Attempted referral as intervention for problem drinking in the general hospital.
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Biomedical subjects
Publications and source records attributed to G A Elvy.
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Problem drinking was found to be likely in 21% of inpatients in a general orthopaedic and fracture service, and in 42% of outpatients attending the fracture clinics. The questionnaire showed that the problem was most common among young men, particularly among outpatients. Previous hospital admissions were more frequent in this group. Many of the health problems associated with the chronic abuse of alcohol are directly relevant to orthopaedic practice. Early intervention may be highly successful, and it is recommended that screening for problem drinking be considered in orthopaedic and fracture services.
The Canterbury alcoholism screening test (CAST) was developed from data collected on 2014 consecutive non-paediatric general hospital admissions. The CAST correctly identified 95% of patients classified by the short MAST as definitely alcoholic, and misclassified only 1.6% of controls. When administered to 165 patients from various alcoholism treatment centres, the CAST classified all patients as having alcohol problems. The screening test consists of two parts adapted from the Munich alcoholism test (MALT): a twenty-three item self-report section and a four item clinician's assessment. The CAST, which takes about four minutes to administer, has considerable potential use for the early detection of patients with current alcohol problems in an unselected hospital population.
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Data from a national, representative sample of 1278 New Zealand 14- to 17-year-olds are analysed to explore the relationships between estimated alcohol consumption, age, sex, and attitudes to alcohol and its role in society. Relations between these variables are examined by regression and canonical correlation procedures. They are shown both to differ between the sexes and to be complex. Just over 10% of the variance associated with alcohol consumption proved to be predictable from a linear combination of age, sex, and attitude variables. The attitude component displaying the strongest linkage with consumption reflected a concern with alcohol and alcohol-related problems.
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