Alcohol abuse and dependence in latinos living in the United States: Validation of the CAGE (4M) questions

Archives of Internal Medicine

Volumn 159, Issue 7, 1999, Pages 718-724

  Saitz, Richard ^a,b,c   Lepore, Mark F ^b   Sullivan, Lisa M ^a,b,d   Amaro, Hortensia ^b,c,d   Samet, Jeffrey H ^a,b,c,d  

^a Section of General Internal Medicine   (United States)

^b BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c BOSTON MEDICAL CENTER   (United States)

^d BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ALCOHOL ABUSE; ARTICLE; CENTRAL AMERICA; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SCREENING TEST; SOUTH AMERICA;

ADULT; AGED; ALCOHOLISM; DIAGNOSIS, DIFFERENTIAL; FEMALE; HISPANIC AMERICANS; HUMANS; MALE; MIDDLE AGED; PREVALENCE; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS; ROC CURVE; SENSITIVITY AND SPECIFICITY; UNITED STATES;

EID: 0033548857     PISSN: 00039926     EISSN: None     Source Type: Journal    
DOI: 10.1001/archinte.159.7.718     Document Type: Article

References (79)

1. McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA. 1993;270:2207-2212.
2. National Institute on Drug Abuse, National Institute on Alcohol Abuse and Alcoholism. The Economic Costs of Alcohol and Drug Abuse in the United States -1992. Available at: http:/www.nida.nih.gov/EconomicCosts/Index.html. Accessed January 22, 1999.
3. Buchsbaum DG, Buchanan G, Center RM, Schnoll SH, Lawton MJ. Screening for alcohol abuse using CAGE scores and likelihood ratios. Ann Intern Med. 1991; 115:774-777.
4. Barry KL, Fleming MF. The alcohol use disorders identification test (AUDIT) and the SMAST-13: predictive validity in a rural primary care sample. Alcohol Alcohol. 1993;28:33-42.
5. Office of Applied Studies. SAMHSA: Preliminary Results From the 1996 National Household Survey on Drug Abuse. Rockville, Md: SAMHSA; 1997. DHHS Publication (SMA) 97-3149.
6. Allen JP, Maisto S, Connors GJ. Sell-report screening tests for alcohol problems in primary care. Arch Intern Med. 1995;155:1726-1730.
7. Kahan M, Wilson L, Becker L. Effectiveness of physician-based interventions with problem drinkers: a review. CMAJ. 1995;152:851-859.
8. Kristenson H, Ohlin H, Hulten-Nosslin MB, Trell E, Hood B. Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24-60 months of long term study with randomized controls. Alcohol Clin Exp Res. 1983; 7:203-209.
9. Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction. 1993;88:315-336.
10. WHO Brief Intervention Study Group. A cross-national trial of brief interventions with heavy drinkers. Am J Public Health. 1996;86:948-955.
11. Fleming MF, Lawton-Barry KL, Manwell LB, Johnson K, London R. Brief physician advice for problem alcohol drinkers: a randomized controlled trial in community-based primary care practices. JAMA. 1997;277:1039-1045.
12. Sutocky JW, Shultz JM, Kizer KW. Alcohol-related mortality in California, 1980 to 1989. Am J Public Health. 1993;83:817-823.
13. Diez Martinez S, Martin Moros JM, Altisent Trota R, et al. Cuestionarios breves para la detección precoz de alcoholismo en atención primaria [Quick questionnaires for the early detection of alcoholism at primary care]. Aten Primaria. 1991; 8:367-370.
14. Martinez Vizcaino V, Jarabo Crespo Y, Salcedo Aguilar F, Ordoño Domínguez JF, Santiago Pérez S, Monreal Redondo D. Prevalencia de alcoholismo entre la población que acude a un centro de salud urbano [Prevalence of alcoholism among those attending an urban health centre]. Aten Primaria. 1992;10:872-874.
15. Caballero Martínez L, Caballero Martínez F, Santodomingo Carrasco J. Instrumentos de detección de alcoholismo: precisiones sobre el cuestionario CAGE [Instruments for detecting alcoholism]. Med Clin (Barc). 1988;91:515.
16. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption - II. Addiction. 1993;88:791-804.
17. Volk RJ, Steinbauer JR, Cantor SB, Holzer CE. The alcohol use disorders identification test as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. Addiction. 1997;92:197-206.
18. Davis LJ, de la Fuente JR, Morse RM, Landa E, O'Brien PC. Self-administered alcoholism screening test (SAAST): comparison of classificatory accuracy in two cultures. Alcohol Clin Exp Res. 1989;13:224-228.
19. Room R, Janca A, Bennett LA, Schmidt L, Sartorius N. WHO cross-cultural applicability research on diagnosis and assessment of substance use disorders: an overview of methods and selected results. Addiction. 1996;91:199-220.
