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Screening For Problem Drinking In Older Primary Care Patients.
W. L. Adams, K. Barry, M. Fleming
Published 1996 · Medicine
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OBJECTIVES To describe potentially hazardous alcohol use among elderly patients in the primary care setting and to assess the widely used CAGE questionnaire (cut down, annoyed by criticism, guilty about drinking, eye-opener drinks) as a tool for detecting self-reported heavy and binge drinking among these patients. DESIGN Cross-sectional study. SETTING The offices of 88 primary care physicians at 21 sites in southeastern Wisconsin. PATIENTS A total of 5065 consecutive consenting patients older than 60 years. MEASURES A previously validated self-administered questionnaire that included beverage-specific questions about the quantity and frequency of regular drinking in the last 3 months, the number of episodes of binge drinking (> or = 6 drinks per occasion), and the CAGE questionnaire. RESULTS Fifteen percent of men and 12% of women regularly drank in excess of limits recommended by the National Institute of Alcohol Abuse and Alcoholism (>7 drinks per week for women and >14 drinks per week for men). Nine percent of men and 2% of women reported regularly consuming more than 21 drinks per week. When we administered the CAGE questionnaire, 9% of men and 3% of women screened positive for alcohol abuse within 3 months. The CAGE performed poorly in detecting heavy or binge drinkers; fewer than half were CAGE positive when the standard cutoff of 2 positive answers was used. CONCLUSIONS Alcohol consumption in excess of recommended limits is common among elderly outpatients. The CAGE questionnaire alone is insufficient to detect such drinking. Asking questions on the quantity and frequency of drinking in addition to administering the CAGE increases the number of problem drinkers detected.
This paper references
The CAGE questionnaire: validation of a new alcoholism screening instrument.
D. Mayfield (1974)
Alcohol consumption and blood pressure. Kaiser-Permanente Multiphasic Health Examination data.
A. Klatsky (1977)
Alcohol Use Among Older Persons: Findings from a Western New York State General Population Survey
G. Barnes (1979)
Diagnostic and Statistical Manual of Mental Disorders, Third Edition
Americal Psychiatric Press (1980)
Alcohol consumption and blood pressure. The lipid research clinics prevalence study.
M. Criqui (1981)
Alcohol and Cardiovascular Disease: The Hawaiian Experience
A. Kagan (1981)
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.
H. Kristenson (1983)
Six-month prevalence of psychiatric disorders in three communities 1980 to 1982.
J. Myers (1984)
Detecting alcoholism. The CAGE questionnaire.
J. Ewing (1984)
Aging and generational effects on drinking behaviors in men: results from the normative aging study.
R. Glynn (1985)
Age-related patterns of alcoholism among veterans in ambulatory care.
K. Magruder-Habib (1986)
The relationships between alcoholic beverage use and other traits to blood pressure: a new Kaiser Permanente study.
A. Klatsky (1986)
Alcohol abuse and dependence in the rural South.
D. Blazer (1987)
Moderate alcohol consumption and the risk of breast cancer.
W. Willett (1987)
Prevalence, incidence and chronicity of drinking patterns and problems among men as a function of age: a longitudinal and cohort analysis.
K. Fillmore (1987)
Alcohol intake in a healthy elderly population.
J. Goodwin (1987)
Alcohol consumption and hypertension.
S. Macmahon (1987)
Screening for alcohol abuse using the CAGE questionnaire.
B. Bush (1987)
Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption.
P. Wallace (1988)
Alcohol and fatal injuries among US adults. Findings from the NHANES I Epidemiologic Follow-up Study.
R. Anda (1988)
Alcohol consumption and hip fractures: the Framingham Study.
D. Felson (1988)
Fractures and lifestyle: effect of cigarette smoking, alcohol intake, and relative weight on the risk of hip and forearm fractures in middle-aged women.
D. Hemenway (1988)
Change in drinking behaviors with retirement: findings from the normative aging study.
