Brief alcohol interventions are underutilized in persons with nonalcohol-associated chronic liver diseases.

Abstract

Brief alcohol interventions use patient-provider communication to promote alcohol cessation. We characterized the receipt of this intervention in chronic liver disease (CLD). We surveyed patients with CLD for weekly drinking patterns and examined associations with patient-provider communication receipt. Among 840 participants, 82.1% and 56.5% reported ≥1 standard drink weekly and excessive alcohol consumption, respectively. Patient-provider communication was lower in noncirrhotic (adjusted odds ratio:0.34, 95% CI: 0.22-0.54) and nonalcohol-associated CLD (adjusted odds ratio: 0.22, 95% CI: 0.15-0.34) among individuals drinking ≥1 standard drink weekly, and similarly in noncirrhotic CLD (adjusted odds ratio: 0.45, 95% CI: 0.21-0.95) among those with excessive drinking. Brief alcohol interventions are underutilized in noncirrhotic and nonalcohol-associated CLD.