AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents

Autor: Olli Kiviruusu, Henna Haravuori, Joni Liskola, Linnea Karlsson, Solja Niemelä, Nina Lindberg, Mauri Marttunen
Přispěvatelé: Department of Psychiatry, Nuorisopsykiatria, Clinicum, University of Helsinki, HUS Psychiatry
Rok vydání: 2018
Předmět:
Male
030508 substance abuse
Alcohol
Adolescents
Toxicology
3124 Neurology and psychiatry
HAZARDOUS DRINKING
chemistry.chemical_compound
0302 clinical medicine
Surveys and Questionnaires
Medicine
Pharmacology (medical)
030212 general & internal medicine
Child
18-35 YEAR-OLDS
EMERGENCY-DEPARTMENTS
education.field_of_study
Alcohol Use Disorders Identification Test
ABBREVIATED VERSIONS
BRIEF INTERVENTION
DISORDERS IDENTIFICATION TEST
Alcoholism
Psychiatry and Mental health
Screening
UNIVERSITY-STUDENTS
Female
0305 other medical science
Clinical psychology
Adolescent
Population
Binge drinking
Audit
Sensitivity and Specificity
Young Adult
03 medical and health sciences
PROBLEM DRINKING
health services administration
Humans
education
BINGE DRINKING
Psychiatric Status Rating Scales
Pharmacology
Receiver operating characteristic
business.industry
COLLEGE-STUDENTS
Odds ratio
ta3124
ROC Curve
chemistry
AUDIT
Brief intervention
business
Zdroj: Drug and Alcohol Dependence. 188:266-273
ISSN: 0376-8716
Popis: Background: The Alcohol Use Disorders Identification Test (AUDIT) is commonly used in adults to screen for harmful alcohol consumption but few studies exist on its use among adolescents. Our aim was to validate the AUDIT and its derivative consumption questionnaire (AUDIT-C) as screening instruments for the detection of problem use of alcohol in adolescents. Methods: 621 adolescents (age-range, 12-19 years) were drawn from clinical and population samples who completed the AUDIT questionnaire. Psychiatric diagnoses were assessed using K-SADS-PL. A rating based on the K-SADS-PL was used to assess alcohol use habits, alcohol use disorders, screening and symptom criteria questions. Screening performance of the AUDIT and AUDIT-C sum scores and Receiver Operating Characteristic (ROC) curves were calculated. The diagnostic odds ratios (dOR) were calculated to express the overall discrimination between cut-offs. Results: Comparisons of ROC between the AUDIT and AUDIT-C pairs indicated a slightly better test performance by AUDIT for the whole sample and in a proportion of the subsamples. Optimal cut-off value for the AUDIT was >= 5 (sensitivity 0.931, specificity 0.772, dOR 45.22; 95% CI: 24.72-83.57) for detecting alcohol problem use. The corresponding optimal cut-off value for the AUDIT-C was >= 3 in detecting alcohol problem use (sensitivity 0.952, specificity 0.663, dOR 39.31; 95% CI: 19.46-78.97). Agreement between the AUDIT and AUDIT-C using these cut-off scores was high at 91.9%. Conclusions: Our results for the cut-off scores for the early detection of alcohol problem use in adolescents are >= 5 for AUDIT, and >= 3 for AUDIT-C.
Databáze: OpenAIRE
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