This study investigated the efficacy of screening for risk drinking during pregnancy with two brief questionnaires, TWEAK and T-ACE.
Both include an assessment of tolerance based on the number of drinks women report they can hold.
Subjects were disadvantaged African-American obstetric patients in Detroit, Mich.
Traditional alcoholism screens (Michigan Alcohol Screening Test [MAST], CAGE) and the tolerance question were administered (n=2717) ; TWEAK and T-ACE were constructed from tolerance and embedded MAST and CAGE items.
In a separate sample (n=1420), only the T-ACE was administered.
Periconceptional risk drinking was the gold standard.
Screen evaluations were based on receiver-operating characteristic analyses.
At the cutpoint of 2, sensitivity/specificity for embedded screens were 91/77 for TWEAK and 88/79 for T-ACE ; comparable values for T-ACE alone were 67/86.
TWEAK and T-ACE screened more effectively than CAGE or MAST.
Embedded versions of TWEAK and T-ACE were both highly sensitive to periconceptional risk drinking in this population.
Administering T-ACE alone reduced its sensitivity ; this suggests that MAST and CAGE administration improves its performance.
Mots-clés Pascal : Dépistage, Consommation, Ethanol, Alcoolisme, Gestation, Femme, Homme, Questionnaire, Etude comparative, Psychométrie, Méthode étude, Ethnie, Risque élevé, Michigan, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Medical screening, Consumption, Ethanol, Alcoholism, Pregnancy, Woman, Human, Questionnaire, Comparative study, Psychometrics, Investigation method, Ethnic group, High risk, Michigan, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0481580
Code Inist : 002B30A03B. Création : 10/04/1997.