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Drinking frequency as a brief screen for adolescent alcohol problems.

Tammy Chung¹, Gregory T Smith, John E Donovan

¹Department of Psychiatry, University of Pittsburgh Medical Center, PAARC, Pittsburgh, PA 15213, USA. chungta@upmc.edu

|January 6, 2012

Summary

This summary is machine-generated.

Drinking frequency is an effective tool for identifying adolescents with alcohol problems. This brief screen helps detect moderate-risk alcohol use disorder symptoms and high-risk alcohol dependence in youth.

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Area of Science:

Adolescent Health
Substance Use Research
Public Health Screening

Background:

Routine alcohol screening in pediatric settings is recommended for early intervention.
Brief, empirically validated alcohol screening tools are needed to facilitate this process.
Alcohol consumption patterns are key indicators of potential alcohol-related problems in youth.

Purpose of the Study:

To evaluate the screening performance of three alcohol consumption items in identifying alcohol-related problems among adolescents.
To assess the utility of drinking frequency, quantity per occasion, and heavy episodic drinking frequency as screening measures.
To determine optimal screening criteria for different risk levels of alcohol use disorders in youth.

Main Methods:

Utilized national sample data from the National Survey on Drug Use and Health (2000-2007) for adolescents aged 12-18.
Tested the screening performance of three alcohol consumption items against moderate-risk (any alcohol use disorder symptom) and high-risk (alcohol dependence) outcomes.
Analyzed screening performance by age and gender, examining sensitivity and specificity of different consumption measures.

Main Results:

Prevalence of alcohol use disorder symptoms and alcohol dependence increased with age.
Drinking frequency demonstrated higher sensitivity and specificity in identifying both moderate- and high-risk outcomes compared to other measures.
Similar drinking frequency cut points are effective for males and females, but age-specific cut points are recommended for maximizing screening performance.

Conclusions:

Drinking frequency serves as an empirically supported, brief screening tool for efficiently identifying youth with alcohol-related problems.
This measure can aid pediatric settings in routine alcohol screening and early detection of alcohol use disorders.
The findings support the use of drinking frequency as a primary indicator in adolescent alcohol screening protocols.