Selection of screening items for alcohol abuse and alcohol dependence among Mexicans and Mexican Americans in the emergencydepartment

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dc.contributor.affiliationMexican Institute of Psychiatry, Calzada Mexico-Xochimilco, Mexico DF.es_ES
dc.contributor.emailguibor@imp.edu.mxes_ES
dc.creatorBorges, G.
dc.creatorCherpitel, C.J.
dc.creator.identificador"http://orcid.org/0000-0002-3269-0507">Borges, Guilhermees_ES
dc.date.accessioned2017-06-29T04:26:01Z
dc.date.accessioned2026-03-27T14:35:27Z
dc.date.available2017-06-29T04:26:01Z
dc.date.issued2001es_ES
dc.date.published2001es_ES
dc.description.abstractotrodiomaOBJECTIVE: This article reports on the selection of screening items to detect Mexican or Mexican-American patients in the emergency department (ED) who have alcohol problems and could benefit from an intervention or a referral for treatment. Items are tested against the Rapid Alcohol Problems Screen (RAPS), which has been optimized from standard screening instruments and has outperformed these instruments. METHOD: The performance of individual items from standard screening instruments (CAGE, TWEAK, AUDIT, TRAUMA and BMAST) against International Classification of Diseases, Tenth Revision and Diagnostic and Statistical Manual, Fourth Revision criteria for alcohol abuse and dependence was evaluated in a merged probability sample (N = 869; 72% men) of 537 ED patients from three hospitals in Pachuca, Mexico, and 332 Mexican-American ED patients in Santa Clara County, CA. Logistic regression and tree-classification models were used for item selection. RESULTS: We found a prevalence of 15% for alcohol dependence and a prevalence of 28% for alcohol abuse or dependence in the merged sample. The RAPS items did not perform as well in terms of sensitivity (93%) as the optimal five items identified in these analyses (sensitivity = 98%) for alcohol dependence, but did demonstrate better specificity (79%) than the optimal five items (65%), which is an important consideration in a time of cost containment. Both sets of items showed better sensitivity and positive predictive value but similar Receiver Operating Characteristic values for respondents in the high acculturation group compared to those at other levels of acculturation. Differences in positive predictive value across all subgroups tended to increase at increased cutpoints, especially for the RAPS. CONCLUSIONS: These analyses suggest that the RAPS performs favorably compared to those items optimized, in this sample of Hispanic ED patients. Based on comparative item performance in these analyses, the RAPS may hold promise as a useful tool for screening for alcohol dependence, but requires further evaluation as a stand-alone instrument in comparison with other standard screening instruments.es_ES
dc.description.monthMayes_ES
dc.identifier339es_ES
dc.identifier.citationAlberto Darío Ramírez Gonzálezes_ES
dc.identifier.issn0096-882Xes_ES
dc.identifier.numero3es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.paginacion277-285es_ES
dc.identifier.urihttps://doi.org/10.15288/jsa.2001.62.277es_ES
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/5031
dc.identifier.volumen62es_ES
dc.language.isoenges_ES
dc.relation62 (3) 277-285 p.es_ES
dc.relationversión del editores_ES
dc.relation.jnabreviadoJ STUD ALCOHOLes_ES
dc.relation.journalJournal of Studies on Alcoholes_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAlcoholism-Epidemiologyes_ES
dc.subject.meshAlcoholism-Psychologyes_ES
dc.subject.meshEmergency Service, Hospital-Statistics & numerical dataes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshLogistic modelses_ES
dc.subject.meshMalees_ES
dc.subject.meshMexican Americans-Psychologyes_ES
dc.subject.meshMexican Americans-Statistics & numerical dataes_ES
dc.subject.meshMexico-Epidemiologyes_ES
dc.subject.meshMexico-Ethnologyes_ES
dc.subject.meshModels, Psychologicales_ES
dc.subject.meshQuestionnaireses_ES
dc.subject.meshSubstance Abuse Detection-Psychologyes_ES
dc.subject.meshSubstance Abuse Detection-statistics & numerical dataes_ES
dc.titleSelection of screening items for alcohol abuse and alcohol dependence among Mexicans and Mexican Americans in the emergencydepartmentes_ES
dc.typearticlees_ES

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