Self-Administered Alcoholism Screening Test (SAAST): Comparison of Classificatory Accuracy in Two Cultures


  • This study was supported in part by Professional Services Contract 86M0012937 from the National Institute of Alcohol Abuse and Alcoholism.

Reprint requests: Dr. Leo J. Davis, Jr., Mayo Clinic, 200 First Street SW, Rochester, MN 55905.


Results of stepwise discriminant analyses of the Self-Administered Alcoholism Screening Test (SAAST) administered to 181 alcoholics and 123 nonalcoholics in Mexico City were compared with results of a similar analysis of a sample in the United States (Rochester, MN). With sensitivities of 90% and 95%, specificities were 91.1% to 99.2% in the Mexican sample for total score and a nine-item version developed on the Rochester sample. A new nine-item version derived from the Mexican sample gave specificities between 95.1% and 99.2% at 90% and 95% sensitivities, as with the Rochester sample. The two items with greatest predictive power were the same in both cultures.