Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT)

Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT)
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DOI:
10.1093/alcalc/agm061
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发表时间:
2008-01-01
影响因子:
2.8
通讯作者:
Pathmeswaran, A.
Pathmeswaran, A.
中科院分区:
医学3区
文献类型:
--
作者:
De Silva, Prasantha;Jayawardana, Pushpa;Pathmeswaran, A.

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目的:确定酒精使用障碍识别测试(AUDIT) 10项问卷的截止点,在斯里兰卡样本中区分危险饮酒(HZD)和酒精使用障碍(AUD)与低风险饮酒(LRD),以及AUD与HZD和LRD的已婚男性。方法:采用62名低风险饮酒者和88名危险饮酒者和AUD,将审计工具与饮料特异性、数量-频率问卷的改编和翻译版本以及复合国际诊断访谈(CIDI)的酒精使用模块进行比较,并绘制两条受试者工作特征(ROC)曲线。结果:区分HZD + AUD与LRD、AUD与HZD + LRD的ROC曲线下面积分别为0.96 (95% CI: 0.94-0.99)和0.97 (95% CI: 0.95-0.99)。截止值7和16被观察到在敏感性、特异性、正似然比与负似然比和阳性预测值之间具有最佳的权衡。结论:该方法可用于筛查斯里兰卡僧伽罗已婚男性的LRD、HZD和AUD。
Aims: To determine cut-offs for the Alcohol Use Disorders Identification Test (AUDIT) 10-item questionnaire, differentiating hazardous drinking (HZD) and alcohol use disorders (AUD) from low risk drinking (LRD), and AUD from HZD and LRD among married men in a Sri Lankan sample. Methods: Using 62 low risk drinkers and 88 each from hazardous drinkers and AUD, the AUDIT instrument was compared with adapted and translated versions of a beverage-specific, quantity-frequency questionnaire, and the alcohol use module of the Composite International Diagnostic Interview (CIDI), and two receiver operating characteristic (ROC) curves were plotted. Results: The area under the ROC curves to differentiate HZD + AUD from LRD and AUD from HZD + LRD were 0.96 (95% CI: 0.94-0.99) and 0.97 (95% CI: 0.95-0.99) respectively. The cut-off values of 7 and 16 were observed to have the best trade-offs between sensitivity, specificity, the ratio of positive likelihood to negative likelihood ratios, and positive predictive values. Conclusion: The AUDIT could be used to screen for LRD, HZD, and AUD among Sinhalese married men in Sri Lanka.