Screening for problem drinking in older primary care patients

Adams, Wendy L.

doi:10.1001/jama.276.24.1964

Cited by 95 publications

(61 citation statements)

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“…In any event, 60.3% of the older offenders deemed criminally irresponsible in our study had experienced a problematic pattern of lifetime alcohol consumption. This is much greater than 15% of male and 12% of female older primary care outpatients in the community who regularly drank in excess of the limits as reported by Adams, Barry & Fleming (1996). Our findings are more consistent with the results of MacAskill et al (2011) who reported a problematic alcohol consumption in 73% of the cases among prisoners entering the prison system in general.…”

Section: Health Characteristicssupporting

confidence: 84%

Older offenders deemed criminally irresponsible in Flanders (Belgium): Descriptive results from a retrospective case note study

Smet

Keyzer

Donder

et al. 2016

International Journal of Law and Psychiatry

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Section: Health Characteristicssupporting

confidence: 84%

Older offenders deemed criminally irresponsible in Flanders (Belgium): Descriptive results from a retrospective case note study

Smet

Keyzer

Donder

et al. 2016

International Journal of Law and Psychiatry

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“…The CAGE (Ewing, 1984), for example, a widely used alcohol screening test, does not have high validity with older adults, in particular with older women (Adams et al, 1996). It is also limited in that it assesses only lifetime alcohol use and does not ask specifically about current drinking habits.…”

Section: Screening Instruments For Alcohol Use Disordersmentioning

confidence: 99%

Alcohol use disorders in elderly people: fact or fiction?

Dar¹

2006

Adv. psychiatr. treat

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). His clinical responsibilities include the Max Glatt Unit (a regional inpatient detoxification unit attached to the hospital) and a community alcohol team. His special interests include substance misuse problems in special populations and the economics of service provision. AbstractThe number of older people is increasing in populations throughout the world. Alcohol use disorders in elderly people are a common but underrecognised problem associated with major physical and psychological health problems. Owing to the negative attitudes and inadequate training of healthcare professionals, alcohol misuse is not always being detected or effectively treated. Current diagnostic criteria and common screening instruments for alcohol use disorders may not be appropriate for elderly people. Older people are as likely to benefit from treatment as younger people and the basic principles of treatment are much the same. Better integrated and outreach services are needed. Training of healthcare professionals in this area and pragmatic research should be prioritised to improve detection, treatment and service provision for this vulnerable and neglected population.

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“…7 Although only 4% to 5% of women in the U.S. general population meet criteria for past-year alcohol abuse or dependence, 8,9 9% of female primary care patients in some studies have reported recent heavy drinking or alcohol-related problems. 10,11 Many heavy drinkers decrease consumption following brief interventions that include explicit advice about safe drinking limits. [12][13][14] In addition, offering feedback about specific risks or consequences of their drinking to patients who drink heavily can help motivate them to decrease alcohol consumption or seek treatment.…”

Section: Ess Than Three Quarters Of Women In the Unitedmentioning

confidence: 99%

Medical risks for women who drink alcohol

et al. 1998

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OBJECTIVE:To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women.METHODS: MEDLINE and PsychINFO, 1990 through 1996, were searched using key words "women" or "woman," and "alcohol." MEDLINE was also searched for other specific topics and authors from 1980 through 1996. Data were extracted and reviewed regarding levels of alcohol consumption associated with mortality, cardiovascular disease, alcoholrelated liver disease, injury, osteoporosis, neurologic symptoms, psychiatric comorbidity, fetal alcohol syndrome, spontaneous abortion, infertility, menstrual symptoms, breast cancer, and gynecologic malignancies. Gender-specific data from cohort studies of general population or large clinical samples are primarily reviewed. MAIN RESULTS:Women develop many alcohol-related medical problems at lower levels of consumption than men, probably reflecting women's lower total body water, gender differences in alcohol metabolism, and effects of alcohol on postmenopausal estrogen levels. Mortality and breast cancer are increased in women who report drinking more than two drinks daily. Higher levels of alcohol consumption by women are associated with increased menstrual symptoms, hypertension, and stroke. Women who drink heavily also appear to have increased infertility and spontaneous abortion. Adverse fetal effects occur after variable amounts of alcohol consumption, making any alcohol use during pregnancy potentially harmful. CONCLUSIONS:In general, advising nonpregnant women who drink alcohol to have fewer than two drinks daily is strongly supported by the epidemiologic literature, although specific recommendations for a particular woman should depend on her medical history and risk factors. L ess than three quarters of women in the UnitedStates drink alcohol, and those who do drink consume fewer drinks and less absolute alcohol than men. 1 However, at similar levels of self-reported alcohol consumption, the risk of psychosocial problems or dependence is greater for women than men (for definitions, see Appendix A). [2][3][4][5][6] Women also appear to develop alcohol abuse and dependence after fewer years of drinking than men. 7 Although only 4% to 5% of women in the U.S. general population meet criteria for past-year alcohol abuse or dependence, 8,9 9% of female primary care patients in some studies have reported recent heavy drinking or alcohol-related problems. 10,11 Many heavy drinkers decrease consumption following brief interventions that include explicit advice about safe drinking limits. [12][13][14] In addition, offering feedback about specific risks or consequences of their drinking to patients who drink heavily can help motivate them to decrease alcohol consumption or seek treatment. 15,16 Physicians report they would be more likely to advise patients about safe drinking practices if they were more confident of their knowledge about safe levels of alcohol consumption. 17 Women who drink more than two drinks daily on average, or who frequently drink five or more d...

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Screening for problem drinking in older primary care patients

Cited by 95 publications

References 0 publications

Older offenders deemed criminally irresponsible in Flanders (Belgium): Descriptive results from a retrospective case note study

Older offenders deemed criminally irresponsible in Flanders (Belgium): Descriptive results from a retrospective case note study

Alcohol use disorders in elderly people: fact or fiction?

Medical risks for women who drink alcohol

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