scholarly journals Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey

2018 ◽  
Vol 5 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Jae Hee Lee ◽  
Kyoung Ae Kong ◽  
Duk Hee Lee ◽  
Yoon Hee Choi ◽  
Koo Young Jung
2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Jae Hee Lee ◽  
Koo Young Jung ◽  
Yoon Hee Choi

Several abbreviated versions of the Alcohol Use Disorders Identification Test (AUDIT) have been developed for use in high-volume clinical situations such as emergency departments. In this study, we developed a new abbreviated version of AUDIT called the Screening Tool for At-risk Drinking (STAD) for young and middle-aged adults, consisting of two questions that reflect the structure of the AUDIT questionnaire using data from the Korea National Health and Nutrition Examination Survey (KNHANES). To derive the abbreviated test considering AUDIT item structure, we performed confirmatory factor analysis on the 10 AUDIT questions in the Korea National Health and Nutrition Examination Survey (KNHANES) IV. To validate the new abbreviated test, we analyzed the sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) on the KNHANES V-VI except for the KNHANES VI-2. Based on the two-factor structure of AUDIT, question (Q) 3 and Q7 were finally selected for STAD. In validation, AUROC was significantly wider for STAD than for AUDIT-QF, which has the same number of questions. There was no significant difference between AUDIT-C, consisting of three questions, and STAD. It can be used as a simple and reliable screening test in clinical settings.


Author(s):  
Jennis Freyer-Adam ◽  
Sophie Baumann ◽  
Inga Schnuerer ◽  
Katja Haberecht ◽  
Ulrich John ◽  
...  

Zusammenfassung. Ziel: Persönliche Beratungen können bei stationären Krankenhauspatienten Alkoholkonsum und Mortalität reduzieren. Sie sind jedoch mit hohen Kosten verbunden, wenn aus Public-Health-Erfordernis viele Menschen einer Bevölkerung erreicht werden müssen. Computerbasierte Interventionen stellen eine Alternative dar. Jedoch ist ihre Wirksamkeit im Vergleich zu persönlichen Beratungen und im Allgemeinkrankenhaus noch unklar. Eine quasi-randomisierte Kontrollgruppenstudie „Die Bedeutung der Vermittlungsform für Alkoholinterventionen bei Allgemeinkrankenhauspatienten: Persönlich vs. Computerisiert“ soll dies untersuchen. Design und Methoden werden beschrieben. Methode: Über 18 Monate sind alle 18- bis 64-jährigen Patienten auf Stationen der Universitätsmedizin Greifswald mittels Alcohol Use Disorder Identification Test (AUDIT) zu screenen. Frauen/Männer mit AUDIT-Consumption ≥ 4/5 und AUDIT < 20 werden einer von drei Gruppen zugeordnet: persönliche Intervention (Beratungen zur Konsumreduktion), computerbasierte Intervention (individualisierte Rückmeldebriefe und Broschüren) und Kontrollgruppe. Beide Interventionen erfolgen im Krankenhaus sowie telefonisch bzw. postalisch nach 1 und 3 Monaten. In computergestützten Telefoninterviews nach 6, 12, 18 und 24 Monaten wird Alkoholkonsum erfragt. Schlussfolgerung: Das Studienvorhaben, sofern erfolgreich umgesetzt, ist geeignet die längerfristige Wirksamkeit einer persönlichen und computerbasierten Intervention im Vergleich zu untersuchen.


PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0117721 ◽  
Author(s):  
Benjamin H. K. Yip ◽  
Roger Y. Chung ◽  
Vincent C. H. Chung ◽  
Jean Kim ◽  
Iris W. T. Chan ◽  
...  

2009 ◽  
Vol 19 (42) ◽  
pp. 39-45 ◽  
Author(s):  
Rita Melissa Lepre ◽  
Raul Aragão Martins

O uso abusivo de álcool por adolescentes é uma questão que preocupa os envolvidos com a educação, uma vez que as consequências desse fato podem gerar sérios prejuízos ao processo ensino-aprendizagem e ao adolescente que abusa. Com o objetivo de contribuir para o debate na busca de uma intervenção efetiva que possa ser utilizada, sobretudo nas escolas, procuramos detectar a possível relação entre uso abusivo de álcool e raciocínio moral. Para tanto, participaram alunos do ensino médio de uma escola pública, selecionados por meio da aplicação do AUDIT (The Alcohol Use Disorder Identification Test), que posteriormente foram entrevistados, conforme a Moral Judgement Interview (MJI) proposta por Kohlberg. Os resultados obtidos revelam níveis e estágios morais aquém dos esperados. Concluímos que a prevenção pode ser pensada por meio da Educação Moral como uma proposta de intervenção efetiva contra o uso abusivo de álcool e outras drogas.


