medicaid-expansion state and receipt of alcohol screening and brief counseling by adults with lower incomes: Is increased access to primary care enough?Alcohol, clinical & experimental research · 2023Article
- Perceived discrimination enhances the association between distress and impact related to the murder of George Floyd and unhealthy alcohol use in a survey sample of U.S. Veterans who report drinking.Addictive behaviors reports · 2023Article
- Racial and Ethnic Bias in the Diagnosis of Alcohol Use Disorder in Veterans.The American journal of psychiatry · 2023Article
- Substance use disorders and treatment in Asian American and Pacific Islander women: A scoping review.The American journal on addictions · 2023Article
- Experiences of ethnic minority personnel in the armed forces: A systematic review.Journal of military, veteran and family health · 2023Review
- Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveBrief intervention (BI) for unhealthy alcohol use is a top prevention priority for adults in the U.S, but rates of BI receipt vary across patients. We examine BI receipt across race/ethnicity and gender in a national cohort of patients from the Department of Veterans Affairs (VA)-the largest U.S. integrated healthcare system and a leader in implementing preventive care for unhealthy alcohol use.
methodsAmong 779,041 VA patients with documented race/ethnicity and gender who screened positive for unhealthy alcohol use (AUDIT-C score ≥ 5) between 10/1/09 and 5/30/13, we fit Poisson regression models to estimate the predicted prevalence of BI (EHR-documented advice to reduce or abstain from drinking) across race/ethnicity and gender.
resultsRates of BI were lowest among Black women (67%), Black men (68%), and Asian/Pacific Islander women (68%), and highest among white men (75%), Hispanic men (75%), and Asian/Pacific Islander men (75%). A significant race/ethnicity by gender interaction indicated that the associations between race/ethnicity and gender with BI depended on the other factor. Gender differences were largest among Asian/Pacific Islander patients and were nonsignificant among American Indian/Alaska Native patients. Adjustment for covariates not expected to be on the causal pathway (e.g., age, year of AUDIT-C screen) slightly attenuated but did not change the direction of results.
conclusionsReceipt of BI for unhealthy alcohol use varied by race/ethnicity and gender, and the impact of one factor depended on the other. Black women, Black men, and Asian/Pacific Islander women had the lowest rates of receiving recommended alcohol-related care. We found these disparities in a healthcare system that has implemented universal alcohol screening and incentivized BI for all patients with unhealthy alcohol use, suggesting that reducing disparities in alcohol-related care may require targeted interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.