Cross-national performance of the RAPS4/RAPS4-QF for tolerance and heavy drinking: Data from 13 countries
Cross-national performance of the RAPS4/RAPS4-QF for tolerance and heavy drinking: Data from 13 countries
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DOI：
10.15288/jsa.2005.66.428
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发表时间：
2005-05-01
期刊：
影响因子：
--
通讯作者：
Swiatkiewicz, G
中科院分区：
文献类型：
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作者：
Cherpitel, CJ;Ye, Y;Swiatkiewicz, G
目的：关于酒精使用障碍的简要筛查工具的性能的数据很少，因此，我们分析了一些国家的一种这样的工具的性能。方法：RAPS 4耐受性和RAPS 4-QF重度饮酒的性能分析来自急诊室合作酒精分析项目（ERCAAP）和世界卫生组织酒精和伤害合作研究中包括的13个国家的急诊室数据。结果如下：在大多数国家，RAPS 4对耐受性表现出良好的敏感性和特异性，但在社会水平有害饮酒模式较高的国家，RAPS 4的敏感性和特异性更高。在那些有害饮酒模式得分高的国家，耐受性的患病率也较高。RAPS 4-QF对大量饮酒的敏感性在各国都很高，同时保持了良好的特异性，并且不会因有害的饮酒模式而变化。结论：研究结果表明RAPS 4和RAPS 4-QF可能具有跨国前景。未来的研究应更充分地解决全国范围内酒精使用障碍（使用标准诊断标准）的简要筛查工具的性能，并考虑社会饮酒模式的影响。
Objective: There are little data available on the performance of brief screening instruments for alcohol-use disorders crossnationally; therefore, we analyzed the performance of one such instrument in a number of countries. Method: Performance of the RAPS4 for tolerance and the RAPS4-QF for heavy drinking are analyzed from emergency room data across 13 countries included in the combined Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the World Health Organization Collaborative Study on Alcohol and Injuries. Results: The RAPS4 showed good sensitivity and specificity for tolerance across most of the countries, but was higher in countries that were higher on societal-level detrimental drinking patterns. Prevalence of tolerance was also higher in those countries with high detrimental drinking pattern scores. Sensitivity of the RAPS4-QF for heavy drinking was uniformly high across countries, while maintaining good specificity, and did not vary by detrimental drinking patterns. Conclusions: Findings suggest the RAPS4 and RAPS4-QF may hold promise cross-nationally. Future research should more fully address the performance of brief screening instruments for alcohol-use disorders (using standard diagnostic criteria) cross-nationally, with consideration of the impact of societal drinking patterns.