{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T09:35:12Z","timestamp":1789724112089,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T00:00:00Z","timestamp":1510617600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["1U79TI025370\u201001"],"award-info":[{"award-number":["1U79TI025370\u201001"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A significant number of women engage in at\u2010risk 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\u2010risk 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\u2010risk alcohol use or alcohol use disorder, facilitates awareness and education about use, enhances the referral\u2010to\u2010treatment process, and decreases overall health care costs.<\/jats:p>","DOI":"10.1111\/jmwh.12659","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T13:22:36Z","timestamp":1510665756000},"page":"746-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Screening Women for At\u2010Risk Alcohol Use: An Introduction to Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Women's Health"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2554-2909","authenticated-orcid":false,"given":"Maridee D.","family":"Shogren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Harsell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomasine","family":"Heitkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Alcohol: a women's health issue. NIH Publication No. 15\u20134956. National Institute on Alcohol Abuse and Alcoholism Web site.https:\/\/pubs.niaaa.nih.gov\/publications\/brochurewomen\/women.htmPublished 2003. Revised 2015. Accessed May 12 2017."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13365"},{"key":"e_1_2_9_4_1","unstructured":"National Institute on Alcohol Abuse and Alcoholism.Rethinking drinking: alcohol & your health.https:\/\/www.rethinkingdrinking.niaaa.nih.gov\/How-much-is-too-much\/Is-your-drinking-pattern-risky\/Whats-At-Risk-Or-Heavy-Drinking.aspxAccessed May 25 2017."},{"key":"e_1_2_9_5_1","unstructured":"US Department of Health and Human Services and US Department of Agriculture.Dietary guidelines for Americans 2015\u20102020. 8th ed. Appendix 9: Alcohol.https:\/\/health.gov\/dietaryguidelines\/2015\/guidelines\/appendix-9\/Published December 2015. Accessed May 22 2017."},{"key":"e_1_2_9_6_1","unstructured":"United States Preventive Services Task Force.Final recommendation statement: alcohol misuse: screening and behavioral counseling interventions in primary care.https:\/\/www.uspreventiveservicestaskforce.org\/Page\/Document\/RecommendationStatementFinal\/alcohol-misuse-screening-and-behavioral-counseling-interventions-in-primary-care#update-of-previous-recommendationPublished May 2013. 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Committee Opinion 496.http:\/\/www.acog.org\/Resources-And-Publications\/Committee-Opinions\/Committee-on-Health-Care-for-Underserved-Women\/At-Risk-Drinking-and-Alcohol-Dependence-Obstetric-and-Gynecologic-ImplicationsPublished August 2011. Reaffirmed 2013. Accessed May 15 2017."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.06.038"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1211"},{"key":"e_1_2_9_18_1","unstructured":"American Society of Addiction Medicine.Public policy statement on women alcohol and other drugs and pregnancy.http:\/\/www.asam.org\/advocacy\/find-a-policy-statement\/view-policy-statement\/public-policy-statements\/2011\/12\/15\/women-alcohol-and-other-drugs-and-pregnancyPublished July 11 2011. 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Accessed June 22 2017."},{"key":"e_1_2_9_23_1","unstructured":"US Department of Health and Human Services Office of Disease Prevention and Health Promotion.Healthy people 2020.https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/maternal-infant-and-child-health\/objectivesUpdated May 25 2017. 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