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首页> 外文期刊>Journal of studies on alcohol >Primary care validation of a single screening question for drinkers.
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Primary care validation of a single screening question for drinkers.

机译：对饮酒者进行单个筛查问题的初级保健验证。

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OBJECTIVE: The aim of this study was to conduct a primary care validation study of a single screening question for alcohol misuse ("When was the last time you had more than X drinks in 1 day?," where X was four for women and X was five for men), which was previously validated in a study conducted in emergency departments. METHOD: This cross-sectional study was accomplished by interviewing 625 male and female adult drinkers who presented to five southeastern primary care practices. Patients answered the single question (coded as within 3 months, within 12 months, ever, or never), Alcohol Use Disorders Identification Test (AUDIT), and AUDIT consumption questions (AUDIT-C). Alcohol misuse was defined as either at-risk drinking, identified by a 29-day Timeline Followback interview or a current (past-year) alcohol-use disorder by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria, or both. RESULTS: Among 625 drinkers interviewed, 25.6% were at-risk drinkers, 21.7% had a current alcohol- use disorder, and 35.2% had either or both conditions. Considering "within the last 3 months" as positive, the sensitivity of the single question was 80% and the specificity was 74%. Chi-square analyses revealed similar sensitivity across ethnic and gender groups; however, specificity was higher in women and whites (p = .0187 and .0421, respectively). Considering "within the last 12 months" as positive increased the question's sensitivity, especially for those with alcohol-use disorders. The area under the receiver operating characteristic curve of the single alcohol screening question (0.79) was slightly lower than for the AUDIT and AUDIT-C, but sensitivity and specificity were similar. CONCLUSIONS: A single question about the last episode of heavy drinking is a sensitive, time-efficient screening instrument that shows promise for increasing alcohol screening in primary care practices.
机译：目的：这项研究的目的是对酒精滥用的单个筛查问题进行一次初级保健验证研究（“什么时候您上一次喝X杯的次数超过一次？”，其中X代表女性，而X代表4男性为5个），该数据先前已在急诊部门进行的一项研究中得到验证。方法：这项横断面研究是通过采访625名成年男性和女性饮酒者完成的，这些饮酒者介绍了东南部五种初级保健方法。患者回答单个问题（编码为3个月内，12个月内，永远或永远不会），酒精使用障碍识别测试（AUDIT）和AUDIT消费问题（AUDIT-C）。酒精滥用被定义为高危饮酒，通过29天的时间轴回访访谈确定，或者根据《精神疾病诊断和统计手册》（第四版）和/或标准（当前）确定当前（过去）的酒精使用障碍。结果：在接受采访的625名饮酒者中，高危饮酒者占25.6％，当前饮酒障碍的占21.7％，而其中一种或两种情况均占35.2％。将“最近3个月内”视为阳性，单个问题的敏感性为80％，特异性为74％。卡方分析显示不同种族和性别群体的敏感性相似。但是，女性和白人的特异性更高（分别为p = .0187和.0421）。将“过去12个月内”视为肯定会增加问题的敏感性，尤其是对于那些患有酒精使用障碍的人。单一酒精筛查问题的受试者工作特征曲线下的面积（0.79）略低于AUDIT和AUDIT-C，但敏感性和特异性相似。结论：关于最后一次酗酒的一个问题是一种灵敏，省时的筛查工具，该方法显示了在初级保健实践中增加酒精筛查的希望。

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