PREDICTIVE CAPACITY OF THE AUDIT QUESTIONNAIRE FOR ALCOHOL-RELATED HARM
PREDICTIVE CAPACITY OF THE AUDIT QUESTIONNAIRE FOR ALCOHOL-RELATED HARM
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DOI：
10.1111/j.1360-0443.1995.tb02810.x
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发表时间：
1995-11-01
期刊：
影响因子：
6
通讯作者：
REZNIK, RB
中科院分区：
文献类型：
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作者：
CONIGRAVE, KM;SAUNDERS, JB;REZNIK, RB
酒精使用障碍识别 (AUDIT) 是一份包含 10 项的调查问卷，旨在筛查危险和有害的酒精消费。我们检查了它预测 2-3 年期间与酒精相关的疾病和社会问题、住院和死亡率的能力。在初次访谈中，我们通过详细访谈（包括审核问题和实验室测试）对 330 名门诊护理患者进行了评估。 2-3 年后，250 名 (76%) 受试者接受了重新评估，并确定了他们遭受酒精相关伤害的经历。在初次面试时获得 8 分或通过审核的人中，61% 的人经历过与酒精相关的社会问题，而分数较低的人中这一比例为 10% (p < 0.0001)；他们在与酒精相关的疾病和住院方面的经历也明显更多。与实验室标记相比，AUDIT 评分是社会问题和高血压的更好预测指标。它预测其他与酒精相关的疾病的能力与实验室测试相似。然而，γ-谷氨酰转移酶是死亡率的唯一重要预测因子。我们的结论是，审计应该被证明是筛查危险和有害酒精消费的一个有价值的工具，以便可以向那些面临不良后果特定风险的人提供干预措施。
The Alcohol Use Disorders Identification rest (AUDIT) is a 10-item questionnaire designed to screen for hazardous and harmful alcohol consumption. We examined its ability to predict alcohol-related illness and social problems, hospital admission and mortality over a 2-3-year period. At initial interview, 330 ambulatory care patients were assessed using a detailed interview including the AUDIT questions and laboratory tests. After 2-3 years, 250 (76%) subjects were reassessed and their experience of alcohol-related harm determined. Of those who scored eight or move on AUDIT at initial interview, 61% experienced alcohol-related social problems compared with 10% of those with lower scores (p < 0.0001); they also had a significantly greater experience of alcohol-related medical disorders and hospitalization. AUDIT score was a better predictor of social problems and of hypertension than laboratory markers. Its ability to predict other alcohol-related illnesses was similar to the laboratory tests. However, gamma glutamyltransferase was the only significant predictor of mortality. We conclude that AUDIT should prove a valuable tool in screening for hazardous and harmful alcohol consumption so that intervention can be provided to those at particular risk of adverse consequences.