The Alcohol Use Disorders Identification Test (World ... - Workinfo.com

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WHY SCREEN FOR ALCOHOL USE? I 7 Figure 1 Effects of High-Risk Drinking Aggressive,irrational behaviour. Arguments. Violence. Depression. Nervousness. Cancer of throat and mouth . Frequent colds. Reduced resistance to infection. Increased risk of pneumonia. Alcohol dependence. Memory loss. Premature aging. Drinker's nose. Weakness of heart muscle. Heart failure. Anemia. Impaired blood clotting. Breast cancer. Liver damage. Trembling hands. Tingling fingers. Numbness. Painful nerves. Ulcer. Vitamin deficiency. Bleeding. Severe inflammation of the stomach. Vomiting. Diarrhea. Malnutrition. Inflammation of the pancreas. Impaired sensation leading to falls. In men: Impaired sexual performance. In women: Risk of giving birth to deformed, retarded babies or low birth weight babies. Numb, tingling toes. Painful nerves. High-risk drinking may lead to social, legal, medical, domestic, job and financial problems. It may also cut your lifespan and lead to accidents and death from drunken driving.
8 I AUDIT I THE ALCOHOL USE DISORDERS IDENTIFICATION TEST The Context of Alcohol Screening While this manual focuses on using the AUDIT to screen for alcohol consumption and related risks in primary care medical settings, the AUDIT can be effectively applied in many other contexts as well. In many cases procedures have already been developed and used in these settings. Box 1 summarizes information about the settings, screening personnel, and target groups considered appropriate for a screening programme using the AUDIT. Murray 9 has argued that screening might be conducted profitably with: To these should be added groups considered by a WHO Expert Committee 7 to be at high risk of developing alcohol-related problems: middle-aged males, adolescents, migrant workers, and certain occupational groups (such as business executives, entertainers, sex workers, publicans, and seamen). The nature of the risk differs by age, gender, drinking context, and drinking pattern, with sociocultural factors playing an important role in the definition and expression of alcohol-related problems 6 . ■ general hospital patients, especially those with disorders known to be associated with alcohol dependence (e.g., pancreatitis, cirrhosis, gastritis, tuberculosis, neurological disorders, cardiomyopathy); ■ persons who are depressed or who attempt suicide; ■ other psychiatric patients; ■ patients attending casualty and emergency services; ■ patients attending general practitioners; ■ vagrants; ■ prisoners; and ■ those cited for legal offences connected with drinking (e.g., driving while intoxicated, public intoxication).
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