摘要：Unhealthy use of alcohol, nicotine, and illicit and prescription drugs cost Americans more than $740 billion a year in increased health care costs, crime, and lost productivity.1 Every year, illicit and prescription drugs and alcohol contribute to the death of more than 130,000 Americans.2 In 2019, 36 million Americans admitted to past-month illicit drug use, and of the 140 million past-month alcohol users, nearly half (47%) reported binge drinking.3 Despite the significant costs associated with substance use, the high prevalence of acute and chronic substance misuse, and a Class B recommendation by the United States Preventive Services Task Force for alcohol screening and brief counseling of adults in primary care,4 physicians often fail to address at-risk drinking and drug use in their patients.5-10 Data collected in 2017 by the Centers for Disease Control and Prevention (CDC) show that only 37.8% of adults were asked about binge drinking during a health checkup during the past 2 years, and only 20.1% of current binge drinkers had been advised to reduce or quit drinking.10 Similarly, Glass et al, using data from the National Survey on Drug Use and Health, found that among individuals with alcohol abuse or dependence who received an alcohol assessment in primary care, only 2.9% and 7.0%, respectively, were offered information about treatment.
