Clinical evaluation of the alcohol use disorders identification test (AUDIT) in Moshi, Tanzania.

Autor: Vissoci JRN; Duke Global Health Institute, Duke University, Durham, NC, United States of America.; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America.; Global Emergency Medicine Innovation and Implementation (GEMINI) Research Center, Duke University Durham, NC, United States of America., Friedman K; Duke Global Health Institute, Duke University, Durham, NC, United States of America., Caruzzo NM; State University of Maringá, Maringá, Paraná, Brazil., de Oliveira LP; Cesumar Institute for Science, Technology and Innovation, Unicesumar, Maringá, Paraná, Brazil., Pauley A; Duke Global Health Institute, Duke University, Durham, NC, United States of America.; Global Emergency Medicine Innovation and Implementation (GEMINI) Research Center, Duke University Durham, NC, United States of America., Zadey S; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America.; Global Emergency Medicine Innovation and Implementation (GEMINI) Research Center, Duke University Durham, NC, United States of America., Menegassi V; State University of Maringá, Maringá, Paraná, Brazil., Sakita F; Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Boshe J; Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Staton CA; Duke Global Health Institute, Duke University, Durham, NC, United States of America.; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America.; Global Emergency Medicine Innovation and Implementation (GEMINI) Research Center, Duke University Durham, NC, United States of America., Mmbaga B; Duke Global Health Institute, Duke University, Durham, NC, United States of America.; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.; Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Nov 08; Vol. 18 (11), pp. e0287835. Date of Electronic Publication: 2023 Nov 08 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0287835
Abstrakt: Background: Alcohol use disorder is a major cause of morbidity and mortality in low- and middle-income countries. Alcohol screening using a validated tool is a useful way to capture high-risk patients and engage them in early harm reduction interventions. Our objectives were to 1) evaluate the psychometric evidence the Alcohol Use Disorders Identification Test (AUDIT) and its subscales in the general population of Moshi, Tanzania, and 2) evaluate the usefulness of the tool at predicting alcohol-related harms.
Methods: Two hundred and fifty-nine adults living in Moshi, Tanzania were included in the study. We used the AUDIT and its subscales to determine the classification of harmful and hazardous drinking. To analyze the internal structure of AUDIT and the model adequacy we used Confirmatory Factor Analysis (CFA). The reliability of AUDIT was analyzed for Cronbach's alpha, Omega 6 and Composite Reliability. The optimal cut off point for the AUDIT was determined by the receiver operating characteristic (ROC) curve, using the Youden approach to maximize sensitivity and specificity.
Results: The median score of the AUDIT was 1 (inter-quartile range: 0-7). The internal structure of the AUDIT showed factor loadings ranging from 0.420 to 0.873. Cronbach's alpha, Omega and Composite Reliability produced values above 0.70. The Average Variance Extracted was 0.530. For the AUDIT, a score of 8 was identified as the ideal cut-off value in our population.
Conclusions: This study validates AUDIT in the general population of Moshi and is one of the only studies in Africa to include measures of the internal structure of the AUDIT and its subscales.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Vissoci et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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