알코올사용장애의 선별을 위한 지역사회 노인에서의 CAGE의 유용성

초록

Objective: The purpose of this study was to assess the validity of CAGE(cut down, annoyed, guilty feeling, eye-opener) for older adults in community Methods: Randomly selected alcohol drinking 182 older adults over 65 years of age in Incheon-Chungu participated in this study. We assessed alcohol use disorder by Korean Composite International Diagnotic Interview(K-CIDI) and interviewed by CAGE. The CAGE questionnaire is a brief alcohol screening questionnaire that can be interviewer or self-administered. Sensitivity, specificity, positive predictive value and receiver operating characteristics(ROC) curve for CAGE scores of 1-4 for older adults over 65 years of age was calculated. Results: The mean age of 182 people was 71.3(±5.2) years old and mean education was 7.1(±5.2) years. 100 people(54.9%) had religion and 36 people(19.8%) had occupation. 134 people(73.6%) had present disease and 101 people(55.5%) had medication. In 239 alcohol drinking older adults, 182(76.2%) people answered in CAGE and CIDI. There was no age and educational differences between 182 people(case group) and 57 people(exclusion group). The sensitivity and specificity for a cut-off score of two was 72.5% and 85.5% respectively and kappa value was 0.50. The calculation of area under curve(AUC) by Receiver Operating Characteristics(ROC) was 0.806. Conclusion: The CAGE can easily discriminate older adults with alcohol use disorder from those without such a history. We suggest a score of '2' as the optimal cut-off score of CAGE.