Identification of risk drinking women: T-ACE screening tool or the medical record.
Identification of risk drinking women: T-ACE screening tool or the medical record.
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女性饮酒风险识别：T-ACE 筛查工具或医疗记录。
DOI：
10.1089/jwh.2009.1911
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Orav,EJohn
中科院分区：
文献类型：
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作者：
Chang,Grace;Fisher,NaomiDL;Hornstein,MarkD;Jones,JenniferA;Orav,EJohn
背景：国家酒精滥用和酒精中毒研究所（NIAAA）将女性的风险饮酒定义为每周>7次或每次>3次。本研究比较了2005年2月至2009年5月在马萨诸塞州波士顿市因糖尿病、高血压、不孕症或骨质疏松症而接受门诊治疗的611名妇女的T-ACE筛查工具和诊断饮酒风险的病历。结果：T-ACE阳性妇女（n= 419）与筛查阴性妇女（n= 192）相比，平均每天饮酒量显著增加（2.1 vs.1.6，p < 0.0001），且有更多狂欢的趋势（6.3 vs.3.8，p = 0.07），但饮酒天数百分比和饮酒周数相似。在521份（85%）可用的医疗记录中，46%承认使用酒精，25%否认使用，29%保持沉默。女性的禁欲率分别为2%、17%和4%。显着更多的妇女风险饮酒者（63%），并有目前的酒精使用障碍（12%），当他们的医疗记录承认酒精use.Conclusions：这项研究的主要结果是，无论是T-ACE，也不是医疗记录是特别有效的识别风险饮酒的妇女参加了这项研究。查明妇女危险或大量饮酒的情况，特别是如果她们有因饮酒而加剧的健康问题，是可取的，对病人和提供者来说都是一个需要改进的领域。
Background:Risk drinking for women is defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) as >7 drinks per week or >3 drinks per occasion. This study compares the T-ACE screening tool and the medical record for identification of risk drinking by 611 women receiving outpatient treatment for diabetes, hypertension, infertility, or osteoporosis in Boston, Massachusetts, between February 2005 and May 2009.Methods:All subjects completed a diagnostic interview about their health habits, and medical records were abstracted. Calculations were weighted to reflect the oversampling of risk drinking women.Results:T-ACE-positive women (n= 419) had significantly more drinks per drinking day (2.1 vs. 1.6,p< 0.0001) and a trend toward more binges (6.3 vs. 3.8,p= 0.07) but similar percent drinking days and risk drinking weeks compared with those with negative screens (n= 192). Among the 521 (85%) medical records available, 46% acknowledged alcohol use, 25% denied use, and 29% were silent. The rates of abstinence among women were 2%, 17%, and 4%, respectively. Significantly more women were risk drinkers (63%) and had current alcohol use disorders (12%) when their medical records acknowledged alcohol use.Conclusions:The main findings of this study are that neither the T-ACE nor the medical record was especially effective in identifying risk drinking by the women enrolled in the study. The identification of risky or heavy alcohol use in women, particularly if they have health problems exacerbated by alcohol, is desirable and represents an area of improvement for patients and providers alike.