Publication | Date | Language | Abstracts | Access |
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Aalto, M., Hyvönen, S., Seppä, K. Do primary care physicians' own AUDIT scores predict their use of brief alcohol intervention? A cross-sectional survey. Drug and Alcohol Dependence, Volume 83, Issue 2, 28 June 2006, Pages 169-173 |
2006 | English | Background: To define whether the Alcohol Use Disorders Identification Test (AUDIT) scores of primary care physicians themselves predict their willingness to use brief alcohol intervention. Methods: Cross-sectional self-administered questionnaire survey to all 3193 physicians providing primary health care in Finland. The response rate was 1909 (59.8%). Odds ratios from multinomial regression analysis were calculated for self-reported frequency (never, occasionally or regularly) of conducting brief interventions by physicians with AUDIT scores of 0-1, 2, 3, 4, 5-7 or ≥8. Results: The prevalence of heavy drinkers based on AUDIT score (≥8) was 14.5% among all physicians, 7.0% among females and 27.0% among males. Of the respondents 9.4% reported doing brief intervention regularly and 50.0% occasionally. AUDIT scores did not significantly predict either regular or occasional use of brief intervention. Instead, some other independent predictors for more frequent use of brief intervention were found. These included having a specialist licence in general practice or occupational health care and the location of the practice, but not gender or age. Conclusions: The present results indicate that in general heavy drinking among primary care physicians do not explain the low frequency with which brief intervention is used in primary health care. | Via Publisher |
Almarri, T.S.K., Oei, T.P.S., Amir, T. Validation of the Alcohol Use Disorders Identification Test in a prison sample living in the Arabian gulf region. Substance Use and Misuse, Volume 44, Issue 14, 23 November 2009, Pages 2001-2013 |
2009 | English | The purpose of this study was to assess the utility of the Arabic translation of the Alcohol Use Disorders Identification Test (AUDIT) among a sample of male Muslim prisoners (N=107) in Dubai, United Arab Emirates (UAE). Confirmatory factor analysis indicated a two-factor model to be the best fit of the data. Good internal reliability (α=.91) and predictive validity were also observed. While the limitations of the study are observed, these promising results suggest that the Arabic version of the AUDIT is a reliable and sound measure of alcohol use disorders among prisoners in the UAE. | Via Publisher |
Alvarado, M.E., Garmendia, M.L., Acuña, G., Santis, R., Arteaga, O. Assessment of the Alcohol Use Disorders Identification Test (AUDIT) to detect problem drinkers | [Validez y confiabilidad de la versión chilena del alcohol use disorders identification test (AUDIT)]. Revista Medica de Chile Volume 137, Issue 11, November 2009, Pages 1463-1468 |
2009 | Spanish | Background: AUDIT is a self reported questionnaire used to detect problem drinkers. It must be translated into Spanish and validated in order to be used in Chile. Aim: To assess the validity of a Chilean version of the AUDIT questionnaire. Results: The internal consistency of AUDIT was 0.93, its test re-tests reliability was 0.97 (95% confidence intervals 0.96-0.98). Using a cutoff point of 6 for hazardous consumption, its sensitivity and specificity were 83% and 88%, respectively. The figures for dependence and harmful consumption, using a cutoff point of 9, were 87% and 85%, respectively. Conclusions: AUDIT is a valid questionnaire to detect problem drinkers. | Open Access |
Bae, H.-C., Hong, S., Jang, S.-I., Lee, K.-S., Park, E.-C. Patterns of alcohol consumption and suicidal behavior: Findings from the fourth and fifth Korea National Health and Nutritional Examination Survey (2007-2011). Journal of Preventive Medicine and Public Health, Volume 48, Issue 3, 1 May 2015, Pages 142-150 |
2015 | English | Objectives: The purpose of this study was to investigate the association between suicidal behavior and patterns of alcohol consumption in Korean adults. Methods: This study was based on data provided by the Korea National Health and Nutritional Examination Survey from 2007 to 2011. A total of 42 347 subjects were included in the study, of whom 19 292 were male and 23 055 were female. Logistic regression analysis was performed to assess the association between patterns of alcohol consumption and suicidal behavior. Results: Among the study subjects, 1426 males (11.3%) and 3599 females (21.2%) had experienced suicidal ideation, and 106 males (0.8%) and 190 females (1.1%) had attempted suicide during the previous 12 months. Alcohol Use Disorders Identification Test (AU-DIT) scores were found to be associated with suicidal ideation in males and associated with both suicidal ideation and suicide attempts in females. Alcoholic blackouts were associated with suicidal ideation and suicide attempts in males, and were also associated with suicidal ideation in females. Conclusions: In this study, we found that certain patterns of alcohol consumption were associated with suicidal behaviors. In particular, only alcoholic blackouts and categorized AUDIT scores were found to be associated with suicidal behavior in males. We therefore suggest that further research is needed to examine this relationship prospectively and in other settings. | Open Access |