D. J. Ekerdt (1989)
Quantity-frequency and diary measures of alcohol consumption for elderly drinkers.
C. Werch (1989)
Long-term outcomes of drinking: a 20-year longitudinal study of men.
M. Temple (1989)
Alcohol - related morbidity in the aging population
FS Stinson (1989)
Alcohol Intake in the Healthy Elderly
W. L. Adams (1990)
A prospective population-based study of alcohol use and non-insulin-dependent diabetes mellitus.
T. Holbrook (1990)
The assessment of alcohol consumption by a simple self-administered questionnaire.
E. Giovannucci (1991)
A three-sample test of a masked alcohol screening questionnaire.
M. Fleming (1991)
Caffeine, moderate alcohol intake, and risk of fractures of the hip and forearm in middle-aged women.
M. Hernández‐Ávila (1991)
Alcohol consumption patterns in a primary care population.
D. Buchsbaum (1991)
Alcohol consumption by elderly people: a general practice survey.
S. Iliffe (1991)
Screening for Drinking Disorders in the Elderly Using the CAGE Questionnaire
D. Buchsbaum (1992)
Alcohol-related hospitalizations of elderly people. Prevalence and geographic variation in the United States.
W. L. Adams (1993)
Guide to clinical preventive services: a challenge to physician resourcefulness
D. Haber (1993)
Alcoholism: the keys to the CAGE.
D. L. Steinweg (1993)
Prevalence of Screening for Alcohol Use by Physicians During Routine Physical Examinations
Diane K. Deitz (1994)
Alcohol and breast cancer.
M. Longnecker (1995)
Alcohol Use Disorders Identification Test
T. Babor (1995)
Alcohol in the elderly.
M. Dufour (1995)
The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings.
M. Bohn (1995)
Alcohol consumption and risk of cancer in humans: an overview.
M. Longnecker (1995)
Alcohol use among older persons
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Aging-as-Leveler for Mental Health?: Stressful Life Transitions and CES-D Trajectories in Late-Life
J. Morris (2017)
AGE, GENDER, AND ALCOHOL ABUSE AS FACTORS IN COPING BEHAVIOUR
E. U. Onyeizugbo (2017)
Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
D. V. van Dijk (2017)
Alcoholics Anonymous and other mutual help organizations: Impact of a 45-minute didactic for primary care and categorical internal medicine residents.
David E. Marcovitz (2017)
Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project.
Dj Annemarie van Dijk-van Dijk (2017)
Does preconception alcohol abuse make the offspring vulnerable to developing type II diabetes
A. Al-Yasari (2017)
Older offenders deemed criminally irresponsible in Flanders (Belgium): Descriptive results from a retrospective case note study.
S. De Smet (2016)
Validity of the CAGE questionnaire for men who have sex with men (MSM) in China.
Yen-Tyng Chen (2016)
Screening for Alcohol Problems in Primary Care
D. Fiellin (2016)
Long-Term Care and Alcohol Use
N. Castle (2016)
TIP 26: Substance Abuse Among Older Adults
Master Textbook (2016)
Screening for Harmful Alcohol Use in Trauma Settings
A. Browne (2015)
The impact of alcohol use severity on anxiety treatment outcomes in a large effectiveness trial in primary care.
K. Wolitzky-Taylor (2015)
The Right Supports at the Right Time: How Money Follows the Person Programs Are Supporting Diverse Populations in the Community
Noelle Denny-Brown (2015)
Alcohol consumption among the over 50s: international comparisons.
L. Gell (2015)
Alcohol use across the lifespan: An analysis of adolescent and aged rodents and humans
Adelle Novier (2015)
Mental health, physical health problems, and drinking among Latino older adults.
Ellen L. Vaughan (2014)
Comprehensive Geriatric Assessment and the Special Needs of Older People
D. Wilson (2014)
Alcohol consumption among the elderly primary health care patients: The impact of alcohol on overall health
M. Račić (2014)
Self-perception of the activity and alcohol use among elderly Puerto Rican females
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