Robert L. Cook|Tammy Chung|Thomas M. Kelly|Duncan B. Clark
Alcohol screening in young persons attending a sexually transmitted disease clinic
University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh
objective compare ability 3 brief alcohol screens alcohol use disorders identification test audit crafft cage identify adolescents young adults current alcohol use disorder aud determine whether genderbased racebased differences screening performance design participants setting crosssectional study 358 young persons 55 males 49 blacks age range 1524 years mean age 206 years attending urban clinic sexually transmitted diseases reported alcohol use past year measurements receiver operating characteristic roc curve analysis used determine ability 3 screens discriminate participants without auds detected structured clinical interview dsmiv scid results one third 33 participants met diagnostic statistical manual mental disorders fourth edition dsmiv criteria current aud 24 alcohol abuse 9 alcohol dependence audit performed best cut score 9 sensitivity 076 specificity 079 crafft cut score 2 sensitivity 094 specificity 033 cage cut score 1 sensitivity 069 specificity 063 audit best overall performance area curve auc 084 followed closely crafft auc 079 cage auc 070 performance screens differ gender audit performed slightly better whites blacks racebased differences observed cage crafft conclusions clinicians use audit crafft rather cage screen young persons auds audit performs best length may limit utility setting crafft suitable alternative excellent sensitivity genderbased racebased differences