Revision of AUDIT Consumption Items to Improve the Screening of Youth Binge Drinking
Revision of AUDIT Consumption Items to Improve the Screening of Youth Binge Drinking
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DOI：
10.3389/fpsyg.2017.00910
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发表时间：
2017-06-08
影响因子：
3.8
通讯作者：
Sancerni-Beitia, Maria-Dolores
中科院分区：
文献类型：
--
作者：
Cortes-Tomas, Maria-Teresa;Gimenez-Costa, Jose-Antonio;Sancerni-Beitia, Maria-Dolores
本研究分析了一种最常用的高风险酒精消费筛查工具的改进版本的适当性。这种调整是根据其他研究人员认识到的某些限制而产生的，并试图调整一些项目的内容和规模，以更一致地定义酗酒。修改第2项和第3项后，计算审计和不同简略版本的ROC曲线下面积。共有906名15至17岁的未成年人（其中女性468名）被评估。对西班牙瓦伦西亚市的高中生进行了分层抽样。从纽约市的16个学区中随机选择一所学校。收集了关于社会人口方面、消费模式和载有改进项目的审计的资料。无论性别或年龄，未成年双相障碍的比例达到36%。在男性和女性中，根据不同的强度水平来区分BD组。在比较不同版本审计的有效性后，建议研究人员和诊所结合使用修订后的第2项和第3项，以确保更准确地识别未成年人双相障碍。该测试的截断点为5，将允许识别94%的未成年人双相障碍，并显著减少假阳性。
This study analyzes the appropriateness of an improved version of one of the most frequently used instruments for the screening of high-risk alcohol consumption. This adaptation was created in accordance with certain limitations recognized by other researchers and in an attempt to adjust the content and scales of some items to a more consensual definition of binge drinking. After revising items 2 and 3, the areas under the ROC curves of the AUDIT and of different abbreviated versions were calculated. A total of 906 minors (468 females) between the ages of 15 and 17 were evaluated. Stratified sampling was conducted on a population of high school students in the city of Valencia (Spain). One school was randomly chosen from each of the city's 16 school districts. Information was collected on sociodemographic aspects, consumption patterns and the AUDIT containing the improved items. The percentage of underage BD reached 36%, regardless of gender or age. BD groups have been differentiated by different intensity levels, both in males and females. Upon comparing the effectiveness of the distinct versions of the AUDIT, it is recommended that researchers and clinics use the combination of the revised items 2 and 3 to ensure a more precise identification of underage BD. A cut-off point of 5 for this test would permit identification of 94% of the underage BD and would notably reduce false positives.