Diagnostic efficiency of the AUDIT-C in U.S. veterans with military service since September 11, 2001
| Autor: | Eric F. Crawford, Jean C. Beckham, Cindy M. Swinkels, Jessica J. Fulton, Patrick S. Calhoun |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Alcohol abuse Audit Toxicology Occupational safety and health Cohort Studies Young Adult Sex Factors Injury prevention Ethnicity Humans Medicine Pharmacology (medical) Psychiatry Aged Veterans Pharmacology Alcohol Use Disorders Identification Test business.industry Age Factors Reproducibility of Results Middle Aged medicine.disease United States Diagnostic and Statistical Manual of Mental Disorders Alcoholism United States Department of Veterans Affairs Psychiatry and Mental health ROC Curve Area Under Curve Data Interpretation Statistical Cohort Female business Cohort study |
| Zdroj: | Drug and Alcohol Dependence. 132:101-106 |
| ISSN: | 0376-8716 |
| DOI: | 10.1016/j.drugalcdep.2013.01.012 |
| Popis: | 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).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.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.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. |
| Databáze: | OpenAIRE |
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