20. Aguirre-Molina M, Caetano R. Alcohol use and alcohol-related issues. In: Latino Health in the US: A Growing Challenge. Washington, DC: American Public Health Association; 1994:393-424.
21. Isaacson JH, Butler R, Zacharek M, Tzelepis A, Screening with the alcohol use disorders identification test (AUDIT) in an inner-city population. J Gen Intern Med. 1994;9:550-553.
22. Hayes-Bautista DE, Chapa J. Latino terminology: conceptual bases for standardized terminology. Am J Public Health. 1987;77:61-68.
23. Treviño FM. Standardized terminology for Hispanic populations. Am J Public Health. 1987;77:69-72.
24. Marin G, Sabogal F, VanOss Marin B, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9: 183-205.
25. Mayfield D, McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974;131:1121-1123.
26. de la Fuente JR, Kershenobich D. El alcoholismo como problema medico. Rev Fac Med UNAM. 1992;35:47-51.
27. World Health Organization. Composite International Diagnostic Interview (CIDI) (Core Version 2.0). Geneva, Switzerland: World Health Organization; 1996.
28. Organizacion Mundial de la Salud. Entrevista Diagnostica Compuesta (CIDI) (Version medular 2.0). Geneva, Switzerland: World Health Organization; 1996.
29. Robins LN, Wing J, Wittchen HU, et al. The composite international diagnostic interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatry. 1988; 45:1069-1077.
30. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association; 1994.
31. National Institute on Alcohol Abuse and Alcoholism. The Physicians' Guide to Helping Patients With Alcohol Problems. Bethesda, Md: National Institute on Alcohol Abuse and Alcoholism; 1995. NIH Publication 95-3769.
32. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. 2nd ed. Boston, Mass: Little Brown & Co Inc; 1991.
33. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29-36.
34. Hanley JA, McNeil BJ. A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology. 1983;148: 839-843.
35. Conigrave KM, Hall WD, Saunders JB. The AUDIT questionnaire: choosing a cutoff score. Addiction. 1995;90:1349-1356.
36. Grant BF. Alcohol consumption, alcohol abuse and alcohol dependence: the United States as an example. Addiction. 1994;89:1357-1365.
37. Robins LN, Regier DA. Psychiatric Disorders in America: The Epidemiologic Catchment Area Study. New York, NY: The Free Press; 1991.
38. Williams GD, Debakey SF. Changes in levels of alcohol consumption: United States, 1983-1988. Br J Addict. 1992;87:643-648.
39. Midanik LT, Clark WB. Drinking-related problems in the United States: description and trends, 1984-1990. J Stud Alcohol. 1995;56:395-402.
40. Caetano R, Clark CL. Trends in alcohol-related problems among whites, blacks and Hispanics: 1984 and 1995 [abstract]. Alcohol Clin Exp Res. 1997;21(suppl):58A.
41. Jones TV, Lindsey BA, Yount P, Soltys R, Farani-Enayat B. Alcoholism screening questionnaires: are they valid in elderly medical outpatients? J Gen Intern Med. 1993;8:674-678.
42. Chan AWK, Pristach EA, Welte JW, Russell M. Use of the TWEAK test in screening for alcoholism/heavy drinking in three populations. Alcohol Clin Exp Res. 1993; 17:1188-1192.
43. Magruder-Habib K, Stevens HA, Alling WC. Relative performance of the MAST, VAST, and CAGE versus DSM-III-R criteria for alcohol dependence. J Clin Epidemiol. 1993;46:435-441.
44. Bush B, Shaw S, Cleary P, Delbanco TL, Aronson MD. Screening for alcohol abuse using the CAGE questionnaire. Am J Med. 1987;82:231-235.
45. Hays RD, Merz JF. Response burden, reliability, and validity of the CAGE, short MAST, and AUDIT alcohol screening measures. Behav Res Methods Inst Comp. 1995;27:277-280.
46. Schorling JB, Willems JP, Klas PT. Identifying problem drinkers: lack of sensitivity of the two-question drinking test. Am J Med. 1995;98:232-236.
47. Wenrich MD, Paauw DS, Carline JD, Curtis JR, Ramsey PG. Do primary care physicians screen patients about alcohol intake using the CAGE questions? J Gen Intern Med. 1995;10:631-634.
48. Saitz R, Mulvey KP, Plough A, Samet JH. Physicians unawareness of serious substance abuse. Am J Drug Alcohol Abuse. 1997;23:343-354.
49. American Medical Association. Alcoholism in the Elderly: Diagnosis, Treatment, Prevention-Guidelines for Primary Care Physicians. Chicago, III: American Medical Association; 1995.
50. Roche AM. Increasing primary care providers' willingness to intervene in alcohol and drug-related problems: a review. Subst Abuse. 1996;17:201-217.
