Diagnostic efficiency of the AUDIT-C in U.S. veterans with military service since September 11, 2001
Diagnostic efficiency of the AUDIT-C in U.S. veterans with military service since September 11, 2001
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DOI：
10.1016/j.drugalcdep.2013.01.012
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发表时间：
2013-09-01
影响因子：
4.2
通讯作者：
Calhoun, Patrick S.
中科院分区：
文献类型：
--
作者：
Crawford, Eric F.;Fulton, Jessica J.;Calhoun, Patrick S.
背景：使用三项酒精使用障碍识别测试(AUDIT-C)进行酒精筛查已在整个美国退伍军人健康管理局实施。然而，AUDIT-C的验证主要是以年龄较大的退伍军人为样本进行的。这项研究测试了AUDIT-C在一组年轻的退伍军人中的诊断效率，这些退伍军人曾在持久自由行动和/或伊拉克自由行动(OEF/OIF)中服役。方法：退伍军人参与者(N=1775)完成了酒精使用障碍识别测试(AUDIT)，并在4个退伍军人医学中心的研究环境中接受了针对DSM-IV-TR的结构化临床访谈，以诊断轴心I障碍(SCID)。受试者工作特征曲线(AUC)下的面积测量了完整AUDIT和AUDIT-C在识别基于SCID的过去一年酒精滥用或依赖诊断方面的效率。结果：这两种方法在检测酒精使用障碍方面都表现良好。在整个样本中，审计的AUC(.908；.881.935)好于审计-C(.859；.826.893；p<；.0001)。值得注意的是，在男性中发现了同样的结果，但在女性中没有发现，这可能是由于权力的减少。AUDIT和AUDIT-C的诊断效率统计数据与较老的退伍军人样本的结果一致。结论：AUDIT和AUDIT-C似乎都是识别最近一批在OEF/OIF期间服役的美国退伍军人在研究环境中酗酒或依赖的有效工具。爱思唯尔爱尔兰有限公司出版。
Background: Alcohol screening with the 3-item alcohol use disorders identification test (AUDIT-C) has been implemented throughout the U.S. Veterans Health Administration. Validation of the AUDIT-C, however, has been conducted with samples of primarily older veterans. This study examined the diagnostic efficiency of the AUDIT-C in a younger cohort of veterans who served during Operation Enduring Freedom and/or Operation Iraqi Freedom (OEF/OIF).Methods: Veteran participants (N = 1775) completed the alcohol use disorders identification test (AUDIT) and underwent the structured clinical interview for DSM-IV-TR for Axis I disorders (SCID) in research settings within four VA medical Centers. Areas under receiver operating characteristic curves (AUCs) measured the effiency of the full AUDIT and AUDIT-C in identifying SCID-based diagnoses of past year alcohol abuse or dependence.Results: Both measures performed well in detecting alcohol use disorders. In the full sample, the AUDIT had a better AUC (.908; .881.935) than the AUDIT-C (.859; .826.893; p < .0001). It is notable that this same result was found among men but not women, perhaps due to reduced power. Diagnostic efficiency statistics for the AUDIT and AUDIT-C were consistent with results from older veteran samples. The diagnostic efficiency of both measures did not vary with race or age.Conclusions: Both the AUDIT and AUDIT-C appear to be valid instruments for identifying alcohol abuse or dependence among the most recent cohort of U.S. veterans with service during OEF/OIF within research settings. Published by Elsevier Ireland Ltd.