Concurrent and prospective screening for problem drinking among college students.
Concurrent and prospective screening for problem drinking among college students.
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大学生饮酒问题的同步和前瞻性筛查。
DOI：
10.1016/1054-139x(95)00207-9
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Greene,JW
中科院分区：
文献类型：
--
作者：
Werner,MJ;Walker,LS;Greene,JW
目的 先前的研究表明，将 CAGE 问卷与饮酒获益量表 (PBDS)、青少年吸烟情况信息以及最好朋友的饮酒模式相结合，是针对饮酒问题的一种有用的综合筛查措施。本研究的目的是前瞻性地评估这一综合筛查措施，将其作为大学 3 年后期青少年饮酒问题的预测因素。 方法 对 452 名大学新生进行随机抽样，在大一开始时进行一项饮酒情况的纵向研究。 32 个月后，共有 184 人（58%）完成了饮酒的后续措施。结果测量包括饮酒的数量和频率以及特定酒精相关问题的综合测量。RESULTSCAGE 分数、PBDS 分数、烟草使用和大学入学时报告的最好朋友的饮酒模式共同解释了大三结束时数量/频率测量中 33% 的差异以及酒精相关问题测量中 37% 的差异。大三结束时报告的这些相同变量解释了数量/频率测量中 50% 的方差和酒精相关问题测量中 61% 的方差。大学入学时报告的综合筛查措施对于大三结束时饮酒问题高风险的学生的敏感性为 73%，特异性为 70%，阳性预测值 (PPV) 为 63%，阴性预测值 (NPV) 为 78%。由大三结束时报告的相同变量组成的类似并发综合筛查措施对于高风险饮酒者的敏感性为 88%，特异性为 56%，PPV 为 60%，NPV 为 83%。通过每种综合筛选措施，总共 70-73% 的学生可以被正确分类。这些综合筛查测试的测试特征明显优于单独的 CAGE 或 PBDS。 结论 大学生对 CAGE、PBDS、烟草使用及其朋友饮酒的反应在 3 年内保持一致，并与当前和未来的问题饮酒风险相关。这些变量解释了饮酒和酒精相关问题的显着差异，并可能构成当前和未来饮酒问题的有用筛查措施。
PURPOSEPrevious studies suggest that combining the CAGE questionnaire with the Perceived Benefit of Drinking Scale (PBDS), information about an adolescent's use of tobacco, and best friend's drinking pattern is a useful composite screening measure for problem drinking. The present study was undertaken to evaluate this composite screening measure prospectively as a predictor of subsequent problem drinking among late adolescents across 3 years of college.METHODSA random sample of 452 college freshmen entered a longitudinal study of alcohol use at the beginning of their freshman year. A total of 184 (58%) completed follow-up measures of alcohol use 32 months later. Outcome measures included the quantity and frequency of alcohol use and a composite measure of specific alcohol-related problems.RESULTSCAGE scores, PBDS scores, tobacco use, and best friend's drinking patterns as reported at college entry together explained 33% of the variance in the quantity/frequency measure and 37% of the variance in the alcohol-related problems measure from the end of the junior year. These same variables as reported at the end of the junior year explained 50% of the variance in the quantity/frequency measure and 61% of the variance in the alcohol-related problems measure. The composite screening measure as reported at college entry had a sensitivity of 73%, specificity of 70%, positive predictive value (PPV) of 63%, and negative predictive value (NPV) of 78% for students at high risk for problem drinking at the end of the junior year. A similar concurrent composite screening measure consisting of the same variables reported at the end of the junior year had a sensitivity of 88%, specificity of 56%, PPV of 60%, and NPV of 83% for high-risk drinkers. A total of 70–73% of students could be correctly categorized by each composite screening measure. These composite screening tests had significantly better test characteristics than the CAGE or PBDS alone.CONCLUSIONSCollege students' responses to the CAGE, PBDS, tobacco use, and their friends' drinking remain consistent over 3 years and correlate with concurrent and future risk for problem drinking. These variables explain significant variance in drinking and alcohol-related problems and may constitute a useful screening measure for current and future problem drinking.
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年轻大学生酗酒和酒精相关问题的筛查：CAGE、Mm-MAST 和创伤评分问卷。
DOI：
10.15288/jsa.1993.54.528
发表时间：
1993
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
M. Nyström;J. Peräsalo;M. Salaspuro
通讯作者：
M. Salaspuro
DOI：
10.1001/jama.1984.03350140051025
发表时间：
1984
期刊：
JAMA
影响因子：
--
作者：
J. Ewing
通讯作者：
J. Ewing
马萨诸塞州大学的“狂饮”者。
DOI：
10.1001/jama.1992.03480210091038
发表时间：
1992
期刊：
JAMA
影响因子：
--
作者：
H. Wechsler;N. Isaac
通讯作者：
N. Isaac
女大学新生问题饮酒筛查措施的纵向评价。
DOI：
10.1001/archpedi.1994.02170120093018
发表时间：
1994
影响因子：
--
作者：
Werner,MJ;Walker,LS;Greene,JW
通讯作者：
Greene,JW
1976 年至 1985 年大学生饮酒研究。
DOI：
--
发表时间：
1986
期刊：
影响因子：
--
作者：
R. Saltz;Donna Elandt
通讯作者：
Donna Elandt