Detecting risk drinking during pregnancy: a comparison of four screening questionnaires.

Abstract

OBJECTIVES: This study investigated the efficacy of screening for risk drinking during pregnancy with two brief questionnaires, TWEAK and T-ACE. Both include an assessment of tolerance based on the number of drinks women report they can hold. METHODS: Subjects were disadvantaged African-American obstetric patients in Detroit, Mich. Traditional alcoholism screens (Michigan Alcohol Screening Test [MAST], CAGE) and the tolerance question were administered (n = 2717); TWEAK and T-ACE were constructed from tolerance and embedded MAST and CAGE items. In a separate sample (n = 1420), only the T-ACE was administered. Periconceptional risk drinking was the gold standard. Screen evaluations were based on receiver-operating characteristic analyses. RESULTS: At the cutpoint of 2, sensitivity/specificity for embedded screens were 91/77 for TWEAK and 88/79 for T-ACE; comparable values for T-ACE alone were 67/86. TWEAK and T-ACE screened more effectively than CAGE or MAST. CONCLUSIONS: Embedded versions of TWEAK and T-ACE were both highly sensitive to periconceptional risk drinking in this population. Administering T-ACE alone reduced its sensitivity; this suggests that MAST and CAGE administration improves its performance.

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

“…Briefl y, women were asked to report quantity and frequency of alcohol consumption in the month just before pregnancy and during the most recent month of pregnancy. In addition, standard screening questionnaires-TWEAK, T-ACE, CAGE, and the Alcohol Use Disorders Identifi cation Test (AUDIT)-were administered to capture any signs of problem alcohol use in the past 12-month period (Russell et al, 1996).…”

Rompendo o silêncio e suas barreiras: um inquérito domiciliar sobre a violência doméstica contra idosos em área de abrangência do Programa Médico de Família de Niterói, Rio de Janeiro, Brasil

“…Acrescentaram-se patologias de alta prevalência em idosos e que, possivelmente, estivessem associadas à violência. Para avaliar a suspeita de uso abusivo de álcool pelo idoso do sexo masculino e feminino, foram utilizadas as versões nacionais dos instrumentos CAGE 20,21 e TWEAK 22,23 , respectivamente. Em ambas as situações, considerou-se um caso suspeito de abuso de álcool quando o indivíduo apresentava dois ou mais itens positivos.…”

Effects of Alcohol Intake During Pregnancy on Docosahexaenoic Acid and Arachidonic Acid in Umbilical Cord Vessels of Black Women

“…Previous studies have shown that women who drink the most around the time they discover they are pregnant are more likely to continue drinking throughout pregnancy, and to drink in binge patterns, although both the self-reported and actual levels of consumption are usually reduced. [32][33][34][35][36] Therefore, to best estimate the degree of alcohol consumption over the course of the pregnancy, we chose to ask the women at their first visit to the antenatal clinic about their periconceptional drinking habits.…”