TY - JOUR
T1 - Hazardous Drinking Prevalence and Correlates in Older New Zealanders
T2 - A Comparison of the AUDIT-C and the CARET
AU - Towers, Andy
AU - Szabó, Ágnes
AU - Newcombe, David A.L.
AU - Sheridan, Janie
AU - Moore, Allison A.
AU - Hyde, Martin
AU - Britton, Annie
AU - Martinez, Priscilla
AU - Minicuci, Nadia
AU - Kowal, Paul
AU - Clausen, Thomas
AU - Savage, Christine L.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Objectives: The study compared the proportion of older adults identified as drinking hazardously based on the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) with the older adult-specific Comorbidity Alcohol Risk Evaluation Tool (CARET) and investigated whether sociodemographics, comorbidities, health, medication use, and alcohol-related risk behaviors explained discrepancies between the screens in classification of hazardousness. Method: The AUDIT-C and the CARET were administered to 3,673 adults aged 55 to 89 years. Classification agreement between the screens was evaluated using Cohen’s kappa. Hazardous drinking groups were compared using logistic regression. Results: Analysis indicated moderate agreement between the screens. Drinkers classified as “hazardous on the CARET only” consumed less alcohol, but were more likely to drink-drive. Introducing a drink-driving criterion into the calculation of hazardousness on the AUDIT-C substantially decreased the classification discrepancy between the measures. Discussion: Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.
AB - Objectives: The study compared the proportion of older adults identified as drinking hazardously based on the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) with the older adult-specific Comorbidity Alcohol Risk Evaluation Tool (CARET) and investigated whether sociodemographics, comorbidities, health, medication use, and alcohol-related risk behaviors explained discrepancies between the screens in classification of hazardousness. Method: The AUDIT-C and the CARET were administered to 3,673 adults aged 55 to 89 years. Classification agreement between the screens was evaluated using Cohen’s kappa. Hazardous drinking groups were compared using logistic regression. Results: Analysis indicated moderate agreement between the screens. Drinkers classified as “hazardous on the CARET only” consumed less alcohol, but were more likely to drink-drive. Introducing a drink-driving criterion into the calculation of hazardousness on the AUDIT-C substantially decreased the classification discrepancy between the measures. Discussion: Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.
KW - NZHWR
KW - SF-12
KW - alcohol
KW - health care use
KW - screening
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U2 - 10.1177/0898264318794108
DO - 10.1177/0898264318794108
M3 - Article
C2 - 30145918
AN - SCOPUS:85053424404
SN - 0898-2643
VL - 31
SP - 1770
EP - 1789
JO - Journal of Aging and Health
JF - Journal of Aging and Health
IS - 10
ER -