Implementation strategies to enhance management of heavy alcohol consumption in primary health care: a meta-analysis.

Background And Aims: Screening and brief interventions (SBI) delivered in primary health care (PHC) are cost-effective in decreasing alcohol consumption; however, they are underused. This study aims to identify implementation strategies that focus on SBI uptake and measure impact on: (1) heavy drinking and (2) delivery of SBI in PHC.

Methods: Meta-analysis was conducted of controlled trials of SBI implementation strategies in PHC to reduce heavy drinking.

Is a patient's type of substance dependence (alcohol, drug or both) associated with the quality of primary care they receive?

Background: Primary care clinicians' attitudes may differ based on patients' substance dependence type (alcohol, other drugs or both).

Aim: The aim of this study was to evaluate whether substance dependence type is associated with primary care quality (PCQ).

Methods: We tested the association between substance dependence type and six PCQ scales of the Primary Care Assessment Survey (PCAS) in multivariable linear regression models.

Communicating alcohol narratives: creating a healthier relationship with alcohol.

Alcohol, like mental health, is a neglected topic in public health discussions. However, it should be defined as a priority public health area because the evidence available to support this is very persuasive. Although only half the world's population drinks alcohol, it is the world's third leading cause of ill health and premature death, after low birth weight and unsafe sex, and the world's greatest cause of ill health and premature death among individuals between 25 and 59 years of age.