Are There Differences Between Older Persons Who Screen Positive on the CAGE Questionnaire and the Short Michigan Alcoholism Screening Test—Geriatric Version?

To determine the extent of agreement between the CAGE and the Short Michigan Alcoholism Screening Test—Geriatric Version in identifying older persons who may have possible alcohol use disorders and whether persons identified as having possible AUDs by each of these screening measures differ in their drinking, demographic, or health-related characteristics

Alison A. Moore

2003

Scholarcy highlights

  • To determine the extent of agreement between the CAGE and the Short Michigan Alcoholism Screening Test—Geriatric Version in identifying older persons who may have possible alcohol use disorders and whether persons identified as having possible AUDs by each of these screening measures differ in their drinking, demographic, or health-related characteristics
  • Twenty-six percent of all persons screened positive on the CAGE or the SMAST-G
  • Persons screening positive on the SMAST-G alone drank less than persons screening positive on the CAGE alone, and these persons drank less than those screening positive on both the SMAST-G and the CAGE
  • More men screened positive on the CAGE alone than on the SMAST-G alone
  • Fewer than half of persons screening positive on either the CAGE or the SMAST-G screened positive on both measures, suggesting that these instruments may be capturing different aspects of unsafe drinking
  • A screening strategy employing both brief measures may identify more alcohol use disorders among older persons having differing demographic and health characteristics

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