The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Primary Care Validation of a Single-Question Alcohol Screening Test
Open accessAbstract
BACKGROUND: Unhealthy alcohol use is prevalent but under-diagnosed in primary care settings. OBJECTIVE: To validate, in primary care, a single-item screening test for unhealthy alcohol use recommended by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). DESIGN: Cross-sectional study. PARTICIPANTS: Adult English-speaking patients recruited from primary care waiting rooms. MEASUREMENTS: Participants were asked the single screening question, “How many times in the past year have you had X or more drinks in a day?”, where X is 5 for men and 4 for women, and a response of 1 or greater [corrected] is considered positive. Unhealthy alcohol use was defined as the presence of an alcohol use disorder, as determined by a standardized diagnostic interview, or risky consumption, as determined using a validated 30-day calendar method. MAIN RESULTS: Of 394 eligible primary care patients, 286 (73%) completed the interview. The single-question screen was 81.8% sensitive (95% confidence interval (CI) 72.5% to 88.5%) and 79.3% specific (95% CI 73.1% to 84.4%) for the detection of unhealthy alcohol use. It was slightly more sensitive (87.9%, 95% CI 72.7% to 95.2%) but was less specific (66.8%, 95% CI 60.8% to 72.3%) for the detection of a current alcohol use disorder. Test characteristics were similar to that of a commonly used three-item screen, and were affected very little by subject demographic characteristics. CONCLUSIONS: The single screening question recommended by the NIAAA accurately identified unhealthy alcohol use in this sample of primary care patients. These findings support the use of this brief screen in primary care.
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The Michigan Alcoholism Screening Test: The Quest for a New Diagnostic Instrument
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The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument
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Primary Care: Is There Enough Time for Prevention?
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AUDIT‐C as a Brief Screen for Alcohol Misuse in Primary Care
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Research works printed but not linked: 2
- National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much: a clinician’s guide, 2005 Edition. Bethesda, MD, 2007.
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Cited by
A Single-Question Screening Test for Drug Use in Primary Care
Smith, P. C., Schmidt, S. M., Allensworth-Davies, D., & Saitz, R. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.140 · Cited by 484
Self-citationHiggins-Biddle, J. C., & Babor, T. F. (2018) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2018.1456545 · Cited by 355
McNeely, J., Wu, L.-T., Subramaniam, G., Sharma, G., Cathers, L. A., Svikis, D., Sleiter, L., Russell, L., Nordeck, C., Sharma, A., et al. (2016) · Annals of Internal Medicine · doi:10.7326/m16-0317 · Cited by 320
Williams, E. C., Hahn, J. A., Saitz, R., Bryant, K., Lira, M. C., & Samet, J. H. (2016) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.13204 · Cited by 294
Self-citationKangovi, S., Mitra, N., Grande, D., White, M. L., McCollum, S., Sellman, J., Shannon, R. P., & Long, J. A. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.14327 · Cited by 274
Metadata
- Authors
- Smith, P. C., Schmidt, S. M., Allensworth-Davies, D., & Saitz, R.
- Venue
- Journal of General Internal Medicine
- Published
- 2009-02-27
- Volume
- 24
- Issue
- 7
- Pages
- 783-788
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- OpenAlex
- W2040452164
- Cited by
- 416
- References
- 29
- FWCI
- 12.95
- Type
- journal article
- Language
- en
- Open access
- hybrid
- Licence
- creativecommons.org/licenses/by-nc/2.0 (tdm)
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