Massey University, Palmerston North, New Zealand.
The University of Auckland, New Zealand.
J Aging Health. 2019 Dec;31(10):1770-1789. doi: 10.1177/0898264318794108. Epub 2018 Aug 27.
The study compared the proportion of older adults identified as drinking hazardously based on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) with the older adult-specific Comorbidity Alcohol Risk Evaluation Tool (CARET) and investigated whether sociodemographics, comorbidities, health, medication use, and alcohol-related risk behaviors explained discrepancies between the screens in classification of hazardousness. The AUDIT-C and the CARET were administered to 3,673 adults aged 55 to 89 years. Classification agreement between the screens was evaluated using Cohen's kappa. Hazardous drinking groups were compared using logistic regression. Analysis indicated moderate agreement between the screens. Drinkers classified as "hazardous on the CARET only" consumed less alcohol, but were more likely to drink-drive. Introducing a drink-driving criterion into the calculation of hazardousness on the AUDIT-C substantially decreased the classification discrepancy between the measures. Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.
该研究比较了基于酒精使用障碍识别测试-消费（AUDIT-C）识别的危险饮酒老年人比例与专门针对老年人的合并症酒精风险评估工具（CARET），并调查了社会人口统计学、合并症、健康、药物使用和与酒精相关的风险行为是否可以解释这些筛查方法在危险程度分类上的差异。AUDIT-C 和 CARET 对 3673 名 55 至 89 岁的成年人进行了测试。使用 Cohen 的 kappa 评估屏幕之间的分类一致性。使用逻辑回归比较危险饮酒组。分析表明，屏幕之间存在中度一致性。仅在 CARET 上被归类为“危险”的饮酒者饮酒量较少，但更有可能酒后驾车。在 AUDIT-C 计算危险程度时引入酒后驾车标准，大大降低了这些测量之间的分类差异。通过对最初被认定为非危险饮酒者的合并症、药物使用和与酒精相关的风险行为进行调查，可以改进标准筛查。
