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Updated: Jun 23, 2026

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Published on: June 23, 2023
Alcohol misuse
1Senior research fellow, CHSS, George Allen Wing, University of Kent, Canterbury, UK.
This systematic review examines interventions for hazardous or harmful alcohol users not yet dependent. Findings cover the effectiveness and safety of screening and brief interventions in primary care and emergency departments.
Area of Science:
- Public Health
- Addiction Medicine
- Evidence-Based Medicine
Background:
- Alcohol use is a major global cause of mortality and morbidity.
- Approximately 16% of hazardous drinkers may progress to dependence without intervention.
- This review focuses on interventions for non-dependent hazardous or harmful alcohol users.
Purpose of the Study:
- To evaluate the effects of interventions for hazardous or harmful drinkers in primary care.
- To assess the effects of interventions for hazardous or harmful drinkers in emergency departments.
Main Methods:
- Systematic review of 13 studies (reviews, RCTs, observational studies).
- Searched major databases up to November 2006.
- Included harms alerts from regulatory agencies.
Main Results:
- Identified 13 studies meeting inclusion criteria.
- Performed GRADE evaluation of evidence quality.
- Information on effectiveness and safety of interventions was compiled.
Conclusions:
- Presents data on brief interventions (single/multiple sessions).
- Evaluates universal screening plus brief interventions.
- Assesses targeted screening plus brief interventions in primary care and emergency settings.
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