Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE

Detalhes bibliográficos
Autor(a) principal: Fabbri, Carlos E
Data de Publicação: 2007
Outros Autores: Furtado, Erikson F, Laprega, Milton R
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32339
Resumo: OBJECTIVE: To assess the performance characteristics of the Brazilian version of the Tolerance, Annoyed, Cut down and Eye-opener (T-ACE) questionnaire to screen alcohol consumption during pregnancy. METHODS: Observational, cross-sectional study in a sequential sample of 450 women in the third trimester of pregnancy, attended in a maternity ward in a city of Southeastern Brazil, in 2001. The following instruments were used: a questionnaire to gather sociodemographic data, the T-ACE, a questionnaire to verify history of alcohol consumption throughout gestation, and a clinical interview to identify the harmful use of and dependence on alcohol, according to ICD-10 diagnostic criteria. Concordance tests among different interviewers as well as test-/re-test reliability tests were performed. RESULTS: A total of 100 women (22.1%) were identified as positive by the T-ACE. The kappa indexes for concordance and reliability were 0.95, with 97% of concordant responses. When compared to the ICD-10 criteria and to the pattern of consumption, the T-ACE, with a cut-off point of two or higher, presented sensitivity and specificity coefficients of 100% and 85%, and of 97.9% and 86.6%, respectively. CONCLUSIONS: The Brazilian version of the T-ACE seemed to appropriately meet the performance criteria that qualify it as a basic instrument for the screening of alcohol consumption during pregnancy. Its use in the routine and practice of obstetric services is recommended in view of the tendency for increased alcohol consumption among women, the difficulties to identify alcohol abuse by pregnant women, and the risk of developmental problems in children.
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spelling Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE Consumo de álcool na gestação: desempenho da versão brasileira do questionário T-ACE Consumo de bebidas alcoólicasGestantesQuestionáriosTradução^i1^sProdReprodutibilidade dos testesEstudos transversaisBrasilAlcohol drinkingPregnant WomenQuestionnairesTranslationsReproducibility of resultsCross-sectional studiesBrazil OBJECTIVE: To assess the performance characteristics of the Brazilian version of the Tolerance, Annoyed, Cut down and Eye-opener (T-ACE) questionnaire to screen alcohol consumption during pregnancy. METHODS: Observational, cross-sectional study in a sequential sample of 450 women in the third trimester of pregnancy, attended in a maternity ward in a city of Southeastern Brazil, in 2001. The following instruments were used: a questionnaire to gather sociodemographic data, the T-ACE, a questionnaire to verify history of alcohol consumption throughout gestation, and a clinical interview to identify the harmful use of and dependence on alcohol, according to ICD-10 diagnostic criteria. Concordance tests among different interviewers as well as test-/re-test reliability tests were performed. RESULTS: A total of 100 women (22.1%) were identified as positive by the T-ACE. The kappa indexes for concordance and reliability were 0.95, with 97% of concordant responses. When compared to the ICD-10 criteria and to the pattern of consumption, the T-ACE, with a cut-off point of two or higher, presented sensitivity and specificity coefficients of 100% and 85%, and of 97.9% and 86.6%, respectively. CONCLUSIONS: The Brazilian version of the T-ACE seemed to appropriately meet the performance criteria that qualify it as a basic instrument for the screening of alcohol consumption during pregnancy. Its use in the routine and practice of obstetric services is recommended in view of the tendency for increased alcohol consumption among women, the difficulties to identify alcohol abuse by pregnant women, and the risk of developmental problems in children. OBJETIVO: Avaliar as características de desempenho da versão brasileira do questionário Tolerance, Annoyed, Cut down e Eye-opener (T-ACE), para rastreamento do consumo de álcool na gestação. MÉTODOS: Estudo observacional, transversal, em amostra seqüencial de 450 mulheres no terceiro trimestre de gestação, assistidas em maternidade no município de Ribeirão Preto, estado de São Paulo, em 2001. Foram aplicados: questionário para coleta de dados sociodemográficos, T-ACE, questionário para levantamento da história de consumo de álcool ao longo da gestação e entrevista clínica para identificação de uso nocivo e dependência ao álcool, segundo critérios diagnósticos da CID-10. Foram feitos testes de concordância entre diferentes entrevistadores e de confiabilidade teste/re-teste. RESULTADOS: Do total, 100 gestantes (22,1%) foram consideradas positivas pelo T-ACE. Os índices kappa para concordância e confiabilidade foram 0,95, com 97% de respostas concordantes. Quando comparado aos parâmetros da CID-10 e ao padrão de consumo, o T-ACE com ponto de corte igual ou acima de dois pontos, apresentou coeficientes de sensibilidade e especificidade de 100% e 