Accuracy of self-reports of alcohol offenders in a rural midwestern county.

Self-reports of drinking are of doubtful accuracy as heavy drinkers tend to underreport consistently amounts drunk as well as other alcohol-related data. A sample of 60 people cited for DWI in a rural midwestern county in southeast Nebraska during routine alcohol-dependency evaluations indicated that 10% underreported their Breath Alcohol Content at the time of arrest and 38% their previous number of DWI citations. Subjects were grouped by age (over and under 30) and by accuracy (accurate and inaccurate reporters). A 2 x 2 analysis of variance of later DWI arrests was significant as younger subjects showed greater risk. Those who underreported number of past DWI citations were significantly lower on their self-reported BAC at the time of arrest than accurate reporters. Age and underreporting alcohol-related data are as important for practitioners to attend to as scores on the Michigan Alcoholism Screening Test or SCID measuring alcoholic tendencies.