Alcohol abuse and dependence in Latinos living in the United States : Validation of the CAGE (4M) questions.
Brief alcoholism screening questionnaires have not been adequately studied in the rapidly growing Latino population living in the United States.
To assess (1) the prevalence of alcoholism and (2) the performance of 2 alcohol screening instruments in Latinos.
Subjects and Methods
We performed a cross-sectional interview study in an urban teaching hospital-based primary care practice.
Consecutive self-identified Latino subjects provided informed consent.
All subjects were interviewed in English or Spanish using 2 alcoholism screening tools, the CAGE (or the Spanish version, the 4M), and the Alcohol Use Disorders Identification Test, and a criterion standard for the diagnosis of alcohol abuse and dependence, the Composite International Diagnostic Interview.
Of 210 subjects interviewed, 36% had a lifetime diagnosis of alcohol abuse or dependence by the criterion standard.
Thirty-one percent were currently drinking hazardous amounts of alcohol.
A CAGE (4M) score of or more was 92% sensitive and 74% specific, and a score of 2 or more was 80% sensitive and 93% specific for a lifetime diagnosis of alcohol abuse or dependency.
CAGE (4M) scores of 0,2,3, and 4 were associated with likelihood ratios (0.1,4.8,18.5, and 36.8, respectively) that resulted in substantial changes from pretest (36%) to posttest probability (to 6%, 73%, 91%, and 95%, respectively) of a diagnosis of alcohol abuse or dependency. (...)
Mots-clés Pascal : Alcoolisme, Dépendance, Ethnie, Etats Unis, Amérique du Nord, Amérique, Questionnaire, CAGE Questionnaire Mayfield et al, Sensibilité, Spécificité, Test activité, Dépistage, Prévalence, Epidémiologie, Homme, Validation test, Diagnostic, Alcohol Use Disorders Ientification Test
Mots-clés Pascal anglais : Alcoholism, Dependence, Ethnic group, United States, North America, America, Questionnaire, CAGE Questionnaire Mayfield et al, Sensitivity, Specificity, Screening test, Medical screening, Prevalence, Epidemiology, Human, Test validation, Diagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0233717
Code Inist : 002B03F. Création : 16/11/1999.