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Detecting risk drinking during pregnancy: A comparison of four screening questionnaires

Author

Listed:
  • Russell, M.
  • Martier, S.S.
  • Sokol, R.J.
  • Mudar, P.
  • Jacobson, S.
  • Jacobson, J.

Abstract

Objectives. This study investigated the efficacy of screening for risk drinking during pregnancy, with two brief questionnaires, TWEAK and T-ACE. Both include an assessment of tolerance based on the number of drinks women report they can hold. Methods. Subjects were disadvantaged African-American obstetric patients in Detroit. Mich. Traditional alcoholism screens (Michigan Alcohol Screening Test [MAST], CAGE) and the tolerance question were administered (n = 2717); TWEAK and T-ACE were constructed from tolerance and embedded MAST and CAGE items. In a separate sample (n = 1420), only the T- ACE was administered. Periconceptional risk drinking was the gold standard. Screen evaluations were based on receiver-operating characteristic analyses. Results. At the cutpoint of 2, sensitivity/specificity for embedded screens were 91/77 for TWEAK and 88/79 for T-ACE: comparable values for T-ACE alone were 67/86. TWEAK and T-ACE screened more effectively than CAGE or MAST. Conclusions. Embedded versions of TWEAK and T-ACE were both highly sensitive to periconceptional risk drinking in thin population. Administering T-ACE alone reduced its sensitivity: this suggests that MAST and CAGE administration improves its performance.

Suggested Citation

  • Russell, M. & Martier, S.S. & Sokol, R.J. & Mudar, P. & Jacobson, S. & Jacobson, J., 1996. "Detecting risk drinking during pregnancy: A comparison of four screening questionnaires," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1435-1439.
    • Handle: RePEc:aph:ajpbhl:1996:86:10:1435-1439_6
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    Cited by:

    1. Umit Shrestha & Jessica Hanson & Tess Weber & Karen Ingersoll, 2019. "Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Eiji Yamamura & Yoshiro Tsutsui, 2019. "Effects of Pregnancy and Birth on Smoking and Drinking Behaviours: A Comparative Study Between Men and Women," The Japanese Economic Review, Japanese Economic Association, vol. 70(2), pages 210-234, June.
    3. Anthony, Elizabeth K. & Austin, Michael J. & Cormier, Denicia R., 2010. "Early detection of prenatal substance exposure and the role of child welfare," Children and Youth Services Review, Elsevier, vol. 32(1), pages 6-12, January.
    4. Xiao Xu & Kimberly A Yonkers & Jennifer P Ruger, 2014. "Costs of a Motivational Enhancement Therapy Coupled with Cognitive Behavioral Therapy versus Brief Advice for Pregnant Substance Users," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-10, April.

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