Validity of the alcohol use disorders identification test in college students

Validity of the alcohol use disorders identification test in college students
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DOI:
10.1097/01.alc.0000128239.87611.f5
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发表时间:
2004-06-01
影响因子:
3.2
通讯作者:
Fleming, M
Fleming, M
中科院分区:
医学3区
文献类型:
--
作者:
Kokotailo, PK;Egan, J;Fleming, M

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背景资料:大学生中高危酒精使用与事故,伴侣暴力,不想要的性接触,烟草使用和性能问题有关。识别和治疗高危饮酒学生是许多大学校园和大学健康中心的优先事项。本研究的目的是测试的心理测量学性质的酒精使用障碍识别测试(AUDIT)在大学students.Methods:一个方便的样本的学生来到一所大学的卫生诊所被要求完成10个问题的AUDIT,然后参加一个研究性访谈。访谈的重点是通过使用复合国际诊断访谈物质滥用模块和时间轴后续程序来评估学生的酒精滥用和依赖,以评估28天的饮酒history.Results:共有302名学生符合资格标准,并同意参加这项研究。样本包括185名女性(61%)和117名男性(39%),平均年龄为20.3岁。40名学生戒酒,88名是高危饮酒者,103名符合12个月依赖史的标准。受试者操作曲线表明,AUDIT在检测高风险酒精使用方面的治愈面积最高(0.872),在识别有酒精滥用或依赖终身史的人方面的治愈面积最低(0.775)。AUDIT临界值为6或更高的表现出91.0%的敏感性和60.0%的特异性在检测的高危drinkers.Conclusions:AUDIT有合理的心理测量学性质的样本中使用学生健康服务的大学生。本研究支持在该人群中使用AUDIT。
Background: High-risk alcohol use among college students is associated with accidents, partner violence, unwanted sexual encounters, tobacco use, and performance issues. The identification and treatment of high-risk drinking students is a priority for many college campuses and college health centers. The goal of this study was to test the psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) in college students.Methods: A convenience sample of students coming into a college health clinic was asked to complete the 10-question AUDIT and then participate in a research interview. The interview focused on assessing students for alcohol abuse and dependence by using the Composite International Diagnostic Interview Substance Abuse Module and timeline follow-back procedures to assess a 28-day drinking history.Results: A total of 302 students met the eligibility criteria and agreed to participate in the study. The sample consisted of 185 females (61%) and 117 males (39%), with a mean age of 20.3 years. Forty students were abstinent, 88 were high-risk drinkers, and 103 met criteria for a 12-month history of dependence. Receiver operator curves demonstrated that the AUDIT had the highest area under the cure for detecting high-risk alcohol use (0.872) and the lowest for identifying persons with a lifetime history of alcohol abuse or dependence (0.775). An AUDIT cutoff score of 6 or greater demonstrated a sensitivity of 91.0% and a specificity of 60.0% in the detection of high-risk drinkers.Conclusions: The AUDIT has reasonable psychometric properties in sample of college students using student health services. This study supports the use of the AUDIT in this population.