Berks John, McCormick Ross
Community Alcohol and Drug Service, Auckland, New Zealand.
Int Psychogeriatr. 2008 Dec;20(6):1090-103. doi: 10.1017/S1041610208007497. Epub 2008 Jun 9.
Alcohol problems in the elderly are common and frequently undetected, and therefore a potential target for a screening program.
Using Medline, Psychinfo and reference lists from relevant publications, articles were identified testing pen-and-paper screens in the primary care population aged over 60 years.
Using standard definitions of alcohol problems, conventional screens adapted for use in the elderly have performances similar to screens in the younger primary care population. However, it can be argued that special screens perform better for the elderly.
The Alcohol Use Disorders Identification Test is a useful screen for detecting harmful and hazardous drinking in the elderly while the CAGE is valuable when screening for dependence. In the future, the Alcohol-Related Problems Survey, a computer-based screen, may prove to be superior if practical implementation problems can be overcome.
老年人的酒精问题很常见且常常未被发现，因此是筛查项目的一个潜在目标。
通过检索医学文献数据库（Medline）、心理学文摘数据库（Psychinfo）以及相关出版物的参考文献列表，识别出针对60岁以上初级保健人群进行纸笔筛查测试的文章。
采用酒精问题的标准定义，适用于老年人的传统筛查方法的表现与适用于年轻初级保健人群的筛查方法相似。然而，可以认为专门的筛查方法对老年人的效果更好。
酒精使用障碍识别测试是检测老年人有害及危险饮酒的有效筛查方法，而CAGE问卷在筛查酒精依赖时很有价值。未来，如果能克服实际实施中的问题，基于计算机的“与酒精相关问题调查”可能会被证明更为优越。
