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有害饮酒筛查。在家庭医疗中使用CAGE问卷及酒精摄入量测量方法。

Screening for hazardous drinking. Using the CAGE and measures of alcohol consumption in family practice.

作者信息

McIntosh M C, Leigh G, Baldwin N J

机构信息

Sydney Family Practice Centre, Nova Scotia.

出版信息

Can Fam Physician. 1994 Sep;40:1546-53.

PMID:7920048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2380292/
Abstract

OBJECTIVE

To determine the drinking practices of a family practice population, to examine the CAGE and questions about drinking as a method of screening for hazardous alcohol use, and to examine the relationship between alcohol consumption and CAGE items, particularly in a subgroup of hazardous drinkers.

DESIGN

Random survey of patients representative of a clinic population.

SETTING

Family practice clinic.

PATIENTS

Of 1420 patients approached while waiting to see a family physician for medical reasons, 1376 agreed to participate; 1334 turned in usable questionnaires.

MAIN OUTCOME MEASURES

Drinking measures and CAGE items; CAGE questions and levels of alcohol use were used to determine current drinking practices. A subgroup of hazardous drinkers was examined in greater detail.

RESULTS

Forty percent of male patients and 11% of female patients reported at least one "hazardous" drinking (four or more drinks) day in the past month. Answering yes to CAGE items was more specific to drinking for male subjects, who also reported a greater number of maximum drinks with a CAGE score of 2 or more.

CONCLUSIONS

This brief questionnaire was a feasible tool for identifying family practice patients who could be at risk for developing alcohol problems. All patients could be invited to complete the questionnaire while waiting for their appointments.

摘要

目的

确定家庭医疗人群的饮酒习惯,检验CAGE问卷及关于饮酒的问题作为筛查有害饮酒行为的方法,并研究饮酒量与CAGE问卷项目之间的关系,尤其是在有害饮酒者亚组中的关系。

设计

对具有诊所人群代表性的患者进行随机调查。

地点

家庭医疗诊所。

患者

在因医疗原因候诊看家庭医生的1420名患者中,1376名同意参与;1334名提交了可用问卷。

主要观察指标

饮酒测量指标和CAGE问卷项目;CAGE问题和饮酒水平用于确定当前饮酒习惯。对有害饮酒者亚组进行了更详细的检查。

结果

40%的男性患者和11%的女性患者报告在过去一个月中至少有一天“有害”饮酒(四杯或更多)。对CAGE问卷项目回答“是”对男性饮酒者更具特异性,在CAGE评分为2或更高时,男性报告的最大饮酒量也更多。

结论

这份简短问卷是识别可能有酒精问题风险的家庭医疗患者的可行工具。所有患者在候诊时都可被邀请填写问卷。

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Alcoholics' versus nonalcoholics' use of services of a health maintenance organization.
J Stud Alcohol. 1981 Mar;42(3):312-22. doi: 10.15288/jsa.1981.42.312.
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Prevalence of alcoholism in a family practice center.一家家庭医疗中心的酗酒患病率。
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Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism.问卷调查与实验室检测在过量饮酒及酒精中毒检测中的比较
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At risk drinking among general practice attenders: validation of the CAGE questionnaire.全科医疗就诊者中的危险饮酒行为:CAGE问卷的效度验证
Psychol Med. 1986 Feb;16(1):213-7. doi: 10.1017/s0033291700002658.