The discriminant function analysis (DFA) of a battery of blood chemist
ry tests is generally more sensitive and specific than single biochemi
cal test in detecting alcoholism or hazardous drinking. This study exa
mined factors affecting the DFA of blood chemistry profiles (BCP) from
alcoholics (ALC) in treatment, primary care outpatients (PC), and the
general population (GP). Our data indicate that of the 32 variables i
n the BCP, 14 are not correlated with alcohol intake or consequences a
nd can be deleted from the set considered for use in the DFA. Confound
ing medical conditions in the data set used in the DFA did not adverse
ly affect the correct classification of ALC or heavy drinkers. It was
not necessary to use only extreme groups (e.g., alcoholics vs. light d
rinkers/abstainers) to develop the discriminant function. Transformati
on of some blood variables greatly improved the selection of key varia
bles in the DFA. Another finding was that there was little benefit fro
m fitting the DFA to the demographics of subjects. When the BCP was co
mbined with the results of a brief questionnaire, the TWEAK, it only i
mproved slightly the classification power of the DFA based only on the
TWEAK questions. (C) 1997 Elsevier Science Inc.