85% e de 97,9% e 86,6% respectivamente. CONCLUSÕES: A versão brasileira do T-ACE mostrou preencher adequadamente os critérios de desempenho que a qualificam ao papel de instrumento básico para o rastreamento do consumo de álcool durante a gravidez. Sua utilização é recomendável nas rotinas e práticas dos serviços obstétricos devido à tendência de aumento do consumo alcoólico feminino, dificuldades para identificação do abuso de álcool pela gestante e riscos de problemas de desenvolvimento nos filhos. Universidade de São Paulo. Faculdade de Saúde Pública2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3233910.1590/S0034-89102006005000044Revista de Saúde Pública; Vol. 41 No. 6 (2007); 979-984 Revista de Saúde Pública; Vol. 41 Núm. 6 (2007); 979-984 Revista de Saúde Pública; v. 41 n. 6 (2007); 979-984 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32339/34517https://www.revistas.usp.br/rsp/article/view/32339/34518Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFabbri, Carlos EFurtado, Erikson FLaprega, Milton R2012-07-09T00:46:32Zoai:revistas.usp.br:article/32339Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:46:32Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
Consumo de álcool na gestação: desempenho da versão brasileira do questionário T-ACE
title Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
spellingShingle Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
Fabbri, Carlos E
Consumo de bebidas alcoólicas
Gestantes
Questionários
Tradução^i1^sProd
Reprodutibilidade dos testes
Estudos transversais
Brasil
Alcohol drinking
Pregnant Women
Questionnaires
Translations
Reproducibility of results
Cross-sectional studies
Brazil
title_short Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
title_full Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
title_fullStr Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
title_full_unstemmed Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
title_sort Alcohol consumption in pregnancy: performance of the Brazilian version of the questionnaire T-ACE
author Fabbri, Carlos E
author_facet Fabbri, Carlos E
Furtado, Erikson F
Laprega, Milton R
author_role author
author2 Furtado, Erikson F
Laprega, Milton R
author2_role author
author
dc.contributor.author.fl_str_mv Fabbri, Carlos E
Furtado, Erikson F
Laprega, Milton R
dc.subject.por.fl_str_mv Consumo de bebidas alcoólicas
Gestantes
Questionários
Tradução^i1^sProd
Reprodutibilidade dos testes
Estudos transversais
Brasil
Alcohol drinking
Pregnant Women
Questionnaires
Translations
Reproducibility of results
Cross-sectional studies
Brazil
topic Consumo de bebidas alcoólicas
Gestantes
Questionários
Tradução^i1^sProd
Reprodutibilidade dos testes
Estudos transversais
Brasil
Alcohol drinking
Pregnant Women
Questionnaires
Translations
Reproducibility of results
Cross-sectional studies
Brazil
description OBJECTIVE: To assess the performance characteristics of the Brazilian version of the Tolerance, Annoyed, Cut down and Eye-opener (T-ACE) questionnaire to screen alcohol consumption during pregnancy. METHODS: Observational, cross-sectional study in a sequential sample of 450 women in the third trimester of pregnancy, attended in a maternity ward in a city of Southeastern Brazil, in 2001. The following instruments were used: a questionnaire to gather sociodemographic data, the T-ACE, a questionnaire to verify history of alcohol consumption throughout gestation, and a clinical interview to identify the harmful use of and dependence on alcohol, according to ICD-10 diagnostic criteria. Concordance tests among different interviewers as well as test-/re-test reliability tests were performed. RESULTS: A total of 100 women (22.1%) were identified as positive by the T-ACE. The kappa indexes for concordance and reliability were 0.95, with 97% of concordant responses. When compared to the ICD-10 criteria and to the pattern of consumption, the T-ACE, with a cut-off point of two or higher, presented sensitivity and specificity coefficients of 100% and 85%, and of 97.9% and 86.6%, respectively. CONCLUSIONS: The Brazilian version of the T-ACE seemed to appropriately meet the performance criteria that qualify it as a basic instrument for the screening of alcohol consumption during pregnancy. Its use in the routine and practice of obstetric services is recommended in view of the tendency for increased alcohol consumption among women, the difficulties to identify alcohol abuse by pregnant women, and the risk of developmental problems in children.
publishDate 2007
dc.date.none.fl_str_mv 2007-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32339
10.1590/S0034-89102006005000044
url https://www.revistas.usp.br/rsp/article/view/32339
identifier_str_mv 10.1590/S0034-89102006005000044
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32339/34517
https://www.revistas.usp.br/rsp/article/view/32339/34518
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. 6 (2007); 979-984
Revista de Saúde Pública; Vol. 41 Núm. 6 (2007); 979-984
Revista de Saúde Pública; v. 41 n. 6 (2007); 979-984
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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