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Detecting risk drinking during pregnancy: a comparison of four screening questionnaires
- Source :
- American journal of public health. 86(10)
- Publication Year :
- 1996
-
Abstract
- 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.
- Subjects :
- Gerontology
Adult
medicine.medical_specialty
Michigan
Psychometrics
Alcohol Drinking
Separate sample
Sensitivity and Specificity
Drug tolerance
Pregnancy
Risk Factors
Internal medicine
Surveys and Questionnaires
medicine
Humans
Mass Screening
Prospective Studies
Prospective cohort study
Michigan alcohol screening test
business.industry
Medical screening
Public Health, Environmental and Occupational Health
Drug Tolerance
medicine.disease
Pregnancy Complications
Alcoholism
Parity
Investigation methods
Female
business
Research Article
Subjects
Details
- ISSN :
- 00900036
- Volume :
- 86
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- American journal of public health
- Accession number :
- edsair.doi.dedup.....0501d349ccb8d3255b62c6c2e4f7c147