Bergman, H., Källmén, H. Alcohol use among Swedes and a psychometric evaluation of the Alcohol Use Disorders Identification Test. Alcohol and Alcoholism, Volume 37, Issue 3, 2002, Pages 245-251 |
2002 | English | The Alcohol Use Disorders Identification Test (AUDIT) was completed by 997 persons randomly selected from the general Swedish population (80% response rate). Eighteen per cent of the men and 5% of the women had hazardous or harmful alcohol use according to the ≥8 score criterion. AUDIT scores decreased with increasing age in both genders. Women are more sensitive to alcohol than men and when the cut-off score was set to ≥6, the female prevalence of hazardous or harmful alcohol use increased to nearly 11%. The ‘binge drinking’ question explained half of the total AUDIT variance and is thus the best item indicator of hazardous or harmful alcohol use in the test. Confirmatory and exploratory factor analyses revealed two AUDIT basic factors, the first three items defining a ‘hazardous consumption’ factor and the other seven items an ‘alcohol-related problems’ factor. Both the internal and test– retest reliability of the Swedish version of AUDIT were satisfactory. A table for converting raw scores to non-normalized T-scores for each combination of gender and three age intervals is presented. | Open Access |
Bergman, H., Källmén, H. Swedish women have developed riskier and more harmful alcohol habits. Study of changes in Swedes' alcohol habits during 1997-2001 | [Svenska kvinnor har fått mer riskfyllda och skadligare alkoholvanor]. Lakartidningen, Volume 100, Issue 12, 20 March 2003, Pages 1028-1035 |
2003 | Swedish | A random sample of 1,250 persons from the general Swedish population responded to the Alcohol Use Disorders Identification Test, AUDIT. The results (72.5% response rate) were compared to the results from an identical survey made 1997 (79.8% response rate). The factor structure and the internal reliability showed good correspondence with those of 1997, indicating a stable and satisfactory psychometric quality of the Swedish AUDIT version. The female prevalence of hazardous or harmful alcohol use had increased from 11 to 15 percent between 1997 and 2001. Thus, women, particularly 28-38 yers old, reported drinking more often and in greater amounts. Furthermore, the prevalence of female teetotallers had de creased from 18 to 13 percent. The corresponding trends among men were not significant but might have been underestimated due to a greater dropout, particularly among young men in the year of 2001. | Open Access |
Bergman, H., Källmén, H., Rydberg, U., Sandahl, C. A 10-item questionnaire identifying alcohol problems was tested psychometrically at a psychiatric emergency ward | [Tio frågor om alkohol identifierar beroendeproblem: Psykometrisk prövning på psykiatrisk akutmottagning]. Lakartidningen, Issue 43, 21 October 1998, Pages 4731-4735 |
1998 | Swedish | It is important to develop and evaluate methods of identifying alcohol dependent patients and patients at risk of alcohol problems. The World Health Organisation recommends a 10-item questionnaire, AUDIT (Alcohol Use Disorders Identification Test), which assesses hazardous alcohol use, dependence symptoms, and harmful alcohol use. The article describes a Swedish version of AUDIT that has been psychometrically tested on a sample of patients admitted to a psychiatric emergency ward. Both internal consistency, reliability and validity were found to be satisfactory in terms of sensitivity and specificity in predicting DSM alcoholism diagnoses. | Open Access |
Bernards, S., Graham, K., Demers, A., Kairouz, S., Wells, S. Gender and the assessment of at-risk drinking: Evidence from the GENACIS Canada (2004-2005) telephone survey version of the AUDIT. Drug and Alcohol Dependence, Volume 88, Issue 2-3, 11 May 2007, Pages 282-290 |
