Andy Towers1, Ágnes Szabó1, David A L Newcombe2, Janie Sheridan2, Allison A Moore3, Martin Hyde4, Annie Britton5, Priscilla Martinez6, Nadia Minicuci7, Paul Kowal8,9, Thomas Clausen10, Christine L Savage11. 1. Massey University, Palmerston North, New Zealand. 2. The University of Auckland, New Zealand. 3. University of California, San Diego, CA, USA. 4. Swansea University, UK. 5. University College London, UK. 6. Alcohol Research Group/Public Health Institute, Emeryville, CA, USA. 7. National Research Council, Neuroscience Institute, Padova, Italy. 8. World Health Organization, Geneva, Switzerland. 9. University of Newcastle, Callaghan, Australia. 10. University of Oslo, Norway. 11. Johns Hopkins University, Baltimore, MD, USA.
Abstract
Objectives: 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. Method: 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. Results: 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. Discussion: Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.
Objectives: 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. Method: 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. Results: 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. Discussion: Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.
Entities:
Keywords:
NZHWR; SF-12; alcohol; health care use; screening
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