The alcohol-related problems survey: Identifying hazardous and harmful drinking in older primary care patients
The alcohol-related problems survey: Identifying hazardous and harmful drinking in older primary care patients
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DOI：
10.1046/j.1532-5415.2002.50467.x
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发表时间：
2002-10-01
影响因子：
6.3
通讯作者：
Moore, AA
中科院分区：
文献类型：
--
作者：
Fink, A;Morton, SC;Moore, AA
目的：由于年龄相关的生理变化，健康和功能状态下降以及药物使用，老年人在低水平饮酒时可能会出现问题。我们已经开发并测试了一种专门针对老年人的筛选措施，酒精相关问题调查（ARPS），以识别老年人与这些风险。设计：调查。设置：学术和社区初级保健诊所。参与者：549名65岁及以上的饮酒者，大多数是高中或更高学历的白色。措施：酒精使用被分为有害的，危险的，或无害的，这取决于消费单独或与选定的合并症和药物使用相结合。有害饮酒（包括酒精滥用或依赖）意味着存在问题（例如，高血压、不良药物事件、法律的问题）。危险的饮酒意味着可能出现问题的风险。非危险性饮酒没有已知的风险problems.Results：11%的受试者是有害的饮酒者和35%是危险的饮酒者。有害饮酒在男性中比女性更常见，在75岁以下的人中比75岁及以上的人更常见。男性和女性以及年轻人和老年人中危险饮酒者的比例相似。大多数有害饮酒者是通过他们使用酒精和他们的合并症来确定的，而大多数危险饮酒者是通过他们使用酒精和药物来确定的。重测信度是实质性的（Kappa = 0.65）。结论：敦促医生筛选老年人酒精相关的问题。ARPS可靠地识别了老年人中有害的，危险的和无害的饮酒，这些饮酒通常是由于酒精与疾病和药物使用之间的相互作用。
Objectives: Older adults can incur problems at low levels of alcohol consumption because of age-related physiological changes, declining health and functional status, and medication use. We have developed and tested a screening measure specifically for older people, the Alcohol-Related Problems Survey (ARPS), to identify older adults with these risks.Design: Survey.Setting: Academic and community primary care clinics.Participants: Five hundred forty-nine current drinkers aged 65 and older, mostly white with high school or more education.Measures: Alcohol use was classified as harmful, hazardous, or nonhazardous depending upon consumption alone or combined with selected comorbidities and medication use. Harmful drinking (including alcohol abuse or dependence) means the presence of problems (e.g., hypertension, adverse drug events, legal problems) due to drinking. Hazardous drinking means risks for problems are likely. Nonhazardous drinking poses no known risks for problems.Results: Eleven percent of subjects were harmful drinkers and 35% were hazardous drinkers. Harmful drinking was more common in men than women and in persons younger than 75 than those aged 75 and older. Similar proportions of men and women and younger and older age groups were hazardous drinkers. Most harmful drinkers were identified by their use of alcohol with their comorbidity, whereas most hazardous drinkers were identified by their use of alcohol with medications. Test-retest reliability was substantial (kappa = 0.65).Conclusions: Physicians are urged to screen for alcohol-related problems in older persons. The ARPS reliably identifies harmful, hazardous, and nonhazardous drinking in older adults resulting most often from the interaction between alcohol and disease and medication use.