Audit cut-off point at 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10: which is more informative?

2011 ◽  
Vol 26 (S2) ◽  
pp. 126-126
Author(s):  
M.O. Welcome ◽  
V.A. Pereverzev
Keyword(s):  
Alcohol Use ◽  
University Students ◽  
Problem Drinking ◽  
Alcohol Use Disorders ◽  
Alcohol Problems ◽  
Identification Test ◽  
Positive Score ◽  
The Given

The Alcohol Use Disorders Identification Test (AUDIT) scores actually vary from place to place for many reasons. The traditional/cultural/ethnic, as well as gender peculiarities of alcohol problems in the given population may affect the AUDIT cut-off recommendation. Most studies have used a cut-off point of 8, others have suggested lower or higher cut-offs. Cut-off points between 5 and 8 and/or 9 and 10 have been suggested for problem drinking. How the AUDIT cut-off point varies from study to study is somewhat misleading as validation results actually show a lower AUDIT cut-off as compared to the recommended one. In this study we analyzed the various scores (0*ndash;40) of the AUDIT using psychophysiological parameters among a sample of university students in Belarus. The statistical value for significance was set at p < 0.05. This study reveals that the AUDIT cut-off which was highly informative for problem drinking among the males is 8 and above. For the females, any positive score (i.e. from 1 through 10) on the AUDIT was highly informative for problem drinking. Hence, any positive score on the AUDIT for a female and 8 for the males needs specific attention and therapeutic confirmation with additional consultation.

scholarly journals The Use of the Alcohol Use Disorders Identification Test – Consumption as an Indicator of Hazardous Alcohol Use among University Students

2019 ◽  
Vol 26 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sanne Verhoog ◽  
Jolien M. Dopmeijer ◽  
Jannet M. de Jonge ◽  
Claudia M. van der Heijde ◽  
Peter Vonk ◽  
...  
Keyword(s):  
Alcohol Use ◽  
University Students ◽  
Alcohol Use Disorders ◽  
Hazardous Alcohol Use ◽  
Identification Test ◽  
Hazardous Alcohol

scholarly journals The Personality Assessment Inventory Alcohol Scale in Veterans With PTSD: Convergent and Discriminant Relations With the Alcohol Use Disorders Identification Test

Assessment ◽  
2019 ◽  
Vol 27 (4) ◽  
pp. 719-727
Author(s):  
Dan V. Blalock ◽  
Sarah M. Wilson ◽  
Eric A. Dedert ◽  
Carolina P. Clancy ◽  
Michael A. Hertzberg ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Personality Assessment ◽  
Personality Assessment Inventory ◽  
Alcohol Use Disorders ◽  
Alcohol Problems ◽  
Cut Scores ◽  
Male Veterans ◽  
Identification Test ◽  
Valid Assessment

In this study, we examined the validity of the Personality Assessment Inventory Alcohol (ALC) scale in 736 male veterans presenting for formal evaluation of posttraumatic stress disorder (PTSD). The ALC scale exhibited convergence with other measures of alcohol problems, and this convergence was similar for veterans with and without formal PTSD diagnosis. When predicting alcohol consumption via the Alcohol Use Disorders Identification Test (AUDIT), the ALC scale also displayed substantial incremental validity over the effects of demographics and MMPI-2 MacAndrew Alcohol Scale. Using a standard alcohol consumption cut score on the AUDIT, the ALC scale displayed good specificity and (generally) good sensitivity across three common cut scores. PTSD severity did not significantly affect the association between the ALC composite and alcohol consumption via the AUDIT. Taken together, results suggested that the ALC can provide valid assessment of alcohol use among treatment seeking veterans.

The Alcohol Use Disorders Identification Test and the risk of metachronous cancer after endoscopic resection of esophageal cancer

2020 ◽  
Vol 41 (8) ◽  
pp. 1049-1056
Author(s):  
Akira Yokoyama ◽  
Chikatoshi Katada ◽  
Tetsuji Yokoyama ◽  
Kohei Takizawa ◽  
Tomonori Yano ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cohort Study ◽  
Alcohol Use ◽  
Endoscopic Resection ◽  
Alcohol Use Disorders ◽  
Japanese Patients ◽  
Alcohol Problems ◽  
Field Cancerization ◽  
Identification Test ◽  
Audit Score

