Differences in detection of alcohol use in a prenatal population (on a Northern Plains Indian Reservation) using various methods of ascertainment.

摘要: Although Fetal Alcohol Syndrome (FAS) rates have been reported to be higher in American Indian populations, no screening tool has validated for alcohol use women. The objectives of this study were compare the detection prenatal by a self-administered questionnaire clinical interview; and ascertain whether would increase pregnant women who are abusing alcohol. hospital records reviewed any history alcohol-related illnesses or injuries with results obtained from questionnaire. Seventy attending their first clinic visit on reservation screened use. There was wide range (20%-71% sample detected) depending method used. large variation sensitivities (7%-93%) individual questions identifying patients detected as "high risk" clinicians. T-ACE significantly increased compared clinicians (p = 0.04 Fisher's exact test). Due between different methods detection, it is recommended that tools should combined specificity such using about quantity frequency intake, medical chart review interview. We also found various interpretations highlighted need tailor wording particular patient population.