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Five-shot questionnaire on heavy drinking

K Seppä1, J Lepistö, P Sillanaukee

  • 1University of Tampere, Medical School, and Tampere University Hospital, Finland.

Alcoholism, Clinical and Experimental Research
|December 3, 1998
PubMed
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The Five-Shot questionnaire effectively identifies heavy drinking in middle-aged men. This tool aids physicians in early detection and differentiation between moderate and heavy alcohol consumption.

Area of Science:

  • Public Health
  • Screening Tools
  • Alcohol Use Disorders

Background:

  • Heavy alcohol consumption poses significant public health risks.
  • Early detection of heavy drinking is crucial for intervention.
  • Existing screening tools may require optimization for specific populations.

Purpose of the Study:

  • To evaluate the effectiveness of the "Five-Shot" questionnaire in identifying heavy drinking among middle-aged men.
  • To compare the performance of the Five-Shot questionnaire against established measures like CAGE.
  • To assess the utility of the Five-Shot questionnaire in a general health screening setting.

Main Methods:

  • A combined questionnaire (AUDIT and CAGE questions) named "Five-Shot" was administered to 853 40-year-old men.

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  • Self-reported alcohol consumption (moderate vs. heavy) served as the gold standard.
  • Sensitivity, specificity, and accuracy were calculated for different cut-off scores.

    • Main Results:

    • The Five-Shot questionnaire demonstrated high accuracy (83%) with a cut-off score of >=3, and even higher sensitivity (96%) at a cut-off of >=2.5.
    • The Five-Shot questionnaire outperformed the CAGE questionnaire in receiver operating characteristic analysis.
    • Individual questions within the Five-Shot did not show differential effectiveness in detecting heavy drinkers.

    Conclusions:

    • The Five-Shot questionnaire is an efficient and rapid tool for differentiating between moderate and heavy drinkers in middle-aged men.
    • Its ease of use makes it suitable for physicians in various healthcare settings for early detection of heavy drinking.
    • The Five-Shot questionnaire shows promise as an aid for early intervention strategies for alcohol use disorders.