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  1. Fulltext. Detecting risk drinking during pregnancy : A comparison of four screening questionnaires.

    Article - En anglais

    Fulltext.

    Objectives

    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.

    Methods

    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.

    Results

    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.

    Conclusions

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0481580

    Code Inist : 002B30A03B. Création : 10/04/1997.