Optimizing the Use of the AUDIT for Alcohol Screening in College Students
Optimizing the Use of the AUDIT for Alcohol Screening in College Students
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DOI：
10.1037/a0028519
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发表时间：
2012-12-01
影响因子：
3.6
通讯作者：
Carey, Kate B.
中科院分区：
文献类型：
--
作者：
DeMartini, Kelly S.;Carey, Kate B.
对高危大学生饮酒进行筛查和短暂干预的治疗方式正变得越来越流行。有效实施的一个关键是使用经过验证的筛查工具。尽管酒精使用障碍识别测试(AUDIT)已经在成人样本中得到验证，并经常用于大学生，但研究尚未确定筛选高风险饮酒的最佳截止分数。401名目前的饮酒者完成了对人口统计学、酒精使用障碍家族史、酒精使用史、酒精相关问题和一般健康的计算机化评估。在401名饮酒者中，有207人符合高危饮酒标准。受试者操作特征(ROC)曲线分析显示，审计的ROC下面积(AUROC)为.86(95%可信区间[.83，.90])。审计的前3个消费项目(审计-C；AUROC=.89，95%CI[.86，.92])在检测整个样本中的危险饮酒方面明显好于审计，特别是对女性。在AUDIT-C的最佳截止分数中出现了性别差异。男生总分为7分，女生总分为5分。这些经验指南可能会在大学环境中加强对高危饮酒者的识别。
The screening and brief intervention modality of treatment for at-risk college drinking is becoming increasingly popular. A key to effective implementation is use of validated screening tools. Although the Alcohol Use Disorders Identification Test (AUDIT) has been validated in adult samples and is often used with college students, research has not yet established optimal cutoff scores to screen for at-risk drinking. Four hundred and one current drinkers completed computerized assessments of demographics, family history of alcohol use disorders, alcohol use history, alcohol-related problems, and general health. Of the 401 drinkers, 207 met criteria for at-risk drinking. Receiver operating characteristic (ROC) curve analysis revealed that the area under the ROC (AUROC) of the AUDIT was .86 (95% CI [.83, .90]). The first 3 consumption items of the AUDIT (AUDIT-C; AUROC = .89, 95% CI [.86, .92]) performed significantly better than the AUDIT in the detection of at-risk drinking in the whole sample, and specifically for females. Gender differences emerged in the optimal cutoff scores for the AUDIT-C. A total score of 7 should be used for males, and a score of 5 should be used for females. These empirical guidelines may enhance identification of at-risk drinkers in college settings.