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• W2155657813 abstract "<h3>Background</h3> Brief alcoholism screening questionnaires have not been adequately studied in the rapidly growing Latino population living in the United States. <h3>Objective</h3> To assess (1) the prevalence of alcoholism and (2) the performance of 2 alcohol screening instruments in Latinos. <h3>Subjects and Methods</h3> We performed a cross-sectional interview study in an urban teaching hospital–based primary care practice. Consecutive self-identified Latino subjects provided informed consent. All subjects were interviewed in English or Spanish using 2 alcoholism screening tools, the CAGE (or the Spanish version, the 4M), and the Alcohol Use Disorders Identification Test, and a criterion standard for the diagnosis of alcohol abuse and dependence, the Composite International Diagnostic Interview. <h3>Results</h3> Of 210 subjects interviewed, 36% had a lifetime diagnosis of alcohol abuse or dependence by the criterion standard. Thirty-one percent were currently drinking hazardous amounts of alcohol. A CAGE (4M) score of 1 or more was 92% sensitive and 74% specific, and a score of 2 or more was 80% sensitive and 93% specific for a lifetime diagnosis of alcohol abuse or dependency. CAGE (4M) scores of 0, 2, 3, and 4 were associated with likelihood ratios (0.1, 4.8, 18.5, and 36.8, respectively) that resulted in substantial changes from pretest (36%) to posttest probability (to 6%, 73%, 91%, and 95%, respectively) of a diagnosis of alcohol abuse or dependency. At the standard cutoff point, the Alcohol Use Disorders Identification Test detected only 51% of subjects with alcohol disorders. <h3>Conclusions</h3> In Latinos in primary care settings, alcohol abuse and dependence are common and the CAGE (4M) is a brief, valid, screening tool for detecting alcohol use disorders." @default.
• W2155657813 created "2016-06-24" @default.
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• W2155657813 date "1999-04-12" @default.
• W2155657813 modified "2023-09-27" @default.
• W2155657813 title "Alcohol Abuse and Dependence in Latinos Living in the United States" @default.
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• W2155657813 doi "https://doi.org/10.1001/archinte.159.7.718" @default.
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