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Korean J Fam Med > Volume 30(10); 2009 > Article
Korean Journal of Family Medicine 2009;30(10):777-783.
DOI: https://doi.org/10.4082/kjfm.2009.30.10.777    Published online October 20, 2009.
Utility of Single Alcohol Questions Related to Binge Drinking in Identifying Problem Drinkers.
Taek Woo Nam, Jong Sung Kim, Sung Soo Kim, Jin Gyu Jung, Dong Su Kang, Yeong Hun Hyeon, Kyu Chol Cho
Department of Family Medicine, Chungnam National University Hospital, Daejeon, Korea. jskim@cnuh.co.kr
폭음에 대한 한 가지 질문을 통한 문제 음주자 선별의 유용성 검토
남택우, 김종성, 김성수, 정진규, 강동수, 현영훈, 조규철
충남대학교병원 가정의학과
Abstract
Background
This study was done to validate the three single questions about binge drinking for identifying problem drinkers. Methods: Two hundred sixty-one patients (133 men) were interviewed by family physicians for the presence of problem drinking which was defi ned as at-risk drinking or alcohol use disorders according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) guideline and Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. The three single questions (the largest amount of drinking in a day; days of drinking 1.5 bottle [1 bottle in women] or more of Soju [Korean alcoholic beverage, 56 g of alcohol/bottle]; and days of getting drunk during the recent 3 months) were validated against the interview results. Results: Among 261 interviewees, 31.4% were at-risk drinkers, 30.2% had a current alcohol use disorder, and 36.8% had either or both conditions. The fi rst question, considering 4 drinks or more for men and 3 drinks or more for women as positive, showed a sensitivity of 93.8% and specificity of 75.0% in men, and 86.6% and 86.7% in women, respectively. The second question with cut-point of 1 in both gender showed 81.3% and 86.5% in men, respectively and 80.0% and 89.4%, respectively in women. The third question with cut-point of 3 in both gender showed 61.7% and 92.3% in men, respectively and 46.7% and 91.2%, respectively in women. The area under the Receiver Operating Characteristic curve of the fi rst question was 0.937 in men and 0.970 in women, for the second question, 0.906 and 0.915, and for the third question, 0.768 and 0.764, respectively. Conclusions: The first question (the largest amount of drinking in a day during the recent 3 months) and the second question (days of drinking 1.5 bottle [1 bottle in women] or more of Soju during the recent 3 months) were considered useful in detecting problem drinkers.
Key Words: Screening Question; Problem Drinking; Binge Drinking


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