AI Article Synopsis
- The study compares the effectiveness of different alcohol screening tools (AUDIT, CAGE, TWEAK, T-ACE) for men over 60 in metropolitan São Paulo.
- The researcher surveyed 2,083 individuals, focusing on a sample of 169 elderly men, and analyzed various metrics to assess the tools' performance.
- While no significant differences were found among the tools, TWEAK showed the best performance, highlighting the need for targeted research and policy development for older adults regarding alcohol use.
Article Abstract
Objective: This study compares the efficacy of the AUDIT (gold standard) with the more easily and quickly applied instruments CAGE, TWEAK, and T-ACE for men aged > 60 using data from a representative stratified sample of the general population of metropolitan São Paulo.
Method: The GENACIS questionnaire was administered to a total sample of 2,083 people aged over 18, with a response rate of 74.5%. The elderly male sample consisted of 169 men. Sensitivity, specificity, positive and negative predictive values, area under the receiver operating characteristic curve, and confidence intervals were calculated for each instrument (95% CI).
Results: Respondents were predominantly married (81.7%), had up to 11 years of education (61.3%) and a monthly per capita income of up to 300 US dollars. Current abstinence rate was high (61.6%) and 38% reported being former drinkers. There were no statistically significant differences among the instruments tested; however, the TWEAK had a higher area under the receiver operating characteristic curve (95% CI; 0.90-0.99).
Conclusion: Research in the general population with screening instruments is scarce, especially among the elderly. However, it can provide specific information concerning this age group and be useful in the formulation of policies and prevention strategies.
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| http://dx.doi.org/10.1590/s1516-44462011005000019 | DOI Listing |
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