Alcohol screening in 22 Australian Aboriginal Community Controlled Health Organisations : Clinical context and who is screened
Journal article
Weatherall, Teagan J., Conigrave, James, Lee, K. S. Kylie, Vnuk, Julia, Ivers, Rowena, Hayman, Noel, Wilson, Scott, Gray, Dennis and Conigrave, Kate. (2024). Alcohol screening in 22 Australian Aboriginal Community Controlled Health Organisations : Clinical context and who is screened. Drug and Alcohol Review. 43(5), pp. 1226-1234. https://doi.org/10.1111/dar.13851
Authors | Weatherall, Teagan J., Conigrave, James, Lee, K. S. Kylie, Vnuk, Julia, Ivers, Rowena, Hayman, Noel, Wilson, Scott, Gray, Dennis and Conigrave, Kate |
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Abstract | Introduction: Alcohol screening among Indigenous Australians is important to identify individuals needing support to reduce their drinking. Understanding clinical contexts in which clients are screened, and which clients are more or less likely to be screened, could help identify areas of services and communities that might benefit from increased screening. Methods: We analysed routinely collected data from 22 Aboriginal Community Controlled Health Organisations Australia-wide. Data collected between February 2016 and February 2021 were analysed using R, and aggregated to describe screening activity per client, within 2-monthly extraction periods. Descriptive analyses were performed to identify contexts in which clients received an Alcohol Use Disorders Identification Test consumption (AUDIT-C) screen. Multi-level logistic regression determined demographic factors associated with receiving an AUDIT-C screen. Three models are presented to examine if screening was predicted by: (i) age; (ii) age and gender; (iii) age, gender and service remoteness. Results: We observed 83,931 occasions where AUDIT-C was performed at least once during a 2-monthly extraction period. Most common contexts were adult health check (55.0%), followed by pre-consult examination (18.4%) and standalone item (9.9%). For every 10 years' increase in client age, odds of being screened with AUDIT-C slightly decreased (odds ratio 0.98; 95% confidence interval [CI] 0.98, 0.99). Women were less likely to be screened with AUDIT-C (odds ratio 0.95; 95% CI 0.93, 0.96) than men. Discussion and Conclusions: This study identified areas where alcohol screening can be increased (e.g., among women). Increasing AUDIT-C screening across entire communities could help reduce or prevent alcohol-related harms. Future Indigenous-led research could help identify strategies to increase screening rates. |
Keywords | Aboriginal and Torres Strait Islander; alcohol; alcohol screen; AUDIT-C; Indigenous Australians |
Year | 01 Jan 2024 |
Journal | Drug and Alcohol Review |
Journal citation | 43 (5), pp. 1226-1234 |
Publisher | John Wiley & Sons Australia, Ltd |
ISSN | 0959-5236 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/dar.13851 |
Web address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/dar.13851 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1226-1234 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 04 Jul 2024 |
Publication process dates | |
Accepted | 27 Mar 2024 |
Deposited | 27 Aug 2024 |
ARC Funded Research | This output has been funded, wholly or partially, under the Australian Research Council Act 2001 |
Grant ID | 1105339 |
1117198 | |
1117582 | |
Additional information | © 2024 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs. |
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. | |
National Health and Medical Research Council. Grant Numbers: 1105339, 1117198, 1117582 | |
Place of publication | Australia |
https://acuresearchbank.acu.edu.au/item/90x28/alcohol-screening-in-22-australian-aboriginal-community-controlled-health-organisations-clinical-context-and-who-is-screened
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Publisher's version
OA_Conigrave_2024_Alcohol_screening_in_22_Australian_Aboriginal.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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