Auditing the AUDIT: A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low- and middle-income countries
Auditing the AUDIT: A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low- and middle-income countries
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DOI：
10.1016/j.drugalcdep.2019.04.031
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发表时间：
2019-09-01
影响因子：
4.2
通讯作者：
Rane, Anil
中科院分区：
文献类型：
--
作者：
Nadkarni, Abhijit;Garber, Alison;Rane, Anil
简介：世界卫生组织 (WHO) 的酒精使用障碍识别测试 (AUDIT) 在世界各地广泛使用，其截止分数由世界卫生组织推荐。我们审查了低收入和中等收入国家审计截止分数的使用和有效性，因为文化背景预计会影响酒精使用障碍的检测。材料和方法：系统审查以符合 PRISMA（系统审查和荟萃分析的首选报告项目）声明的先验定义协议为指导。我们使用适当的检索词检索了 Cochrane 图书馆、Medline、EMBASE、PsycINFO、CINAHL、Indmed、LILACS 和 AJOL 数据库。我们对数据进行了叙述性综合。结果：我们确定了 54 项不同的研究，这些研究使用的审计截止分数与 WHO 推荐的分数不一致。印度 (n = 10)、尼日利亚 (n = 9) 和巴西 (n = 9) 开展了大部分纳入研究。大多数研究 (n = 42) 没有对 AUDIT 截止分数进行心理测量评估。在确实报告心理测量结果的十二项研究中，各种截止分数都表现良好。在这些研究中，检测有害饮酒的临界分数范围为 > 3 至 > 5，有害饮酒的临界分数范围为 > 5 至 > 16，依赖饮酒的临界分数范围为 > 7 至 > 24。 讨论：审计在中低收入国家中广泛使用，非推荐的临界分数被认为适合这些国家。系统地评估这些截止分数的心理测量特性非常重要，以确保使用它们的研究的内部有效性。
Introduction: The World Health Organization's (WHO) Alcohol Use Disorders Identification Test (AUDIT) is used extensively across the world, with cut-off scores recommended by the WHO. We reviewed the use and validity of AUDIT cut-off scores in low- and middle-income countries as cultural contexts are expected to influence the detection of alcohol use disorders.Materials and methods: The systematic review was guided by an a priori defined protocol consistent with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. We searched Cochrane library, Medline, EMBASE, PsycINFO, CINAHL, Indmed, LILACS, and AJOL databases using appropriate search terms. We conducted a narrative synthesis of the data.Results: We identified 54 distinct studies that used AUDIT cut-off scores which were not in alignment with those recommended by the WHO. India (n = 10), Nigeria (n = 9), and Brazil (n = 9) produced most of these included studies. Most of the studies (n = 42) did not conduct psychometric evaluations of AUDIT cut-off scores. Of the twelve studies which did report psychometric results, a wide range of cut-off scores performed well. In these studies the cut-off scores to detect hazardous drinking ranged from > 3 to > 5, for harmful drinking from > 5 to > 16, and for dependent drinking from > 7 to > 24.Discussion: AUDIT is being widely used in LMICs and non-recommended cut-off scores are considered to be appropriate in these countries. It is important to systematically evaluate the psychometric properties of those cut-off scores to ensure the internal validity of the studies in which they are used.