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USPSTF Releases Draft Guidance for Universal Adult Alcohol Screening

Open for comment through September 2, the recommendation includes brief counseling for adults who report risky drinking.

Overview

  • The task force’s draft grades universal adult screening for unhealthy alcohol use as a B recommendation, encompassing all adults and pregnant persons.
  • Brief behavioral counseling is endorsed for adults who screen positive for risky drinking based on moderate net benefit and linked to an average reduction of 1.6 drinks per week.
  • Screening and counseling for adolescents aged 12 to 17 received an I statement due to insufficient evidence to assess benefits and harms.
  • Health professionals and the public can submit comments on the draft guidance through September 2, 2025.
  • The task force calls for further research to validate screening instruments like the USAUDIT and to evaluate intervention effectiveness.