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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 2000 Aug;54(8):603–610. doi: 10.1136/jech.54.8.603

Capture-recapture methods to size alcohol related problems in a population

G Corrao 1, V Bagnardi 1, G Vittadini 1, S Favilli 1
PMCID: PMC1731722  PMID: 10890872

Abstract

STUDY OBJECTIVE—To investigate the utility of capture-recapture methods to estimate prevalence of subjects with alcohol related disorders using multiple incomplete lists.
DESIGN—This was a cross sectional study of alcohol related disorders in a large community.
SETTING—During 1997 identified cases with known alcohol related disorders were independently flagged by four sources (self help volunteering groups; psychiatric ambulatory; public alcohology service; hospital discharges).
PATIENTS—381 records were flagged, corresponding to 349 individual cases from a target population resident in a northern Italy area.
MAIN RESULTS—The two sample capture-recapture estimates were clearly biased because of dependencies among sources. Estimates based on log-linear models showed prevalent counts ranged from 2297 (95% confidence intervals: 1524, 3794) to 2523 (95% confidence intervals: 1623, 4627) after adjustment for dependence among sources only or also for heterogeneity in catchability among age categories (< 50 and ⩾ 50 years), respectively.
CONCLUSIONS—The study suggests that capture-recapture is an appropriate approach for estimating prevalence of subjects with alcohol related problems who seek or need treatment and assistance when different lists of alcoholics can be obtained from different types of agencies involved with problematic use of alcohol. Critical factors are the complexity in case definition and the analysis of heterogeneity among people. Accurate estimates are needed to plan and evaluate public health interventions.