51. O'Hare T, Tran T. Predicting problem drinking in college students: gender differences and the CAGE questionnaire. Addict Behav. 1997;22:13-21.
52. Adams WL, Barry KL, Fleming MF. Screening for problem drinking in older primary care patients. JAMA. 1996;276:1964-1967.
53. Fertig JB, Allen JP, Cross GM. CAGE as a predictor of hazardous alcohol consumption in US Army personnel. Alcohol Clin Exp Res. 1993;17:1184-1187.
54. Nystrom M, Perasalo J, Salaspuro M. Screening for heavy drinking and alcohol-related problems in young university students: the CAGE, the Mm-MAST and the trauma score questionnaires. J Stud Alcohol. 1993;54:528-533.
55. Fleming MF, Barry KL, MacDonald R. The Alcohol Use Disorders Indentification Test (AUDIT) in a college sample. Int J Addict. 1991;26:1173-1185.
56. Bonn MJ, Babor TF, Kranzler HR. The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. J Stud Alcohol. 1995;56:423-432.
57. Friedmann PD, Saitz R, Samel JH. Relapse prevention in primary care: management of adults recovering from alcohol or other drug problems. JAMA. 1998; 279:1227-1231.
58. Buchsbaum DG, Welsh J, Buchanan RG, Elswick RK. Screening for drinking problems by patient self-report: even "safe" levels may indicate a problem. Arch Intern Med. 1995;155:104-108.
59. Steinweg DL, Worth H. Alcoholism: the keys to the CAGE. Am J Med. 1993;94: 520-533.
60. Caetano R. Acculturation and drinking patterns among US Hispanics. Br J Addict. 1987;82:789-799.
61. Caetano R. Acculturation, drinking and social settings among U.S. Hispanics. Drug Alcohol Depend. 1987;19:215-226.
62. Markides KS, Krause N, Mendes de Leon CF. Acculturation and alcohol consumption among Mexican Americans: a three generation study. Am J Public Health. 1988;78:1178-1181.
63. Marin G, Posner SF. The role of gender and acculturation on determining the consumption of alcoholic beverages among Mexican-Americans and Central Americans in the United States. Int J Addict. 1995;30:779-794.
64. Neff JA, Hoppe SK. Acculturation and drinking patterns among U.S. Anglos, Blacks and Mexican Americans. Alcohol Alcohol. 1992;27:293-308.
65. Cherpitel CJ. Acculturation, alcohol consumption, and casualties among United States Hispanics in the emergency room. Int J Addict. 1992;27:1067-1077.
66. Gilbert MJ. Acculturation and changes in drinking patterns among Mexican-American women: implications for prevention. Alcohol Health Res World. 1991; 15:234-238.
67. Caetano R, Medina Mora ME. Acculturation and drinking among people of Mexican descent in Mexico and the United States. J Stud Alcohol. 1988;49: 462-471.
68. Caetano R. Ethnicity and drinking in northern California: a comparison among whites, blacks and Hispanics. Alcohol Alcohol. 1984;19:31-44.
69. Holck SE, Warren CW, Smith JC, Rochat RW. Alcohol consumption among Mexican American and Anglo women: results of a survey along the U.S.-Mexico border. J Stud Alcohol. 1984;45:149-154.
70. Bernstein E, Tracey A, Bernstein J, Williams C. Emergency department detection and referral rates for patients with problem drinking. Subst Abuse. 1996; 17:69-76.
71. Caetano R, Kaskutas LA. Changes in drinking patterns among whites, blacks and Hispanics, 1984-1992. J Stud Alcohol. 1995;56:558-565.
72. Caetano R. Alcohol use among Hispanic groups in the United States. Am J Drug Alcohol Abuse. 1988;14:293-308.
73. Canino G. Alcohol use and misuse among Hispanic women: selected factors, processes, and studies, Int J Addict. 1994;29:1083-1100.
74. Weite JW, Barnes GM. Alcohol and other drug use among Hispanics in New York State. Alcohol Clin Exp Res. 1995;19:1061-1066.
75. Spiegler D, Tate D, Aitken S, Christian C, eds. Alcohol Use Among U.S. Ethnic Minorities. Bethesda, Md: National Institute on Alcohol Abuse and Alcoholism; 1989. DHHS Publication (ADM)89-1435.
76. Nelson KR, Bui H, Samet JH. Screening in special populations: a "case study" of recent Vietnamese immigrants. Am J Med. 1997;102:435-440.
77. Kitchens JM. Does this patient have an alcohol problem? JAMA. 1994;272:1782-1787.
78. Fink A, Hays RD, Moore AA, Beck JC. Alcohol-related problems in older persons: determinants, consequences and screening. Arch Intern Med. 1996;156: 1150-1156.
79. Escobar F, Espi F, Canteras M. Diagnostic tests for alcoholism in primary health care: compared efficacy of different instruments. Drug Alcohol Depend. 1995; 40:151-158.