Dépistage d'un alcoolisme parmi les patients d'une policlinique médicale de Suisse romande [Screening for alcoholism among patients of a medical polyclinic in French-speaking Switzerland].

Détails

ID Serval
serval:BIB_5CFC6E368832
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Dépistage d'un alcoolisme parmi les patients d'une policlinique médicale de Suisse romande [Screening for alcoholism among patients of a medical polyclinic in French-speaking Switzerland].
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Moret V., Pécoud A., Yersin B.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
1993
Volume
123
Numéro
38
Pages
1790-1795
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Résumé
In order to test an alcoholism screening strategy in a primary care population of a polyclinic, we administered two standardized questionnaires, the Michigan Alcoholism Screening Test (MAST) and the Cut-down, Annoyed, Guilty, Eye-opener Test (CAGE), to all consecutive patients seen during a week. The applicability rate was 77% (269/350). Reasons for being inapplicable were inability to understand the test questions or restricted time allowed for each visit. Tests were positive in 19 and 22%, for the MAST and CAGE, respectively. Kappa coefficient of agreement between tests was 0.69. Based on a positive MAST (cutoff > or = 5), alcoholism was more frequent in males than in females (27 vs 10%), in patients aged 40-49 years (males 45%, females 29%), in unemployed than in employed people (32 vs 22%), in native citizens than in foreigners (21 vs 17%). 23% of MAST positive patients had one or more alcohol-related somatic diseases. Only 60% of MAST positive patients were known to physicians as alcoholics or alcohol-abusers. In conclusion, we showed that (1) prevalence of alcoholism is high in this primary care population, (2) agreement between MAST and CAGE is good, and (3) alcoholism screening is better performed by standardized questionnaires than the usual clinical investigations.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Alcoholism/prevention &amp, control, Cohort Studies, Demography, Female, Humans, Male, Mass Screening/methods, Middle Aged, Outpatients, Questionnaires
Pubmed
Web of science
Création de la notice
28/01/2008 11:58
Dernière modification de la notice
20/08/2019 14:15
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