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Control arm: lifestyle health promotion only.<\/jats:p><\/jats:sec><jats:sec><jats:title>Major outcome measure<\/jats:title><jats:p>Change in proportion of women who identified alcohol use as a clear risk factor for breast cancer (scaled response measure).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the 557 participants was 60.3 years (standard deviation, 7.7 years; range, 40\u201387 years); 455 had recently consumed alcohol (82%). The proportions of participants aware that alcohol use increased the risk of breast cancer were larger at four weeks than at baseline for both the active intervention (65% <jats:italic>v<\/jats:italic> 20%; odds ratio [OR], 41; 95% confidence interval [CI], 18\u201397) and control arms of the study (38% <jats:italic>v<\/jats:italic> 20%; OR, 4.9; 95% CI, 2.8\u20138.8), but the change over time was greater for the active intervention arm (arm\u2009\u00d7\u2009time: <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Alcohol literacy also increased to a greater extent in the active than the control arm, but alcohol consumption did not significantly change in either arm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A tailored brief alcohol intervention for women attending breast screening was effective for improving awareness of the increased breast cancer risk associated with alcohol use and alcohol literacy more broadly. Such interventions are particularly important given the rising prevalence of risky drinking among middle\u2010aged and older women and evidence that even very light alcohol consumption increases breast cancer risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Registration<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>, NCT04715516 (prospective; 20\u00a0January 2021).<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.51991","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T23:54:01Z","timestamp":1685404441000},"page":"511-519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A brief intervention for improving alcohol literacy and reducing harmful alcohol use by women attending a breast screening service: a randomised controlled trial"],"prefix":"10.5694","volume":"218","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9415-3854","authenticated-orcid":false,"given":"Jasmin","family":"Grigg","sequence":"first","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Manning","sequence":"additional","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Lockie","sequence":"additional","affiliation":[{"name":"Maroondah BreastScreen Eastern Health  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Giles","sequence":"additional","affiliation":[{"name":"Maroondah BreastScreen Eastern Health  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin J","family":"Bell","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peta","family":"Stragalinos","sequence":"additional","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Bernard","sequence":"additional","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9211-6312","authenticated-orcid":false,"given":"Christopher J","family":"Greenwood","sequence":"additional","affiliation":[{"name":"Deakin University  Geelong VIC"},{"name":"Centre for Adolescent Health Murdoch Children's Research Institute  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Volpe","sequence":"additional","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Smith","sequence":"additional","affiliation":[{"name":"Monash Sustainable Development Institute Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Bragge","sequence":"additional","affiliation":[{"name":"Monash Sustainable Development Institute Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan I","family":"Lubman","sequence":"additional","affiliation":[{"name":"Turning Point Eastern Health  Melbourne VIC"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School Monash University  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,29]]},"reference":[{"key":"e_1_2_9_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00279-5"},{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-021-08217-5"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32231"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027371"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2017.094"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1590"},{"key":"e_1_2_9_7_1","unstructured":"Australian Institute of Health and Welfare.National Drug Strategy Household Survey 2019 (Cat. no. 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