TY - JOUR PY - 2018// TI - Hazardous drinking prevalence and correlates in older New Zealanders: a comparison of the AUDIT-C and the CARET JO - Journal of aging and health A1 - Towers, Andy A1 - Szabó, Ágnes A1 - Newcombe, David A. L. A1 - Sheridan, Janie A1 - Moore, Allison A. A1 - Hyde, Martin A1 - Britton, Annie A1 - Martinez, Priscilla A1 - Minicuci, Nadia A1 - Kowal, Paul A1 - Clausen, Thomas A1 - Savage, Christine L. SP - 898264318794108 EP - 898264318794108 VL - ePub IS - ePub N2 - OBJECTIVES: The study compared the proportion of older adults identified as drinking hazardously based on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) with the older adult-specific Comorbidity Alcohol Risk Evaluation Tool (CARET) and investigated whether sociodemographics, comorbidities, health, medication use, and alcohol-related risk behaviors explained discrepancies between the screens in classification of hazardousness.

METHOD: The AUDIT-C and the CARET were administered to 3,673 adults aged 55 to 89 years. Classification agreement between the screens was evaluated using Cohen's kappa. Hazardous drinking groups were compared using logistic regression.

RESULTS: Analysis indicated moderate agreement between the screens. Drinkers classified as "hazardous on the CARET only" consumed less alcohol, but were more likely to drink-drive. Introducing a drink-driving criterion into the calculation of hazardousness on the AUDIT-C substantially decreased the classification discrepancy between the measures.

DISCUSSION: Standard screening can be improved by investigating comorbidities, medication use, and alcohol-related risk behaviors in those initially identified as nonhazardous drinkers.

Language: en

LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/0898264318794108 ID - ref1 ER -