The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test.
The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test.
复制标题
酒精消费审核问题 (AUDIT-C)：针对饮酒问题的有效简短筛查测试。
DOI：
--
复制
发表时间：
1998
影响因子：
--
通讯作者：
K. Bradley
中科院分区：
文献类型：
--
作者：
K. Bush;D. Kivlahan;M. McDonell;S. Fihn;K. Bradley
客观化
评估酒精使用障碍识别测试(AUDIT-C)中的3个酒精消费问题，作为大量饮酒和/或过度酗酒或依赖的简短筛查测试。
方法
对来自3家退伍军人事务部普通医疗诊所的患者进行了问卷调查。健康史问卷的随机加权样本受访者，在过去一年中饮酒5次或5次以上，有资格接受电话采访(N=447)。酗酒者按2：1过度抽样。如果无法通过电话联系到患者、病情太重而无法接受采访或女性(n=54)，则排除患者。受试者操作特征曲线(AUROC)下的区域被用来将邮寄的酒精筛查问卷(AUDIT-C和FUAL AUDIT)与基于电话采访的3个比较标准进行比较：(1)过去一年的重度饮酒(每周14杯或>；或=5杯/场合)；(2)根据《精神疾病诊断和统计手册》修订的第三版标准，主动酗酒或依赖；以及(3)任一项。
结果
在393名符合条件的患者中，243名(62%)完成了AUDIT-C和访谈。在检测大量饮酒方面，AUDIT-C的AUROC高于完全AUDIT(0.891比0.881；P=0.03)。尽管在发现酗酒或依赖方面，完整的审计比AUDIT-C做得更好(0.811比0.786；P<；.001)，但在发现大量饮酒和/或积极滥用或依赖方面，两份问卷的表现相似(0.880比0.881)。
结论
关于酒精消费的三个问题(AUDIT-C)似乎是一种实用、有效的初级保健筛查测试，用于大量饮酒和/或积极酗酒或依赖。
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 > or =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.