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
AuthorsWeatherall, Teagan J., Conigrave, James, Lee, K. S. Kylie, Vnuk, Julia, Ivers, Rowena, Hayman, Noel, Wilson, Scott, Gray, Dennis and Conigrave, Kate
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.

KeywordsAboriginal and Torres Strait Islander; alcohol; alcohol screen; AUDIT-C; Indigenous Australians
Year01 Jan 2024
JournalDrug and Alcohol Review
Journal citation43 (5), pp. 1226-1234
PublisherJohn Wiley & Sons Australia, Ltd
ISSN0959-5236
Digital Object Identifier (DOI)https://doi.org/10.1111/dar.13851
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/dar.13851
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1226-1234
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online04 Jul 2024
Publication process dates
Accepted27 Mar 2024
Deposited27 Aug 2024
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant ID1105339
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.
http://creativecommons.org/licenses/by/4.0/

National Health and Medical Research Council. Grant Numbers: 1105339, 1117198, 1117582

Place of publicationAustralia
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