2018 ◽  
Vol 27 (2) ◽  
pp. 259 ◽  
Author(s):  
Palanivel Chinnakali ◽  
AManoj Kumar ◽  
Gomathi Ramaswamy ◽  
MarieGilbert Majella ◽  
Balaji Bharadwaj ◽  
...  

2019 ◽  
pp. e988
Author(s):  
Joana Elisabeth de Sousa Martins Freitas ◽  
Matheus Gaspar de Miranda ◽  
Luma Goiana Pinto Simeão ◽  
Scarlet Frota Aguiar ◽  
Larissa Freire Gomes ◽  
...  

Objetivo: Relacionar características socioeconômicas, uso do fumo, do álcool e do comportamento sexual entre as adolescentes primíparas, primigestas e nulíparas. Métodos: Delineamento transversal controlado, analítico, realizado em unidades básicas, Teresina-PI. Amostragem de 105 adolescentes, 35 por grupo. Utilizado formulário para coleta de dados com variáveis socioeconômicas, tabagismo, comportamento sexual e Alcohol Use Disorder Identification Test para identificação consumo de álcool. Resultados: Apresentou médias de idade (p=0,005) entre 16-17 anos, e escolaridade (p=0,007), 10-12 anos de estudo. As primíparas e primigestas apresentaram maiores frequências de vivência com companheiro (p<0,001), maior percentual sem ocupação, menor número de estudantes (p=0,003), maior frequência de mães com baixa escolaridade (p=0,022), pertencentes aos estratos econômicos C, D ou E, (p=0,009). As primíparas apresentaram frequências mais elevadas de fumantes ou ex-fumantes, uso nocivo de álcool, não utilização de preservativos na primeira relação e de relação nos últimos 12 meses (p=0,014), porém com maior uso do preservativo (p=0,126).  Conclusão: As primíparas e primigestas apresentaram condições socioeconômicas mais desfavoráveis.  As primigestas e nuligestas, menor exposição ao uso do fumo e álcool. Maior frequência de proteção na primeira relação sexual, mesmo assim caracterizando maior risco de saúde tanto para a mãe, como para o bebê.


Author(s):  
Yunna Kwan ◽  
Hye Sim Kim ◽  
Dae Ryong Kang ◽  
Tae Hui Kim

Introduction: Non-Daily Smoking (NDS), which is increasingly prevalent worldwide, has not yet attracted as much attention as has daily smoking in Asia. The aims of this study were to identify trends in the prevalence of NDS and to compare characteristics by age, gender, and mental health indicators such as depression, suicidality, and alcohol consumption in South Korea. Methods: We included 33,806 adults (aged ≥ 19 years) who participated in the Korean National Health and Nutrition Examination Survey (KNHNES) from 2010 to 2015. The dataset includes self-reported medical history and questionnaires that explore depression, suicidality, and alcohol use, which are known to be highly related to smoking. We divided the respondents into four groups according to smoking status: Never Smoking (NS, N = 20,270); Past Smoking (PS = 6835); Daily Smoking (DS = 5927), who reported smoking every day; and Non-Daily Smoking (NDS = 774), who reported that they sometimes smoke. Results: Increased NDS prevalence is observed in most age groups in both male and female adults despite the prevalence of total smoking and daily smoking gradually decreasing. Depression and suicidality were significantly more prevalent in the NDS than the NS group (Depression Odds ratio, OR = 1.72, 95% Confidence interval, CI = 1.31–2.26; Suicidality OR = 3.14, 95% CI = 1.40–7.02). NDS is also associated with a higher frequency of binge drinking and alcohol use disorder than NS (OR = 4.17, 95% CI = 3.49–4.99). Conclusions: This study suggests that more concern is warranted for NDS given the increasing prevalence and characteristics of poor mental health in NDS respondents.


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