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  1. Screening for problem drinking in older primary care patients.

    Article - En anglais

    Objectives

    - To describe potentially hazardous alcohol use among elderly patients in the primary care setting and to assess the widely used CAGE questionnaire (cut down, annoyed by criticism, guilty about drinking, eye-opener drinks) as a tool for detecting self-reported heavy and binge drinking among these patients.

    Design

    - Cross-sectional study.

    Setting

    - The offices of 88 primary care physicians at 21 sites in southeastem Wisconsin.

    Patients

    - A total of 5065 consecutive consenting patients older than 60 years.

    Measures

    - A previously validated self-administered questionnaire that included beverage-specific questions about the quantity and frequency of regular drinking in the last 3 months, the number of episodes of binge drinking (=6 drinks per occasion), and the CAGE questionnaire.

    Results

    - Fifteen percent of men and 12% of women regularly drank in excess of limits recommended by the National Institute of Alcohol Abuse and Alcoholism (>7 drinks per week for women and>14 drinks per week for men).

    Nine percent of men and 2% of women reported regularly consuming more than 21 drinks per week.

    When we administered the CAGE questionnaire, 9% of men and 3% of women screened positive for alcohol abuse within 3 months.

    The CAGE performed poorly in detecting heavy or binge drinkers ; fewer than half were CAGE positive when the standard cutoff of 2 positive answers was used.

    Conclusions

    (...)

    Mots-clés Pascal : Prise boisson, Alcool, Soin santé primaire, Dépistage, Questionnaire, Enquête utilité publique, Vieillard, Homme, Wisconsin, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Drinking, Alcohol, Primary health care, Medical screening, Questionnaire, Inquiry for public prosals, Elderly, Human, Wisconsin, United States, North America, America

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

    Cote : 97-0081298

    Code Inist : 002B30A03B. Création : 21/05/1997.