Auditing the AUDIT:A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low- and middle-income countries
| Autor: | Sonali Kumar, Mariam Ibrahim, Nathalie MacKinnon, Sheena Wood, Richard Velleman, Alison Garber, Anil Rane, Godwin Fernandes, Sheina Costa, Abhijit Nadkarni, Urvita Bhatia, Benedict Weobong |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics MEDLINE Poison control Audit PsycINFO Cochrane Library World Health Organization Toxicology 03 medical and health sciences 0302 clinical medicine Alcohol use disorders SDG 3 - Good Health and Well-being Reference Values medicine Humans Pharmacology (medical) 030212 general & internal medicine Internal validity Developing Countries Pharmacology Psychological Tests Alcohol Use Disorders Identification Test Low- and middle-income countries business.industry Alcoholism Psychiatry and Mental health Systematic review Family medicine Female business Alcohol Use Disorders Identification Test (AUDIT) 030217 neurology & neurosurgery |
| Zdroj: | Nadkarni, A, Garber, A, Costa, S, Wood, S, Kumar, S, MacKinnon, N, Ibrahim, M, Velleman, R, Bhatia, U, Fernandes, G, Weobong, B & Rane, A 2019, ' Auditing the AUDIT : A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low-and middle-income countries ', Drug and Alcohol Dependence, vol. 202, pp. 123-133 . https://doi.org/10.1016/j.drugalcdep.2019.04.031 |
| ISSN: | 0376-8716 |
| DOI: | 10.1016/j.drugalcdep.2019.04.031 |
| Popis: | Introduction: The World Health Organization's (WHO) Alcohol Use Disorders Identification Test (AUDIT) is used extensively across the world, with cut-off scores recommended by the WHO. We reviewed the use and validity of AUDIT cut-off scores in low- and middle-income countries as cultural contexts are expected to influence the detection of alcohol use disorders. Materials and methods: The systematic review was guided by an a priori defined protocol consistent with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. We searched Cochrane library, Medline, EMBASE, PsycINFO, CINAHL, Indmed, LILACS, and AJOL databases using appropriate search terms. We conducted a narrative synthesis of the data. Results: We identified 54 distinct studies that used AUDIT cut-off scores which were not in alignment with those recommended by the WHO. India (n = 10), Nigeria (n = 9), and Brazil (n = 9) produced most of these included studies. Most of the studies (n = 42) did not conduct psychometric evaluations of AUDIT cut-off scores. Of the twelve studies which did report psychometric results, a wide range of cut-off scores performed well. In these studies the cut-off scores to detect hazardous drinking ranged from >3 to >5, for harmful drinking from >5 to >16, and for dependent drinking from >7 to >24. Discussion: AUDIT is being widely used in LMICs and non-recommended cut-off scores are considered to be appropriate in these countries. It is important to systematically evaluate the psychometric properties of those cut-off scores to ensure the internal validity of the studies in which they are used. |
| Databáze: | OpenAIRE |
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