Alcohol intake among women has increased in recent years. Women’s bodies metabolize alcohol differently when compared to men and are at increased risk for adverse effects, both physically and mentally. The purpose of this systematic literature review is to explore the evidence related to the impact of coaching in primary care on drinking behaviors and over-all well-being of women. Four databases including PsycInfo, Academic Search Premier, CINAHL Plus with full text, and Gender Studies Database were searched using a variety of key words. Studies were included if they focused on female alcohol use and abuse, interventions specific to female alcohol use, mental health and well-being related to alcohol use, and special groups (young adult women, older adult women, women veterans, or sexual minority women). Studies were excluded if they focused on domestic violence, polysubstance abuse, men or males, adolescents/children, sleep disturbances, postpartum or pregnancy, sexual dysfunction, sexual assault, or eating disorders. A total of 25 studies were included in this review. Alcohol use and misuse has been linked to depression, anxiety, and decreased generalized well-being in young-adult women, older-adult women, sexual minority women, and veterans. Coaching women in primary care on drinking behaviors decreases alcohol intake and increases overall well-being. An overall lack of female-specific research exists on how the coaching of women on alcohol intake in primary care affects drinking behaviors and overall mental health. Careful screening for alcohol use/misuse should be done at every healthcare encounter and female-specific interventions implemented. Further research is needed on female-specific coaching methods to utilize when addressing alcohol use and its affect on drinking behaviors and mental well-being.


Rhonda Cornell

Date of Degree




Document Type



Master of Science in Nursing (MSN)


School of Nursing


Allied Health and Nursing



Rights Statement

In Copyright