{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:45:35Z","timestamp":1794293135357,"version":"4.9.0"},"reference-count":82,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["T32HL086350"],"award-info":[{"award-number":["T32HL086350"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR001883"],"award-info":[{"award-number":["TL1TR001883"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use: Research and Treatment"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Unhealthy alcohol use is one of the leading preventable causes of mortality in the U.S. Despite evidence of the growing burden of alcohol-associated mortality and disease, treatment is severely underutilized. Prior literature has often focused on assessing treatment among patients with severe alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Assess factors associated with uptake of treatment for alcohol use among a broad population of those regularly exceeding U.S. guidelines for alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using data from the National Epidemiologic Survey on Alcohol and Related Conditions \u2013 Wave III (NESARC-III) collected April 2012 to June 2013, weighted descriptive statistics were used to describe the U.S. population who self-reported regularly exceeding U.S. guidelines for moderate alcohol use at least monthly. Weighted multivariable regression was used to assess the association of individual-level factors with receipt of help for unhealthy alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In weighted analyses of 6467 NESARC-III participants, 17% of the U.S. population reported regular engagement in unhealthy alcohol use (76% use exceeding guidelines, 14% binge drinking, 11% heavy drinking) and were predominantly male (62%), below age 65 (93%), non-Hispanic White (65%), and had lower levels of education and income. Half (53%) met criteria for alcohol use disorder. Only 5% reported receipt of help for their alcohol use. Compared to non-Hispanic White individuals, non-Hispanic Asian\/Native Hawaiian or Other Pacific Islander (odds ratio [OR] 0.40, 95% confidence interval [CI] 0.18-0.90) and non-Hispanic Black (OR 0.68, 95% CI 0.48-0.96) individuals were less likely to receive help for alcohol use. Factors associated with greater receipt of help included being older, educational attainment, Medicaid insurance, concomitant drug use, liver disease, acute healthcare utilization, and greater alcohol-related problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Identification of the factors associated with receipt of alcohol-related treatment, including race and ethnicity, age, education, insurance, and drug use can inform interventions to increase treatment receipt.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357241301990","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T07:46:50Z","timestamp":1732520810000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Related to Receipt of Help for Alcohol Use: Extending the Focus of Treatment to the Continuum of Unhealthy Alcohol Use"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9980-0774","authenticated-orcid":false,"given":"Lina","family":"Tieu","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA"},{"name":"Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadereh","family":"Pourat","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA"},{"name":"UCLA Center for Health Policy Research, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Bromley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajat","family":"Simhan","sequence":"additional","affiliation":[{"name":"SJ Health, French Camp, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshan","family":"Bastani","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA"},{"name":"Center for Cancer Prevention and Control Research and UCLA-Kaiser Permanente Center for Health Equity, Fielding School of Public Health, Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Glenn","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA"},{"name":"Center for Cancer Prevention and Control Research and UCLA-Kaiser Permanente Center for Health Equity, Fielding School of Public Health, Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.16789"},{"key":"e_1_3_3_3_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism. Understanding Alcohol Use Disorder. National Institute on Alcohol Abuse and Alcoholism; 2021. Accessed September 15 2024. https:\/\/www.niaaa.nih.gov\/publications\/brochures-and-fact-sheets\/understanding-alcohol-use-disorder"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2014.579"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.3849"},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","unstructured":"Spencer M Curtin S Garnett M. Alcohol-induced death rates in the United States 2019\u20132020. Published November 2022. Accessed September 15 