Screening for alcohol problems: comparison of the audit, RAPS4 and RAPS4-QF among African American and Hispanic patients in an inner city emergency department
Screening for alcohol problems: comparison of the audit, RAPS4 and RAPS4-QF among African American and Hispanic patients in an inner city emergency department
复制标题
DOI：
10.1016/s0376-8716(03)00140-6
复制
发表时间：
2003-09-10
影响因子：
4.2
通讯作者：
Bazargan, S
中科院分区：
文献类型：
--
作者：
Cherpitel, CJ;Bazargan, S
目的：在非裔美国人和西班牙裔美国人的市中心急诊科（艾德）患者样本中，将酒精使用障碍的简易筛查工具RAPS 4、RAPS 4-QF和AUDIT与DSM-IV酒精依赖和酒精滥用标准进行比较。方法：对395名在King Drew医疗中心急诊部寻求护理的非洲裔美国人和西班牙裔患者的概率样本进行了与筛查和诊断仪器、饮酒量和频率以及人口统计学特征相关的项目的访谈。结果：RAPS 4和AUDIT对酒依赖的诊断无差异。RAPS 4-QF（RAPS 4加上数量项和频率项）的灵敏度明显优于非裔美国人和西班牙裔美国人的AUDIT，以及男性，但不适用于女性，尽管RAPS 4-QF确定了所有那些酒精滥用标准阳性的女性，而AUDIT确定了93%。结论：数据表明RAPS 4和RAPS 4-QF分别在少数艾德患者中用于识别酒精依赖和酒精滥用表现良好。需要进行更多的研究，以评估RAPS 4-QF作为一个独立的工具，并在其他人群和其他文化环境中跨性别和种族亚组评估这两种工具。(C)2003爱思唯尔科学爱尔兰有限公司保留所有权利。
Objective: to compare brief screening instruments for alcohol use disorders, the RAPS4, RAPS4-QF, and AUDIT, against DSM-IV criteria for alcohol dependence and alcohol abuse among African Americans and Hispanics in a sample of inner city emergency department (ED) patients. Method: a probability sample of 395 African American and Hispanic patients seeking care at King Drew Medical Center Emergency Department were interviewed regarding items related to the screening and diagnostic instruments, quantity and frequency of drinking and demographic characteristics. Results: no difference was found between the RAPS4 and AUDIT for alcohol dependence. Sensitivity of the RAPS4-QF (the RAPS4 plus a quantity item and a frequency item) was significantly better than the AUDIT for African Americans and Hispanics, and for males, but not for females, although the RAPS4-QF identified all of those women positive for alcohol abuse criteria, compared to 93% identified by the AUDIT. Conclusion: the data suggest the RAPS4 and the RAPS4-QF perform well for identifying alcohol dependence and alcohol abuse, respectively, among minority ED patients. Additional research is needed to evaluate the RAPS4-QF as a stand-alone instrument and to evaluate both instruments across gender and ethnic subgroups in other populations and in other cultural settings. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.