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Alcohol consumption and related problems among primary health care patients: WHO collaborative project on early detection of persons with harmful alcohol consumption--I.

https://arctichealth.org/en/permalink/ahliterature11758
Source
Addiction. 1993 Mar;88(3):349-62
Publication Type
Article
Date
Mar-1993
Author
J B Saunders
O G Aasland
A. Amundsen
M. Grant
Author Affiliation
Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Sydney, Australia.
Source
Addiction. 1993 Mar;88(3):349-62
Date
Mar-1993
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking - adverse effects - prevention & control
Alcoholism - diagnosis - epidemiology - prevention & control
Comparative Study
Cross-Cultural Comparison
Cross-Sectional Studies
Female
Humans
Incidence
Male
Mass Screening
Primary Health Care
Research Support, Non-U.S. Gov't
Risk factors
World Health Organization
Abstract
This WHO collaborative project is the first phase of a programme of work aimed at developing techniques for early identification and treatment of persons with hazardous and harmful alcohol consumption. The aim of the present study was to determine the prevalence of hazardous and harmful alcohol use among patients attending primary health care facilities in several countries, and to examine the correlates of drinking behaviour and alcohol-related problems in these culturally diverse populations. The broader purpose was to determine whether there was justification for developing alcohol screening instruments for cross-national use. One thousand, eight hundred and eighty-eight subjects in Australia, Bulgaria, Kenya, Mexico, Norway and the USA underwent a comprehensive assessment of their medical history, alcohol intake, drinking practices, and any physical or psychosocial problems related to alcohol. After non-drinkers and known alcoholics had been excluded, 18% of subjects had a hazardous level of alcohol intake and 23% had experienced at least one alcohol-related problem in the previous year. Intrascale reliability coefficients were uniformly high for the drinking behaviour (dependence) and adverse psychological reactions scales, and moderately high for the alcohol-related problems scales. There were strong correlations between the various alcohol-specific scales, and between these scales and measures of alcohol intake. Although the prevalence of hazardous and harmful alcohol consumption varied from country to country, there was a high degree of commonality in the structure and correlates of drinking behaviour and alcohol-related problems. These findings strengthen the case for developing international screening instruments for hazardous and harmful alcohol consumption.
PubMed ID
8461852 View in PubMed
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The structure and correlates of alcohol dependence: WHO collaborative project on the early detection of persons with harmful alcohol consumption--III.

https://arctichealth.org/en/permalink/ahliterature11643
Source
Addiction. 1993 Dec;88(12):1627-36
Publication Type
Article
Date
Dec-1993
Author
W. Hall
J B Saunders
T F Babor
O G Aasland
A. Amundsen
R. Hodgson
M. Grant
Author Affiliation
Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Sydney, Australia.
Source
Addiction. 1993 Dec;88(12):1627-36
Date
Dec-1993
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Alcohol Drinking
Alcoholism - diagnosis - epidemiology
Australia - epidemiology
Bulgaria - epidemiology
Cohort Studies
Comparative Study
Cross-Cultural Comparison
Female
Humans
Kenya - epidemiology
Male
Mexico - epidemiology
Middle Aged
Norway - epidemiology
Psychiatric Status Rating Scales
Self Assessment (Psychology)
Substance-Related Disorders
United States - epidemiology
World Health Organization
gamma-Glutamyltransferase - blood
Abstract
The cross-cultural validity of the Alcohol Dependence Syndrome was tested on 13 symptoms of alcohol dependence which were assessed as part of a WHO collaborative study of the early detection of harmful drinking. The subjects were drinking patients in health care settings in Australia, Bulgaria, Kenya, Mexico, Norway, and the US. Principal Components Analyses were performed on the symptoms in each centre, and the degree of agreement between the results was assessed by calculating coefficients of congruence between the item loadings on the first principal component. In all six centres the first Principal Component accounted for at least half of the total variance and all symptoms had positive loadings greater than 0.40 on the first Principal Component. The coefficients of congruence were all 0.98 or more, and the 13 symptoms had internal consistency coefficients of 0.94 or more. An alcohol dependence score defined by the sum of positive responses to the 13 alcohol dependence symptoms was positively correlated with self-reported alcohol consumption, alcohol-related problems, serum gamma glutamyltransferase and a clinical examination assessment of alcoholism in all six samples.
PubMed ID
7907509 View in PubMed
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