2024. https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db448.pdf.","DOI":"10.15620\/cdc:121795"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.39485"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.7326\/M20-7271"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.22942"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2023.2208728"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.26346"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2022.03.017"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2018.02.004"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.0584"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.107895"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2009.60.8.1068"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.01.031"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300443"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.06.021"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.108078"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2016.12.013"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400160"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2013.07.012"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108174"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.13026"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.04075.x"},{"key":"e_1_3_3_27_2","first-page":"117822182211118","article-title":"Rethinking unhealthy alcohol use in the United States: a structured review","volume":"16","author":"Volpicelli JR","year":"2022","unstructured":"Volpicelli JR, Menzies P. Rethinking unhealthy alcohol use in the United States: a structured review. Subst Abuse Res Treat. 2022;16:11782218221111832.","journal-title":"Subst Abuse Res Treat"},{"key":"e_1_3_3_28_2","volume-title":"National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III): Data Notes","author":"National Institute on Alcohol Abuse and Alcoholism","year":"2014","unstructured":"National Institute on Alcohol Abuse and Alcoholism. National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III): Data Notes. National Institute on Alcohol Abuse and Alcoholism; 2014."},{"key":"e_1_3_3_29_2","unstructured":"Grant B Chu A Sigman R et al. National epidemiologic survey on alcohol and related conditions-III (NESARC- III): source and accuracy statement. 2015. Accessed September 15 2024. https:\/\/www.niaaa.nih.gov\/sites\/default\/files\/NESARC_Final_Report_FINAL_1_8_15.pdf"},{"key":"e_1_3_3_30_2","unstructured":"Centers for Disease Control and Prevention. About surveys on alcohol use in the United States. 2024. Published May 14 2024. Accessed September 15 2023. https:\/\/www.cdc.gov\/alcohol\/about-data\/surveillance-surveys\/index.html."},{"key":"e_1_3_3_31_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism. National epidemiologic survey on alcohol and related conditions-III (NESARC-III): codebook. 2014."},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.12.011"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2009.08.010"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2019.1672862"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00925-4"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101280"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-020-01828-9"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101093"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-20-1578"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13285"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.04.009"},{"key":"e_1_3_3_42_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism. Drinking patterns and their definitions. Published January 1 2018. Accessed December 31 2020. https:\/\/www.arcr.niaaa.nih.gov\/arcr391\/article02.htm"},{"key":"e_1_3_3_43_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism. NESARC-III: questionnaire. 2015."},{"key":"e_1_3_3_44_2","unstructured":"Chen C Slater M Castle IJ Grant B. U.S. ALCOHOL EPIDEMIOLOGIC DATA REFERENCE MANUal. Vol. 10. 2016. Alcohol Use and Alcohol Use Disorders in the United States: Main Findings from the 2012\u20132013 National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). U.S. Alcohol Epidemiologic Data Reference Manual Volume 10 NIH. Publication No. 16-AA-8020. Published April 2016. Accessed December 31 2020. https:\/\/www.niaaa.nih.gov\/sites\/default\/files\/NESARC3DRM.pdf"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108299"},{"key":"e_1_3_3_46_2","volume-title":"Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Agriculture and the Secretary of Healthand Human Services","author":"U.S. Department of Agriculture","year":"2020","unstructured":"U.S. Department of Agriculture. Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Agriculture and the Secretary of Healthand Human Services. Dietary Guidelines Advisory Committee; 2020."},{"key":"e_1_3_3_47_2","unstructured":"Agrawal A Littlefield A Verg\u00e9s A Sher K. The Alcohol Use Disorder and Associated Disabilities Interview Schedule\u2014Diagnostic and Statistical Manual of Mental Disorders\u2014Fifth Edition Version (AUDADIS\u20135) Alcohol and Drug Use Disorders Scoring Algorithms. 2011. Published July 11 2017. Accessed December 31 2020. https:\/\/www.phenxtoolkit.org\/toolkit_content\/supplemental_info\/atos\/additional_info\/NESARC_III_Manual.pdf."