Keywords: alcohol related problems; capture-recapture; log-linear models

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Selected References

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  1. Agresti A. Simple capture-recapture models permitting unequal catchability and variable sampling effort. Biometrics. 1994 Jun;50(2):494–500. [PubMed] [Google Scholar]
  2. Aptel I., Salmi L. R., Masson F., Bourdé A., Henrion G., Erny P. Road accident statistics: discrepancies between police and hospital data in a French island. Accid Anal Prev. 1999 Jan-Mar;31(1-2):101–108. doi: 10.1016/s0001-4575(98)00051-7. [DOI] [PubMed] [Google Scholar]
  3. Arico S., Zannero A., Galatola G., Valenti M., Corrao G. Family compliance to a treatment programme for alcoholics: a prospective study of prognostic factors. Alcohol Alcohol. 1994 Nov;29(6):679–685. [PubMed] [Google Scholar]
  4. Babor T. F., Stephens R. S., Marlatt G. A. Verbal report methods in clinical research on alcoholism: response bias and its minimization. J Stud Alcohol. 1987 Sep;48(5):410–424. doi: 10.15288/jsa.1987.48.410. [DOI] [PubMed] [Google Scholar]
  5. Bradley K. A., Boyd-Wickizer J., Powell S. H., Burman M. L. Alcohol screening questionnaires in women: a critical review. JAMA. 1998 Jul 8;280(2):166–171. doi: 10.1001/jama.280.2.166. [DOI] [PubMed] [Google Scholar]
  6. Brenner H. Use and limitations of the capture-recapture method in disease monitoring with two dependent sources. Epidemiology. 1995 Jan;6(1):42–48. doi: 10.1097/00001648-199501000-00009. [DOI] [PubMed] [Google Scholar]
  7. Bruno G., LaPorte R. E., Merletti F., Biggeri A., McCarty D., Pagano G. National diabetes programs. Application of capture-recapture to count diabetes? Diabetes Care. 1994 Jun;17(6):548–556. doi: 10.2337/diacare.17.6.548. [DOI] [PubMed] [Google Scholar]
  8. Cates W., Jr, Smith J. C., Rochat R. W., Patterson J. E., Dolman A. Assessment of surveillance and vital statistics data for monitoring abortion mortality, United States, 1972-1975. Am J Epidemiol. 1978 Sep;108(3):200–206. doi: 10.1093/oxfordjournals.aje.a112612. [DOI] [PubMed] [Google Scholar]
  9. Cochi S. L., Edmonds L. E., Dyer K., Greaves W. L., Marks J. S., Rovira E. Z., Preblud S. R., Orenstein W. A. Congenital rubella syndrome in the United States, 1970-1985. On the verge of elimination. Am J Epidemiol. 1989 Feb;129(2):349–361. doi: 10.1093/oxfordjournals.aje.a115138. [DOI] [PubMed] [Google Scholar]
  10. Conigliaro J., Lofgren R. P., Hanusa B. H. Screening for problem drinking: impact on physician behavior and patient drinking habits. J Gen Intern Med. 1998 Apr;13(4):251–256. doi: 10.1046/j.1525-1497.1998.00075.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Domingo-Salvany A., Hartnoll R. L., Maguire A., Suelves J. M., Antó J. M. Use of capture-recapture to estimate the prevalence of opiate addiction in Barcelona, Spain, 1989. Am J Epidemiol. 1995 Mar 15;141(6):567–574. doi: 10.1093/oxfordjournals.aje.a117472. [DOI] [PubMed] [Google Scholar]
  12. Egeland G. M., Perham-Hester K. A., Hook E. B. Use of capture-recapture analyses in fetal alcohol syndrome surveillance in Alaska. Am J Epidemiol. 1995 Feb 15;141(4):335–341. doi: 10.1093/aje/141.4.335. [DOI] [PubMed] [Google Scholar]
  13. Ewing J. A. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984 Oct 12;252(14):1905–1907. doi: 10.1001/jama.252.14.1905. [DOI] [PubMed] [Google Scholar]
  14. Fleming M. F., Barry K. L., Manwell L. B., Johnson K., London R. Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices. JAMA. 1997 Apr 2;277(13):1039–1045. [PubMed] [Google Scholar]
  15. Fleming M. F., Manwell L. B., Barry K. L., Johnson K. At-risk drinking in an HMO primary care sample: prevalence and health policy implications. Am J Public Health. 1998 Jan;88(1):90–93. doi: 10.2105/ajph.88.1.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Frischer M., Bloor M., Finlay A., Goldberg D., Green S., Haw S., McKeganey N., Platt S. A new method of estimating prevalence of injecting drug use in an urban population: results from a Scottish city. Int J Epidemiol. 1991 Dec;20(4):997–1000. doi: 10.1093/ije/20.4.997. [DOI] [PubMed] [Google Scholar]
  17. Fuller R. K., Lee K. K., Gordis E. Validity of self-report in alcoholism research: results of a Veterans Administration Cooperative Study. Alcohol Clin Exp Res. 1988 Apr;12(2):201–205. doi: 10.1111/j.1530-0277.1988.tb00180.x. [DOI] [PubMed] [Google Scholar]
  18. Hill A., Roberts J., Ewings P., Gunnell D. Non-response bias in a lifestyle survey. J Public Health Med. 1997 Jun;19(2):203–207. doi: 10.1093/oxfordjournals.pubmed.a024610. [DOI] [PubMed] [Google Scholar]
  19. Hook E. B., Regal R. R. Capture-recapture methods in epidemiology: methods and limitations. Epidemiol Rev. 1995;17(2):243–264. doi: 10.1093/oxfordjournals.epirev.a036192. [DOI] [PubMed] [Google Scholar]
  20. Hook E. B., Regal R. R. Effect of variation in probability of ascertainment by sources ("variable catchability") upon "capture-recapture" estimates of prevalence. Am J Epidemiol. 1993 May 15;137(10):1148–1166. doi: 10.1093/oxfordjournals.aje.a116618. [DOI] [PubMed] [Google Scholar]
  21. Hook E. B., Regal R. R. Internal validity analysis: a method for adjusting capture-recapture estimates of prevalence. Am J Epidemiol. 1995 Nov 1;142(9 Suppl):S48–S52. doi: 10.1093/aje/142.supplement_9.s48. [DOI] [PubMed] [Google Scholar]
  22. Huether C. A., Gummere G. R. Influence of demographic factors on annual Down's syndrome births in Ohio, 1970-1979, and the United States, 1920-1979. Am J Epidemiol. 1982 Jun;115(6):846–860. doi: 10.1093/oxfordjournals.aje.a113372. [DOI] [PubMed] [Google Scholar]
  23. Liskow B., Campbell J., Nickel E. J., Powell B. J. Validity of the CAGE questionnaire in screening for alcohol dependence in a walk-in (triage) clinic. J Stud Alcohol. 1995 May;56(3):277–281. doi: 10.15288/jsa.1995.56.277. [DOI] [PubMed] [Google Scholar]
  24. Mastro T. D., Kitayaporn D., Weniger B. G., Vanichseni S., Laosunthorn V., Uneklabh T., Uneklabh C., Choopanya K., Limpakarnjanarat K. Estimating the number of HIV-infected injection drug users in Bangkok: a capture--recapture method. Am J Public Health. 1994 Jul;84(7):1094–1099. doi: 10.2105/ajph.84.7.1094. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Midanik L. T. Validity of self-reported alcohol use: a literature review and assessment. Br J Addict. 1988 Sep;83(9):1019–1030. doi: 10.1111/j.1360-0443.1988.tb00526.x. [DOI] [PubMed] [Google Scholar]
  26. Regal R. R., Hook E. B. Goodness-of-fit based confidence intervals for estimates of the size of a closed population. Stat Med. 1984 Jul-Sep;3(3):287–291. doi: 10.1002/sim.4780030310. [DOI] [PubMed] [Google Scholar]
  27. Robles S. C., Marrett L. D., Clarke E. A., Risch H. A. An application of capture-recapture methods to the estimation of completeness of cancer registration. J Clin Epidemiol. 1988;41(5):495–501. doi: 10.1016/0895-4356(88)90052-2. [DOI] [PubMed] [Google Scholar]
  28. Tam T. W., Schmidt L., Weisner C. Patterns in the institutional encounters of problem drinkers in a community human services network. Addiction. 1996 May;91(5):657–669. doi: 10.1046/j.1360-0443.1996.9156573.x. [DOI] [PubMed] [Google Scholar]
  29. Wallace P., Haines A. Use of a questionnaire in general practice to increase the recognition of patients with excessive alcohol consumption. Br Med J (Clin Res Ed) 1985 Jun 29;290(6486):1949–1953. doi: 10.1136/bmj.290.6486.1949. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Wittes J. T., Colton T., Sidel V. W. Capture-recapture methods for assessing the completeness of case ascertainment when using multiple information sources. J Chronic Dis. 1974 Feb;27(1):25–36. doi: 10.1016/0021-9681(74)90005-8. [DOI] [PubMed] [Google Scholar]

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