Nyström M, Peräsalo J, Salaspuro M
Finnish Student Health Service, Helsinki, Finland.
J Stud Alcohol. 1993 Sep;54(5):528-33. doi: 10.15288/jsa.1993.54.528.
The efficacy of the CAGE questions, the Malmö modification of the MAST questionnaire (Mm-MAST) and Skinner's five-item trauma score were used as a part of a larger health questionnaire in a sample of 1,663 female and 707 male first-year university students in Finland. The Mm-MAST correlated well (0.51-0.66) to reported alcohol intake and drinking for intoxication, the correlation (0.30-0.39) to CAGE was not as high but significant (p < .001). The trauma score did not correlate significantly to reported alcohol intake. Sensitivity and specificity for Mm-MAST > or = 3 in detecting heavy drinking, defined as a reported consumption of pure ethanol per year of at least 10 kg for women and at least 15 kg for men, was 63.8% and 87.1%, respectively, for female students and 86.3% and 87.4% for male students. Mm-MAST can be recommended as a useful screening tool for heavy drinking and alcohol-related problems in young university students. It is more specific and more sensitive than the CAGE questionnaire in this population. Skinner's trauma score was not useful for the screening of heavy drinking among young university students.
在芬兰1663名女大学生和707名男大学生组成的样本中，CAGE问题、MAST问卷的马尔默修订版（Mm-MAST）以及斯金纳五项创伤评分被用作一份更大的健康问卷的一部分。Mm-MAST与报告的酒精摄入量及为醉酒而饮酒的情况相关性良好（0.51 - 0.66），与CAGE的相关性（0.30 - 0.39）虽没那么高，但具有显著性（p <.001）。创伤评分与报告的酒精摄入量无显著相关性。对于将每年纯乙醇摄入量至少10千克的女性和至少15千克的男性定义为重度饮酒者，Mm-MAST≥3在检测重度饮酒方面，女大学生的敏感性和特异性分别为63.8%和87.1%，男大学生分别为86.3%和87.4%。Mm-MAST可被推荐为年轻大学生重度饮酒及酒精相关问题的有效筛查工具。在这一人群中，它比CAGE问卷更具特异性和敏感性。斯金纳的创伤评分对年轻大学生重度饮酒的筛查无用。