},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2013.12060782"},{"key":"e_1_3_3_49_2","volume-title":"American Community Survey 5-Year Data 2012","author":"United States Census Bureau","year":"2012","unstructured":"United States Census Bureau. American Community Survey 5-Year Data 2012. United States Census Bureau; 2012."},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(93)90036-9"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-013-0740-9"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2014.891616"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.11.029"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800444"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2022.2074602"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2013.774811"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.05.020"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20220193"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-019-0535-9"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6790-5"},{"key":"e_1_3_3_61_2","unstructured":"Bailey A Hayes K Katch H Solomon J. Medicaid is Key to Building a System of Comprehensive Substance use Care for Low-Income People. Center on Budget and Policy Priorities. Published March 18 2021. Accessed September 15 2024. https:\/\/www.cbpp.org\/research\/health\/medicaid-is-key-to-building-a-system-of-comprehensive-substance-use-care-for-low."},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0240298"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2022.100051"},{"key":"e_1_3_3_64_2","unstructured":"Centers for Medicare & Medicaid Services. The Mental Health Parity and Addiction Equity Act (MHPAEA). Accessed September 15 2024. https:\/\/www.cms.gov\/marketplace\/private-health-insurance\/mental-health-parity-addiction-equity."},{"key":"e_1_3_3_65_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"e_1_3_3_66_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.570"},{"key":"e_1_3_3_67_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40985-017-0077-0"},{"key":"e_1_3_3_68_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.13675"},{"key":"e_1_3_3_69_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.12086"},{"key":"e_1_3_3_70_2","unstructured":"Counts N. Understanding the U.S. Behavioral Health Workforce Shortage. Commonwealth Fund. Published May 18 2023. Accessed September 15 2024. https:\/\/www.commonwealthfund.org\/publications\/explainer\/2023\/may\/understanding-us-behavioral-health-workforce-shortage."},{"key":"e_1_3_3_71_2","first-page":"57","article-title":"Screening and brief intervention in primary care settings","volume":"28","author":"Fleming MF.","year":"2004","unstructured":"Fleming MF. Screening and brief intervention in primary care settings. Alcohol Res Health. 2004;28:57-62.","journal-title":"Alcohol Res Health"},{"key":"e_1_3_3_72_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-7-200404060-00016"},{"key":"e_1_3_3_73_2","unstructured":"Health Resources & Services Administration. Telehealth for behavioral health care. Rockville MD; 2023. Accessed September 15 2024. https:\/\/telehealth.hhs.gov\/providers\/best-practice-guides\/telehealth-for-behavioral-health."},{"key":"e_1_3_3_74_2","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14961"},{"key":"e_1_3_3_75_2","doi-asserted-by":"publisher","DOI":"10.2196\/25835"},{"key":"e_1_3_3_76_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2022.108920"},{"key":"e_1_3_3_77_2","doi-asserted-by":"publisher","DOI":"10.2196\/10899"},{"key":"e_1_3_3_78_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010135"},{"key":"e_1_3_3_79_2","article-title":"Alcoholics Anonymous and other 12-step programs for alcohol use disorder","volume":"3","author":"Kelly JF","year":"2020","unstructured":"Kelly JF, Humphreys K, Ferri M. Alcoholics Anonymous and other 12-step programs for alcohol use disorder. Cochrane Database Syst Rev. 2020;3:CD012880.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_80_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.02.004"},{"key":"e_1_3_3_81_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-017-0412-2"},{"key":"e_1_3_3_82_2","doi-asserted-by":"publisher","DOI":"10.1300\/J125v07n02_01"},{"key":"e_1_3_3_83_2","doi-asserted-by":"publisher","DOI":"10.1177\/154230500706100105"}],"container-title":["Substance Use: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29768357241301990","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29768357241301990","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29768357241301990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:53:03Z","timestamp":1777600383000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29768357241301990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":82,"alternative-id":["10.1177\/29768357241301990"],"URL":"https:\/\/doi.org\/10.1177\/29768357241301990","relation":{},"ISSN":["2976-8357","2976-8357"],"issn-type":[{"value":"2976-8357","type":"print"},{"value":"2976-8357","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"article-number":"29768357241301990"}}