Abstract Follow-up studies of Japanese patients who had undergone endoscopic resection (ER) for early esophageal squamous cell carcinoma (ESCC) have reported a high prevalence of metachronous SCC in the upper aerodigestive tract (UAT). This prospective multicenter cohort study followed up 330 Japanese patients after ER of ESCC for a median of 49.4 months. The Alcohol Use Disorders Identification Test (AUDIT) for the 12-month period prior to study registration revealed high frequencies of high-risk drinking behaviors: 84 (25.4%) subjects had AUDIT scores of ≥15 points (suspected alcohol dependence) and 121 (36.7%) subjects had AUDIT scores of 8–14 points (hazardous drinking). Seventy-four subjects were metachronously diagnosed with ESCC, and 20 subjects with head and neck SCC (HNSCC). AUDIT scores ≥15 were associated with increases in the total number of HNSCCs per 100 person-years (0.4 for 0–7, 1.2 for 8–14 and 7.1 for ≥15; P &lt; 0.0001). AUDIT scores were progressively associated with the grade of esophageal Lugol-voiding lesions (LVLs), a predictor of field cancerization in the UAT. Both an AUDIT score of ≥15 points and the presence of multiple LVLs were independent predictors of metachronous HNSCC [multivariate hazard ratio (95% confidence interval) = 6.98 (1.31–37.09) and 3.19 (1.19–8.54), respectively]. However, a high AUDIT score was not a predictor of metachronous ESCC. In conclusion, high AUDIT scores were markedly frequent in this population and increased the risk of metachronous HNSCC. The assessment of drinking behavior using the AUDIT and the completion of interventions for alcohol problems should be incorporated into the treatment strategy of ESCC. The name of the clinical trial register and the clinical trial registration number: Japan Esophageal Cohort Study, UMIN000001676.

scholarly journals Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina

2017 ◽  
Vol 39 (07) ◽  
pp. 322-329 ◽  
Author(s):  
Mariana López ◽  
Aldana Lichtenberger ◽  
Karina Conde ◽  
Mariana Cremonte
Keyword(s):  
Alcohol Use ◽  
Pregnant Women ◽  
Behavioral Problems ◽  
Alcohol Use Disorders ◽  
Roc Curves ◽  
Alcohol Exposure ◽  
Alcohol Problems ◽  
Screening Tests ◽  
Operating Characteristics ◽  
Identification Test

Background Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identifying women with alcohol use disorders is important because they could need a more specific intervention than simple advice to abstain. Most screening tests have been developed and validated in male populations and focused on the long-term consequences of heavy alcohol use, so they might be inappropriate to assess consumption in pregnant women. Objective To analyze the internal reliability and validity of the alcohol screening instruments Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Disorders Identification Test – Consumption (AUDIT-C), Tolerance, Worried, Eye-Opener, Amnesia and Cut-Down (TWEAK), Rapid Alcohol Problems Screen – Quantity Frequency (RAPS-QF) and Tolerance, Annoyed, Cut-Down and Eye-Opener (T-ACE) to identify alcohol use disorders in pregnant women. Methods A total of 641 puerperal women were personally interviewed during the 48 hours after delivery. The receiver operating characteristics (ROC) curves and the sensitivity and specificity of each instrument using different cut-off points were analyzed. Results All instruments showed areas under the ROC curves above 0.80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut-off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced the low reliability of those instruments and a better performance of the AUDIT in this population.

scholarly journals Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students

2021 ◽  
Vol 18 (10) ◽  
pp. 5213
Author(s):  
Laura Ballester ◽  
Itxaso Alayo ◽  
Gemma Vilagut ◽  
José Almenara ◽  
Ana Cebrià ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
University Students ◽  
Alcohol Dependence ◽  
Online Survey ◽  
Alcohol Use Disorders ◽  
Alcohol Screening ◽  
Online Version ◽  
Timeline Followback ◽  
Identification Test

Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18–24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT’s Cronbach’s alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.

Aging and Alcohol Use Disorders: Diagnostic Issues in the Elderly

1990 ◽  
Vol 2 (1) ◽  
pp. 55-72 ◽  
Author(s):  
Roland M. Atkinson
Keyword(s):  
Alcohol Use ◽  
Elderly Women ◽  
Late Onset ◽  
Problem Drinking ◽  
Alcohol Use Disorders ◽  
Public Health Problem ◽  
The Elderly ◽  
Alcohol Problems ◽  
Diagnostic Methods ◽  
Extensive Literature

Alcohol use and use disorders in older people tend to be hidden and ignored by clinicians and scholars. Resulting misinformation about elderly alcohol problems can be found in such fundamental works as the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Yet, an extensive literature about the nature of geriatric alcohol problems has developed recently. This article reviews that literature, comments on current research at several North American centers, and offers some new information from the author's study of more than 300 older male alcoholics. Many findings remain to be replicated and further verified. Nonetheless, several coherent strands of information seem to be well substantiated: (a) problem drinking in the elderly constitutes a public health problem of moderate proportion, especially in men; (b) most signs predict increasing problem drinking in coming generations of elderly women and men; (c) many cases of geriatric alcoholism have late onset; (d) many geriatric cases are not properly identified; and (e) present screening and diagnostic methods for alcohol use disorders lack adequate validation for older persons.

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