Brief Alcoholism Screening Questionnaire: Establishment and Validity in Taiwanese
Resource
Journal of the Formosan Medical Association 102 (4): 250-256
Journal
Journal of the Formosan Medical Association
Journal Volume
102
Journal Issue
4
Pages
250-256
Date Issued
2003
Date
2003
Author(s)
HWU, HAI-GWO
HWANG, TZUNG-JENG
CHEN, CHU-CHANG
Abstract
Background and Purpose: There has been a marked increase in the prevalence of alcoholism in the Taiwanese population over the past 6 decades. This study was designed to establish a Taiwanese Brief Alcoholism Screening Questionnaire (BASQ) for use in early detection in medical and public health settings. Methods: Interview data were collected from the database of the Taiwan Psychiatric Epidemiological Project (TPEP). The TPEP interviews had been conducted using the Chinese-modified version of the Diagnostic Interview Schedule (DIS-CM) that included a section on alcoholism diagnosis. Data collected from a community sample of 13,373 subjects was used in this study. Twenty nine DIS-CM items for alcoholism diagnosis were entered into an analytic model with 7 statistical filters to identify cross-cultural items. A brief alcoholism screening questionnaire was constructed using these selected items. The validity of the questionnaire was tested in subjects (n= 457) recruited from a local medical center, a hospital clinic, and an alcoholism clinic of a psychiatric center. Results: Four cross-cultural items were identified and the BASQ was constructed. This BASQ had a best cut-off point of 3 with adequate sensitivity (0.86 to 0.88), specificity (0. 88 to 0.89), and positive prediction rate (0.90 to 0.91). It detected a varying prevalence of alcoholism (10.1 to 90.3 % ) in diverse clinical settings. Conclusions: A 4-item BASQ was established with adequate validity for clinical and public health application in the early detection of alcoholism in Taiwanese subjects.
Subjects
DIAGNOSTIC INTERVIEW SCHEDULE
CAGE QUESTIONNAIRE
CHINESE
VALIDATION
PREVALENCE
SDGs
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