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dc.contributor.authorSmith, Peter C.en_US
dc.contributor.authorSchmidt, Susan M.en_US
dc.contributor.authorAllensworth-Davies, Donalden_US
dc.contributor.authorSaitz, Richarden_US
dc.date.accessioned2012-01-09T20:58:05Z
dc.date.available2012-01-09T20:58:05Z
dc.date.issued2009-2-27en_US
dc.identifier.citationSmith, Peter C., Susan M. Schmidt, Donald Allensworth-Davies, Richard Saitz. "Primary Care Validation of a Single-Question Alcohol Screening Test" Journal of General Internal Medicine 24(7): 783-788. (2009)en_US
dc.identifier.issn1525-1497en_US
dc.identifier.urihttp://hdl.handle.net/2144/2928
dc.description.abstractBACKGROUND 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 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.en_US
dc.description.sponsorshipNational Institute on Alcohol Abuse and Alcoholism (R01-AA010870)en_US
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.rightsCopyright Smith et al. 2009en_US
dc.subjectAlcohol screening testen_US
dc.subjectAlcoholicsen_US
dc.subjectPrimary care validationen_US
dc.subjectNIAAAen_US
dc.titlePrimary Care Validation of a Single-Question Alcohol Screening Testen_US
dc.typearticleen_US
dc.identifier.doi10.1007/s11606-009-0928-6en_US
dc.identifier.pubmedid19247718en_US
dc.identifier.pmcid2695521en_US


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