New CDC Vital Signs: Alcohol Screening and Counseling
An effective but underused health service
Only one in six adults -- and only one in four binge drinkers -- say a health professional has ever discussed alcohol use with them even though drinking too much is harmful to health, according to a new Vital Signs report from the Centers for Disease Control and Prevention.
Even among adults who binge drink 10 or more times a month, only one in three have ever had a health professional talk with them about alcohol use. Binge drinking is defined as consuming four or more drinks for women and five or more drinks for men within 2-3 hours. Talking with a patient about their alcohol use is an important first step in screening and counseling, which has been proven effective in helping people who drink too much to drink less.
At least 38 million adults in the United States drink too much. Most are not alcoholics. Drinking too much includes binge drinking, high weekly use, and any alcohol use by pregnant women or those under age 21. It causes about 88,000 deaths in the United States each year, and was responsible for about $224 billion in economic costs in 2006. It can also lead to many health and social problems, including heart disease, breast cancer, sexually transmitted diseases, fetal alcohol spectrum disorders, motor-vehicle crashes, and violence.
For more information about CDC’s efforts in alcohol and public health, visit http://www.cdc.gov/alcohol/.
Tom Frieden, MD, MPH
Tom Frieden, MD, MPH
"Drinking too much alcohol has many more health risks than most people realize. Alcohol screening and brief counseling can help people set realistic goals for themselves and achieve those goals. Health care workers can provide this service to more patients and involve communities to help people avoid dangerous levels of drinking."
Tom Frieden, MD, MPH - Director of the Centers for Disease Control and Prevention
- Press Release: Most health care providers don’t talk about alcohol, even when patients drink too much English | Spanish
- MMWR - Vital Signs: Communication Between Health Professionals and Their Patients About Alcohol Use — 44 States and the District of Columbia, 2011 | PDF [416.12 KB]
- Vital Signs: Home | January 2014 Vital Signs | January 2014 Vital Signs Factsheet PDF [1.44MB] | Issues
- Vital Signs (Spanish): Home | January 2014 Vital Signs | January 2014 Vital Signs Factsheet PDF [1.14MB] | Issues
- Alcohol and Public Health
- Frequently Asked Questions About Alcohol
- Alcohol and Public Health: Alcohol-Related Disease Impact (ARDI)
- Division of Population Health
- National Center for Chronic Disease Prevention and Health Promotion
- Motor Vehicle Safety - National Center for Injury Prevention and Control
- Alcohol Screening and Brief Intervention Page from Injury Response - National Center for Injury Prevention and Control
- Fetal Alcohol Spectrum Disorders (FASDs)
- National Institute on Alcohol Abuse and Alcoholism (NIAAA) guide for clinicians
- Alcohol and Tobacco Tax and Trade Bureau
- Federal Trade Commission
- National Institute on Alcohol Abuse and Alcoholism
- National Institute on Drug Abuse
- National Highway Traffic Safety Administration
- Office of National Drug Control Policy
- Substance Abuse & Mental Health Services Administration
- World Health Organization
- Medscape: Too Much Alcohol: Making Screening and Counseling Routine
- Page last reviewed: January 27, 2014
- Page last updated: January 27, 2014
- Content source: