Hermansson U, Helander A, Huss A, Brandt L, Rönnberg S
Karolinska Institutet, Department of Clinical Neuroscience, Alcohol and Drug Dependence Disorders at Karolinska Hospital, Sweden.
Alcohol Clin Exp Res. 2000 Feb;24(2):180-7.
Only a few studies on workplaces have examined the Alcohol Use Disorders Identification Test (AUDIT) or carbohydrate-deficient transferrin (CDT) as screening instruments for the early identification of elevated and risky levels of alcohol consumption. The purpose of this study was to compare the performances of AUDIT, CDT, and gamma-glutamyltransferase (GGT) in a routine health examination (alcohol screening) in the workplace.
The study, carried out over 16 months in a large workplace in the transport sector, was part of an on-going controlled study. Employees who came to the company health service for a routine health examination were offered the opportunity to undergo an alcohol screening and check their alcohol habits.
Of the 570 subjects who participated, 105 (18.4%) screened positive according to AUDIT, CDT, or both. Only 7.6% of the persons who screened positive did so according to both instruments. If GGT had been included as a screening instrument, the proportion of positive results would have increased to 22.0%. If we had only used AUDIT in the screening process, the proportion of positives would have fallen by nearly half.
The present findings suggest that AUDIT and CDT are complementary instruments for alcohol screening in a routine workplace health examination, and each has value for identifying a different segment of the risky drinking population.
仅有少数关于工作场所的研究将酒精使用障碍识别测试（AUDIT）或缺糖转铁蛋白（CDT）作为筛查工具，用于早期识别饮酒量升高及存在风险的情况。本研究的目的是比较AUDIT、CDT和γ-谷氨酰转移酶（GGT）在工作场所常规健康检查（酒精筛查）中的表现。
这项在运输行业的一个大型工作场所进行了16个月的研究，是一项正在进行的对照研究的一部分。前来公司健康服务部门进行常规健康检查的员工有机会接受酒精筛查并检查他们的饮酒习惯。
在参与的570名受试者中，105名（18.4%）根据AUDIT、CDT或两者筛查呈阳性。仅7.6%的筛查呈阳性者是根据两种工具均呈阳性。如果将GGT作为筛查工具纳入，阳性结果的比例将增至22.0%。如果在筛查过程中仅使用AUDIT，阳性比例将下降近一半。
目前的研究结果表明，AUDIT和CDT是工作场所常规健康检查中酒精筛查的互补工具，且每种工具在识别不同部分的危险饮酒人群方面都有价值。
