Institute for Clinical and Translational Science
Assessment of Alcohol Use Patterns Among Spanish-Speaking Patients
- Author(s): Lotfipour, Shahram
- Cisneros, Victor
- Anderson, Craig L.
- Roumani, Samer
- Hoonpongsimanont, Wirachin
- Weiss, Jie
- Chakravarthy, Bharath
- Dykzeul, Brad
- Vaca, Federico
- et al.
Published Web Locationhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625981/pdf/nihms416727.pdf
To assess drinking patterns of Spanish-speaking patients using a bilingual Computerized Alcohol Screening and brief Intervention (CASI) tablet computer equipped with the Alcohol Use Disorders Identification Test (AUDIT).Methods
This retrospective study was conducted in a tertiary university hospital emergency department (ED) between 2006 and 2010. Data from 1,816 Spanish-speaking ED patients was analyzed using descriptive statistics, the chi-square test for independence, and the Kruskal-Wallis rank sum test for comparisons using quantitative variables.Results
Overall, 15% of Spanish-speaking patients were at-risk drinkers, and 5% had an AUDIT score consistent with alcohol dependency (≥20). A higher percentage of Spanish-speaking males than females were at-risk drinkers or likely dependent. Spanish speaking males exhibited higher frequency of drinking days per week and higher number of drinks per day compared to females. Among older patients, non-drinking behavior increased and at-risk drinkers decreased. The majority of males and females were ready to change their behavior after the CASI intervention; 61% and 69% respectively scored 8-10.Conclusions
This study indicated that CASI was an effective tool for detecting at-risk and likely dependent drinking behavior in Spanish-speaking ED patients. The majority of patients were ready to change their drinking behavior. More alcohol screening and brief intervention tools should be tested and become readily accessible for Spanish-speaking patients.