Hazardous Drinking Prevalence and Correlates in Older New Zealanders: A Comparison of the AUDIT-C and the CARET.

Hazardous Drinking Prevalence and Correlates in Older New Zealanders: A Comparison of the AUDIT-C and the CARET.
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新西兰人的危险饮酒患病率和相关性:审计-C和室的比较。

DOI:
10.1177/0898264318794108
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发表时间:
2019-12
影响因子:
2.8
通讯作者:
Savage CL
Savage CL
中科院分区:
医学3区
文献类型:
--
作者:
Towers A;Szabó Á;Newcombe DAL;Sheridan J;Moore AA;Hyde M;Britton A;Martinez P;Minicuci N;Kowal P;Clausen T;Savage CL

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该研究将根据酒精使用障碍识别测试-消费 (AUDIT-C) 和老年人特定合并症酒精风险评估工具 (CARET) 确定为危险饮酒的老年人比例进行了比较,并调查了社会人口统计、合并症、健康状况、药物使用和酒精相关风险行为是否解释了危险性分类屏幕之间的差异。 AUDIT-C 和 CARET 对 3,673 名 55-89 岁的成年人进行了评估。使用 Cohen 的 kappa 评估屏幕之间的分类一致性。使用逻辑回归对危险饮酒组进行比较。分析表明屏幕之间的一致性中等。被归类为“仅限 CARET 危险”的饮酒者饮酒量较少,但更有可能酒后驾车。在 AUDIT-C 的危险性计算中引入酒后驾驶标准大大减少了措施之间的分类差异。通过调查最初被确定为无害饮酒者的合并症、药物使用情况和酒精相关风险行为,可以改进标准筛查。
The study compared the proportion of older adults identified as drinking hazardously based on the Alcohol-Use Disorders Identification Test-Consumption (AUDIT-C) with the older adult-specific Comorbidity Alcohol Risk Evaluation Tool (CARET), and investigated whether socio-demographics, comorbidities, health, medication use, and alcohol-related risk behaviours explained discrepancies between the screens in classification of hazardousness. The AUDIT-C and the CARET were administered to 3,673 adults aged 55–89 years. Classification agreement between the screens was evaluated using Cohen’s kappa. Hazardous drinking groups were compared using logistic regression. Analysis indicated moderate agreement between the screens. Drinkers classified as ‘hazardous on the CARET only’ consumed less alcohol, but were more likely to drink-drive. Introducing a drink-driving criterion into the calculation of hazardousness on the AUDIT-C substantially decreased the classification discrepancy between the measures. Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviours in those initially identified as non-hazardous drinkers.
DOI: 10.15288/jsa.2002.63.316
发表时间: 2002-05-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
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