The AUDIT alcohol consumption questions (AUDIT-C) - An effective brief screening test for problem drinking
The AUDIT alcohol consumption questions (AUDIT-C) - An effective brief screening test for problem drinking
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DOI：
10.1001/archinte.158.16.1789
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发表时间：
1998-09-14
影响因子：
--
通讯作者：
Bradley, KA
中科院分区：
文献类型：
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作者：
Bush, K;Kivlahan, DR;Bradley, KA
目的：评估来自酒精使用障碍识别测试（审核-C）的3个饮酒问题，以作为对大量饮酒和/或主动酒精滥用或依赖性的简短筛查测试。问卷。过去一年中有5种或更多饮料的健康历史问卷调查表的随机加权样本有资格接受电话采访（n = 447）。饮酒者被超采样2：1；如果无法通过电话与患者联系，对他们进行面试或女性（n = 54），则将被排除在外。根据电话采访，使用接收器操作特征曲线（AUROC）与邮寄的酒精筛查问卷（审核-C和完整审核）进行比较：（1）过去一年的重量饮酒（> 14次喝酒或大于14饮料）或等于5饮料/场合）； （2）根据精神障碍的诊断和统计手册，经过修订的第三版，标准，主动酗酒或依赖性； （3）分子：在393名合格患者中，有243名（62％）完成了审计-C和访谈。为了检测大量饮酒，Audit-C的AUROC高于完整的审核（0.891 vs 0.881； P = .03）。尽管完整的审核的表现要比审计-C表现更好，以检测主动酒精滥用或依赖性（0.811 vs 0.786; p <.001），但两项问卷对于检测大量饮酒和/或主动滥用和依赖性（0.880 vs 0.881）的表现相似。结论：关于饮酒（审核-C）的三个问题似乎是实用的，有效的初级保健筛查测试，用于大量饮酒和/或活跃的酒精滥用或依赖。
Objective: To evaluate the 3 alcohol consumption questions from the Alcohol Use Disorders Identification Test (AUDIT-C) as a brief screening test for heavy drinking and/or active alcohol abuse or dependence.Methods: Patients from 3 Veterans Affairs general medical clinics were mailed questionnaires. A random, weighted sample of Health History Questionnaire respondents, who had 5 or more drinks over the past year, were eligible for telephone interviews (N = 447). Heavy drinkers were oversampled 2:1; Patients were excluded if they could not be contacted by telephone, were too ill for interviews, or were female (n = 54). Areas under receiver operating characteristic curves (AUROCs) were used to compare mailed alcohol screening questionnaires (AUDIT-C and full AUDIT) with 3 comparison standards based on telephone interviews: (1) past year heavy drinking (>14 drinks/week or greater than or equal to 5 drinks/occasion); (2) active alcohol abuse or dependence according to the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition, criteria; and (3) either.Results: Of 393 eligible patients, 243 (62%) completed AUDIT-C and interviews. For detecting heavy drinking, AUDIT-C had a higher AUROC than the full AUDIT (0.891 vs 0.881; P = .03). Although the full AUDIT performed better than AUDIT-C for detecting active alcohol abuse or dependence (0.811 vs 0.786; P < .001), the 2 questionnaires performed similarly for detecting heavy drinking and/or active abuse or dependence (0.880 vs 0.881).Conclusions: Three questions about alcohol consumption (AUDIT-C) appear to be a practical, valid primary care screening test for heavy drinking and/or active alcohol abuse or dependence.