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Two prenatal alcohol use screening instruments compared with a physiologic measure
K W Budd1, K Ross-Alaolmolki, R A Zeller
1College of Nursing, Kent State University, OH 44242-0001, USA. kbudd@kent.edu
Objective:
To compare two prenatal alcohol use screening instruments with a physiologic measure of prenatal alcohol use.
Design:
Retrospective comparison of the Prenatal Alcohol Use Interview (PAUI) and the ACOG Antepartum Record with CDTect.
Setting:
An inner-city, high-volume, prenatal clinic.
Participants:
Fifty-six women selected and enrolled at their first prenatal visits.
Main Outcome Measure:
An assessment of relative sensitivity and specificity of two prenatal alcohol use screening instruments.
Results:
Women identified as Drinkers by the CDTect were more likely to be identified as Drinkers by the PAUI (59%) than by the ACOG Antepartum Record (19%). Also, the PAUI had a lower false negative rate (41%) than the ACOG record (80%). That is, the PAUI was less likely to identify as Quitters women the CDTect identified as Drinkers than was the ACOG record.
Conclusion:
The PAUI is a more sensitive screen than the ACOG record and should be the instrument preferred for screening prenatal alcohol use.