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dc.creatorCherpitel, C.J.
dc.creatorBorges, G.
dc.date.accessioned2017-06-29T04:23:27Z
dc.date.available2017-06-29T04:23:27Z
dc.date.issued2000es_ES
dc.identifier300es_ES
dc.identifier.issn0095-2990es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4994
dc.identifier.urihttps://doi.org/10.1081/ADA-100101902es_ES
dc.language.isoenges_ES
dc.relation26 (4) 683-702 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAcculturationes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAlcoholism-Ethnologyes_ES
dc.subject.meshCatchment Area (Health)es_ES
dc.subject.meshCross-cultural comparisones_ES
dc.subject.meshEmergency Medical Serviceses_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMass screeninges_ES
dc.subject.meshMexican Americans-Statistics & numerical dataes_ES
dc.subject.meshMexico-Ethnologyes_ES
dc.subject.meshMiddle agedes_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshQuestionnaireses_ES
dc.subject.meshUnited States-Epidemiologyes_ES
dc.titlePerformance of screening instruments for alcohol problems in the ER: a comparison of Mexican-Americans and Mexicans in Mexicoes_ES
dc.typearticlees_ES
dc.contributor.affiliationPublic Health Institute, Alcohol Research Group, Berkeley, California, USA.es_ES
dc.relation.jnabreviadoAM J DRUG ALCOHOL ABUSEes_ES
dc.relation.journalAmerican Journal of Drug And Alcohol Abusees_ES
dc.date.published2000es_ES
dc.identifier.organizacionInstituto Mexicano de Psiquiatríaes_ES
dc.description.monthNoves_ES
dc.description.abstractotrodiomaThe performance of standard screening instruments and alternate measures against ICD-10 (International Classification of Diseases, 10th revision) and DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th revision) criteria for alcohol dependence and separately for harmful drinking-abuse were compared between probability samples of 1511 emergency room (ER) patients from three hospitals in Pachuca, Mexico, and 586 Mexican-American ER patients in Santa Clara County, California. Sensitivity was highest for the Alcohol Use Disorders Identification Test (AUDIT), TWEAK, and Rapid Alcohol Problems Screen (RAPS) for alcohol dependence; sensitivity was highest for holding five or more drinks for harmful drinking-abuse in both samples. All instruments performed better for alcohol dependence than for abuse-harmful drinking. Arrests for drinking and driving performed better in Santa Clara than in Pachuca, while a positive Breathalyzer reading and reporting drinking prior to the event performed better in Pachuca; both were significantly more sensitive among the injured compared to the noninjured in Pachuca. The data suggest that instrument performance may be similar between those in Pachuca and those in the low acculturation group in Santa Clara, relative to those scoring higher on acculturation. While standard screening instruments appear to work reasonably well in both samples for alcohol dependence, variation across gender, injury, and acculturation subgroups suggests attention should be given to choosing the ‘best’ instrument.es_ES


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