J Midwifery Womens Health. 2017 Nov;62(6):746-754. doi: 10.1111/jmwh.12659. Epub 2017 Nov 14.
A significant number of women engage in at-risk drinking behavior, or heavy alcohol use. Women are especially at risk for the negative impact of excessive alcohol consumption secondary to gender differences in body structure, chemistry, and alcohol absorption. In addition, women who drink alcohol during pregnancy risk fetotoxic effects. Screening for at-risk alcohol use is considered best practice during primary care and prenatal care visits and is an integral component of preventive care services for women. The purpose of this brief report is to introduce the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model as it applies to alcohol use and its importance in women's health care services. SBIRT resources are evidence based, allowing the clinician to screen for use of alcohol, implement a brief intervention, and conduct referral to treatment, if necessary. Implementing SBIRT improves recognition of at-risk alcohol use or alcohol use disorder, facilitates awareness and education about use, enhances the referral-to-treatment process, and decreases overall health care costs.
相当数量的女性存在危险饮酒行为或重度酒精使用。由于女性在身体结构、化学和酒精吸收方面存在性别差异,因此尤其容易受到过度饮酒的负面影响。此外,孕妇饮酒会导致胎儿毒性作用。在初级保健和产前保健就诊期间,对危险饮酒行为进行筛查被认为是最佳实践,是妇女预防保健服务的一个组成部分。本简要报告的目的是介绍筛查、简短干预和转介治疗 (SBIRT) 模式,因为它适用于酒精使用及其在妇女保健服务中的重要性。SBIRT 资源是基于证据的,允许临床医生筛查酒精使用情况,实施简短干预,并在必要时进行转介治疗。实施 SBIRT 可以提高对危险饮酒或酒精使用障碍的认识,促进对使用情况的认识和教育,增强转介治疗过程,并降低整体医疗保健成本。