Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: This study was conducted to investigate the prevalence of alcohol abuse and dependency among elderly women in Iceland and to make an assessment of the sensitivity and specificity of liver func...
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Format: | Article in Journal/Newspaper |
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/52874 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/52874 2023-05-15T16:48:18+02:00 Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna Use and abuse of alcohol among elderly women in Iceland. Comparison of clinical symptoms of abuse with liver function tests and mean corpuscular volume Helgi G. Garðarsson Þórður Harðarson Tómas Helgason 2009-03-09 http://hdl.handle.net/2336/52874 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1997, 83(1):818-23, 825-7 0023-7213 http://hdl.handle.net/2336/52874 Læknablaðið Áfengisneysla Áfengissýki Konur Alcoholism Liver Function Tests Female Article 2009 ftlandspitaliuni 2022-05-29T08:21:17Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: This study was conducted to investigate the prevalence of alcohol abuse and dependency among elderly women in Iceland and to make an assessment of the sensitivity and specificity of liver function tests and mean corpuscular volume (MCV) in the diagnosis of alcohol abuse. Methods: The group was made of 280 women (age 55-74 years, mean age 61.9 years) from the Reykjavik Study. The diagnoses were based on a questionnaire (eight symptoms) which has been used in epidemiological studies of alcoholism in Iceland since 1974. To this questionnaire there were added five questions aiding to the diagnosis of the lifetime prevalence rate of abuse. The CAGE questionnaire is implicated in this scale of 13 symptoms. Results: Among 263 respondents (93.9%), there were 156 consumers (59.3%). Of the consumers 16% had at least one symptom indicating alcohol abuse. The diagnosis of abuse was made when three symptoms of eight occurred together. Abuse occured among 2.6% of consumers (1.5% of respondents). Symptom triad of dependency occurred among 1.3% of consumers (0.8% of respondents). Heavy drinking was equally frequent as dependency. Mean values of gamma glutamyl transferase (G-GT) and MCV increase with increasing number of symptoms of abuse. The sensitivity of G-GT and MCV is low (20%) but the specificity is high (94%) for both. Bilirubin and alkaline phosphatase do neither have a sensitivity nor specificity for the diagnosis of abuse. Conclusion: These findings indicate that these blood tests are not a reliable method for the screening of alcohol abuse among elderly women. A questionnaire searching for clinical symptoms of abuse is the best method for the diagnosis of abuse. Among elderly women, the symptom of guilty feelings connected to alcohol consumption, is the most sensitive indicator of abuse. But there are probably more women that experience guilty feelings than those which can be considered alcohol abusers. ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Kvenna ENVELOPE(18.430,18.430,69.216,69.216) Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Áfengisneysla Áfengissýki Konur Alcoholism Liver Function Tests Female |
spellingShingle |
Áfengisneysla Áfengissýki Konur Alcoholism Liver Function Tests Female Helgi G. Garðarsson Þórður Harðarson Tómas Helgason Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
topic_facet |
Áfengisneysla Áfengissýki Konur Alcoholism Liver Function Tests Female |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: This study was conducted to investigate the prevalence of alcohol abuse and dependency among elderly women in Iceland and to make an assessment of the sensitivity and specificity of liver function tests and mean corpuscular volume (MCV) in the diagnosis of alcohol abuse. Methods: The group was made of 280 women (age 55-74 years, mean age 61.9 years) from the Reykjavik Study. The diagnoses were based on a questionnaire (eight symptoms) which has been used in epidemiological studies of alcoholism in Iceland since 1974. To this questionnaire there were added five questions aiding to the diagnosis of the lifetime prevalence rate of abuse. The CAGE questionnaire is implicated in this scale of 13 symptoms. Results: Among 263 respondents (93.9%), there were 156 consumers (59.3%). Of the consumers 16% had at least one symptom indicating alcohol abuse. The diagnosis of abuse was made when three symptoms of eight occurred together. Abuse occured among 2.6% of consumers (1.5% of respondents). Symptom triad of dependency occurred among 1.3% of consumers (0.8% of respondents). Heavy drinking was equally frequent as dependency. Mean values of gamma glutamyl transferase (G-GT) and MCV increase with increasing number of symptoms of abuse. The sensitivity of G-GT and MCV is low (20%) but the specificity is high (94%) for both. Bilirubin and alkaline phosphatase do neither have a sensitivity nor specificity for the diagnosis of abuse. Conclusion: These findings indicate that these blood tests are not a reliable method for the screening of alcohol abuse among elderly women. A questionnaire searching for clinical symptoms of abuse is the best method for the diagnosis of abuse. Among elderly women, the symptom of guilty feelings connected to alcohol consumption, is the most sensitive indicator of abuse. But there are probably more women that experience guilty feelings than those which can be considered alcohol abusers. ... |
format |
Article in Journal/Newspaper |
author |
Helgi G. Garðarsson Þórður Harðarson Tómas Helgason |
author_facet |
Helgi G. Garðarsson Þórður Harðarson Tómas Helgason |
author_sort |
Helgi G. Garðarsson |
title |
Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
title_short |
Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
title_full |
Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
title_fullStr |
Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
title_full_unstemmed |
Neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
title_sort |
neysluvenjur og misnotkun áfengis íslenskra kvenna yfir 55 ára aldri : samanburður klínískra einkenna við lifrarpróf og meðalfrumurými rauðra blóðkorna |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/52874 |
long_lat |
ENVELOPE(18.430,18.430,69.216,69.216) ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Kvenna Smella |
geographic_facet |
Kvenna Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1997, 83(1):818-23, 825-7 0023-7213 http://hdl.handle.net/2336/52874 Læknablaðið |
_version_ |
1766038410196156416 |