Evidence map›Paper›PMID 9400407›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne1997

Alcohol disorders in Canada as indicated by the CAGE questionnaire.

C Poulin, I Webster, E Single

Open access · greenAbstract readComparative Study
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. A personalized approach to assessing and managing pain in patients with cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Review
  5. Article
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  8. Lifestyle health risk assessment. Do recently trained family physicians do it better?Canadian family physician Medecin de famille canadien · 2000
    Article
  9. Article
  10. Diagnosis and management of acute alcohol withdrawal.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1999
    Article
  11. Alcohol problems and interest in self-help: a population study of Alberta adults.Canadian journal of public health = Revue canadienne de sante publique
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

C PoulinDepartment of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, NS. Christiane.Poulin@dal.ca
I Webster
E Single
Dalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe alcohol disorders in the general Canadian population, using as a standard indicator the CAGE questionnaire (Have you felt you needed to cut down on your drinking? Have you felt annoyed by criticism of your drinking? Have you felt guilty about drinking? Have you felt you needed a drink first thing in the morning [eye-opener]?).

designSecondary analysis of data from Canada's Alcohol and Other Drugs Survey (CADS), a national telephone survey conducted in 1994 of a representative sample of 12,155 people aged 15 years or more.

participantsThe CAGE questionnaire was administered to 5894 drinkers who had consumed alcohol in the 12 months before the CADS survey.

main outcome measuresRespondents with positive (2 or more affirmative responses) and negative results on the CAGE questionnaire were compared as to demographic characteristics, alcohol consumption and harmful consequences of their drinking. Independent predictors of a positive result were identified by means of logistic regression analysis.

resultsA total of 5.8% of CAGE-tested current drinkers had a positive result on the past-year CAGE in 1994. The proportion of respondents reporting alcohol-related problems in one or more areas of their life was 7 times greater among drinkers with a positive result on the CAGE questionnaire than among those with a negative result (66.8% v. 9.5%) (p < 0.0001). When all demographic characteristics were controlled for simultaneously, male sex, residence in the Atlantic provinces, Quebec or the Prairies, single/never married or divorced/separated marital status, and low education level were found to be independent risk factors for a positive result on the CAGE questionnaire. About 85% of the respondents with a positive result had not sought help for their drinking. Applying the estimated sensitivity and specificity of the CAGE questionnaire in detecting alcohol dependence, as per criteria of the Diagnostic and Statistical Manual, in a general US population, the authors estimated that 4.1% of Canadians had an alcohol dependence in 1994.

conclusionThe large proportion of current drinkers with a positive result on the CAGE questionnaire who did not seek help for their drinking underscores the need for identification and brief interventions by physicians. Further research is needed to elucidate the underlying reasons for regional differences in CAGE status.

Indexed as

Surveys and QuestionnairesAdolescentAdultAgedAlcohol DrinkingAlcohol-Related DisordersCanadaChi-Square DistributionFemaleHumansLogistic ModelsMaleMiddle AgedOdds RatioPrevalenceSocioeconomic Factors

Identifiers

PMID9400407
PMCPMC1228563
OpenAlexW1953599899

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.