Martínez Vizcaíno V, Jarabo Crespo Y, Salcedo Aguilar F, Ordoño Domínguez J F, Santiago Pérez S, Monreal Redondo D
Centro de Salud San Ignacio de Loyola, Unidad Docente de Medicina Familiar y Comunitaria, Cuenca.
Aten Primaria. 1992 Nov 1;10(7):872-4.
To find out the prevalence of alcoholism among those attending an urban Health Centre. To establish the level of concordance between the CAGE and MALT-O tests in the detection of alcoholism and to assess the effectiveness of the joint use of the above tests.
Observational, crossover study. SITE. San Ignacio de Loyola Health Centre (Cuenca).
A sample of 499 people of both sexes and over 18 years old was chosen from among the people attending the Centre. Systematic sampling from a random starting-point was used.
Each person was interviewed with a questionnaire containing the CAGE and MALT-O items and sociodemographic data. The person who gave at least two positive answers in both tests was considered an alcoholic. A total of 402 filled-in questionnaires were returned. 27 people were found to have two or more positive items, which mean a 6.7% prevalence of alcoholism (CI 95% = 4.2-9.1). This broke down into a prevalence of 1.33% among women and 13.63% among men (p < 0.0001). The concordance level, determined by the Kappa coefficient, between the two tests was 0.29 (CI 95% = 0.11-0.47).
The prevalence of alcoholism found is greater than in other national studies on the out-patient population, although it continues to be low in comparison with several foreign surveys. On the other hand, we seem to gain nothing in the detection of alcoholism by adding the MALT-O to the CAGE test, even when the concordance level between the two tests has come out low.
了解城市健康中心就诊人群中酒精成瘾的患病率。确定CAGE测试和MALT - O测试在酒精成瘾检测中的一致性水平，并评估联合使用上述测试的有效性。
观察性交叉研究。地点：圣伊格纳西奥·德·洛约拉健康中心（昆卡）。
从该健康中心就诊人群中选取了499名18岁以上的男女作为样本。采用随机起点的系统抽样方法。
对每个人进行包含CAGE和MALT - O项目以及社会人口统计学数据的问卷调查。在两项测试中至少给出两个肯定回答的人被视为酒精成瘾者。共收回402份填写完整的问卷。发现27人有两个或更多肯定项目，这意味着酒精成瘾的患病率为6.7%（95%置信区间 = 4.2 - 9.1）。其中女性患病率为1.33%，男性患病率为13.63%（p < 0.0001）。两项测试之间由Kappa系数确定的一致性水平为0.29（95%置信区间 = 0.11 - 0.47）。
所发现的酒精成瘾患病率高于其他关于门诊人群的国内研究，尽管与一些国外调查相比仍然较低。另一方面，即使两项测试之间的一致性水平较低，在CAGE测试中加入MALT - O测试似乎在酒精成瘾检测方面并无益处。
