Moran M B, Naughton B J, Hughes S L
Veterans Administration Lakeside Medical Center, Evanston, Illinois.
J Gen Intern Med. 1990 Jul-Aug;5(4):361-4. doi: 10.1007/BF02600408.
To determine the sensitivity and specificity of an alcoholism screening test not previously tested in the elderly.
Cross-sectional study, face-to-face interviews.
Veterans Administration (VA) outpatient facility.
PATIENTS/PARTICIPANTS: Men greater than or equal to 70 years old seeking care in a newly established VA outpatient facility were invited to participate in a health assessment program. Of 109 participants who enrolled, 96 completed both interviews.
The screening test was administered by an internist as part of a medical history. The Michigan Alcoholism Screening Test (MAST), used as the "gold standard," was administered by a trained interviewer as part of a longer structured interview.
The screening test had a sensitivity of 0.52 and a specificity of 0.76 in this sample.
The sensitivity and specificity of the screening test were lower in this sample in comparison with previously reported results in a younger population. Differences in the test performance may be related to differences in attitudes and drinking behaviors of elderly veterans when compared with those of younger men and women.
确定一项此前未在老年人中进行过测试的酒精中毒筛查测试的敏感性和特异性。
横断面研究，面对面访谈。
退伍军人管理局（VA）门诊机构。
患者/参与者：在一家新设立的VA门诊机构寻求治疗的70岁及以上男性被邀请参加一项健康评估项目。在登记的109名参与者中，96人完成了两次访谈。
由一名内科医生将筛查测试作为病史的一部分进行实施。作为“金标准”的密歇根酒精中毒筛查测试（MAST）由一名经过培训的访谈者作为更长的结构化访谈的一部分进行实施。
在该样本中，筛查测试的敏感性为0.52，特异性为0.76。
与此前在较年轻人群中报告的结果相比，该样本中筛查测试的敏感性和特异性较低。测试表现的差异可能与老年退伍军人与年轻男性和女性在态度和饮酒行为上的差异有关。
