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Screening elderly veterans for alcoholism.

M B Moran1, B J Naughton, S L Hughes

  • 1Veterans Administration Lakeside Medical Center, Evanston, Illinois.

Journal of General Internal Medicine
|July 1, 1990
PubMed
Summary
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This study found an alcoholism screening test had lower sensitivity and specificity in elderly veterans compared to younger populations. Further research is needed to understand these differences in older adults.

Area of Science:

  • Geriatric Medicine
  • Addiction Psychiatry
  • Public Health

Background:

  • Alcoholism screening tools are crucial for early intervention.
  • Limited data exists on the efficacy of specific alcoholism screening tests in elderly populations.

Purpose of the Study:

  • To evaluate the sensitivity and specificity of a particular alcoholism screening test in older male veterans.
  • To compare the test's performance in the elderly with existing data from younger demographics.

Main Methods:

  • A cross-sectional study involving face-to-face interviews at a Veterans Administration outpatient facility.
  • 96 male participants aged 70 years and older completed the screening test and a gold standard assessment (Michigan Alcoholism Screening Test - MAST).

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Main Results:

  • The alcoholism screening test demonstrated a sensitivity of 0.52 and a specificity of 0.76 in this elderly veteran sample.
  • These performance metrics were lower than those reported for younger populations.

Conclusions:

  • The tested alcoholism screening tool shows reduced accuracy in elderly veterans.
  • Differences in attitudes and drinking behaviors between elderly and younger individuals may explain the observed variations in test performance.