2007 | English | The Alcohol Use Disorders Identification test (AUDIT) is widely used in general population surveys as a method of determining prevalence of hazardous drinking. However, its interpretation has been questioned particularly regarding the unequal contribution of the items to the total score, specifically, that the drinking frequency item contributes disproportionately to the score and may lead to inappropriate identification of some drinkers as hazardous drinkers. To explore these issues further as well as possible gender differences in the applicability of the AUDIT, we conducted analyses using a modified version of the AUDIT (AUDITM) as part of a general population survey that used random digit dialing and computer-assisted telephone interviewing. Item and factor analyses were performed separately for men and women, and the impacts of excluding the frequency of drinking item in the measurement of mean scores, percentages and types of problems for men and women were examined. We found that the AUDITMitems loaded onto three distinct dimensions for both men and women: frequency of drinking; usual quantity and frequency of heavy-episodic drinking; problem consequences from drinking. In addition, we found that excluding the frequency question may give a more meaningful estimate of the percent of drinkers actually at risk of experiencing problems from drinking for both men and women. Finally, although our analyses identified only minor gender differences in the structure of the AUDIT and good sensitivity for identifying problem drinkers among both men and women, significant gender differences in the types of problems experienced suggest that use and interpretation of the AUDIT should routinely take gender into consideration. | Via Publisher |
Berner, M.M., Kriston, L., Bentele, M., Härter, M. The Alcohol Use Disorders Identification Test for detecting at-risk drinking: A systematic review and meta-analysis. Journal of Studies on Alcohol and Drugs, Volume 68, Issue 3, May 2007, Pages 461-473. |
2007 | English | Objective: The purpose of this study was to perform a systematic review of the diagnostic accuracy of the AlcoholUse Disorders Identification Test (AUDIT) for detecting at-risk drinking. Results: Twenty-three studies were included in the systematic review, 19 of which were included in the meta-analysis. With a cutoff of 8 points, sensitivity ranged from .31 to .89 and specificity ranged from .83 to .96 across the eight studies conducted in primary care. A single trial in general hospital inpatients found a sensitivity of .93 and a specificity of .94; another trial in emergency-department patients found a sensitivity of .72 and a specificity of .88. A study in university students found a sensitivity of .82 and a specificity of .78. Three studies in elderly patients found sensitivities between .55 and .83 at a pooled specificity of .96. There was large heterogeneity between study results, which could only partly be explained by setting diversity. The analysis of results with population-specific cutoff points led to similar findings. Conclusions: Findings on the diagnostic performance of the AUDIT proved to be largely heterogeneous. Its use should be restricted to primary care populations, inpatients, and elderly patients. | Via Publisher |
Bickram Pradhan, François Chappuis, Dharanidhar Baral, Prahlad Karki, Suman Rijal, Antoine Hadengue and Pascal Gache. The Alcohol Use Disorders Identification Test (AUDIT): Validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings. Pradhan et al. Substance Abuse Treatment, Prevention, and Policy 2012, 7:42 |
2012 | English | Alcohol problems are a major health issue in Nepal and remain under diagnosed. Increase in consumption are due to many factors, including advertising, pricing and availability, but accurate information is lacking on the prevalence of current alcohol use disorders. The AUDIT (Alcohol Use Disorder Identification Test) questionnaire developed by WHO identifies individuals along the full spectrum of alcohol misuse and hence provides an opportunity for early intervention in non-specialty settings. This study aims to validate a Nepali version of AUDIT among patients attending a university hospital and assess the prevalence of alcohol use disorders along the full spectrum of alcohol misuse. Results: A total of 1068 individuals successfully completed the study. According to DSM-IV, drinkers were classified as follows: No alcohol problem (n=562; 59.5%), alcohol abusers (n= 78; 8.3%) and alcohol dependent (n=304; 32.2%). The prevalence of hazardous drinker was 67.1%. The Nepali version of AUDIT is a reliable and valid screening tool to identify individuals with alcohol use disorders in the Nepalese population. AUDIT showed a good capacity to discriminate dependent patients (with AUDIT ≥11 for both the gender) and hazardous drinkers (with AUDIT ≥5 for males and ≥4 for females). For alcohol dependence/abuse the cut off values was ≥9 for both males and females. Conclusion: The AUDIT questionnaire is a good screening instrument for detecting alcohol use disorders in patients attending a university hospital. This study also reveals a very high prevalence of alcohol use disorders in Nepal. | Open Access |