the alcohol screening, acceptance of the screening, and preferred interventions if the screening was positive.
Nearly 90% of all parents responding to this anonymous survey reported being open to being asked about their alcohol use at their child's pediatric appointment. Surprisingly, over 75% of parents with a positive alcohol screen also indicated acceptance of being screened for alcohol problems during the pediatric office visit. The top three preferred screening methods for parents, including those found to have alcohol problems, were direct conversation with the pediatrician, computer-based questionnaire, and paper-pencil questionnaire. The researchers believe that the endorsement of the pediatrician over screening conducted by other medical staff (e.g., nurse, medical assistant) results from an intangible, yet distinct, quality of the parent-pediatrician relationship.
While the parents' openness to alcohol screening at pediatric appointments was encouraging, the researchers are quick to point out some of the findings are cause for concern. Of the 879 parent participants, one out of every nine (11.5%) were found to have a positive alcohol screen; an alarmingly high number when considering recruitment for study participation was on a volunteer-only basis.
"It is possible that those parents who declined participation in the study were the ones with the most severe alcohol problems," says Wilson who is also an Instructor in Pediatrics at Harvard Medical School. "However, if this is true, our results represent an underestimate of the actual problem."
According to research, children of alcoholics are at increased risk for behavioral, cognitive and mental health problems. They are more likely to witness domestic violence, and have a greater chance of becoming victims of all forms of child maltreatment including neglect, physical abuse, and sexual abuse. Furthermore, children of alcoholics are 3 to 4 times more
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