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Hazardous and harmful drinking: a comparison of the AUDIT and CAGE screening questionnaires

M T McCusker1, J Basquille, M Khwaja

  • 1Brent, Kensington, Chelsea and Westminster Mental Health Trust Substance Misuse Service, London, UK. m.mccusker@sghms.ac.uk

QJM : Monthly Journal of the Association of Physicians
|September 3, 2002
PubMed

Insights

The Alcohol Use Disorders Identification Test (AUDIT) is more effective than the CAGE questionnaire for screening hazardous or harmful drinking in hospital patients. AUDIT identifies more at-risk individuals, including those in earlier stages of alcohol misuse.

Area of Science:

  • Public Health
  • Clinical Medicine
  • Addiction Research

Background:

  • Alcohol misuse is a significant public health issue.
  • A substantial proportion of general hospital admissions are linked to alcohol consumption.

Purpose of the Study:

  • To evaluate and compare the efficacy of the CAGE and Alcohol Use Disorders Identification Test (AUDIT) questionnaires.
  • To screen for hazardous or harmful alcohol use among general medical admissions.

Main Methods:

  • A prospective study design was employed.
  • Patients completed both the CAGE and AUDIT questionnaires.
  • Demographic data were collected concurrently.

Main Results:

  • 103 patients were included in the study.
  • The AUDIT identified 36% of patients as drinking hazardously or harmfully.
  • The CAGE identified 22% of patients, with all CAGE-positive cases also identified by AUDIT.

Conclusions:

  • The AUDIT is superior to the CAGE in identifying a broader spectrum of at-risk drinkers.
  • AUDIT detects both hazardous and harmful drinkers, whereas CAGE primarily identifies harmful drinkers.
  • The AUDIT's ability to identify earlier-stage drinkers makes it more suitable for clinical practice and intervention.
Abstract

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