scholarly journals Validation of the AUDIT scale and factors associated with alcohol use disorder in adolescents: results of a national Lebanese study

2020 ◽  
Author(s):  
Jennyfer Hallit ◽  
Pascale Salameh ◽  
Chadia Haddad ◽  
Hala Sacre ◽  
Michel Soufia ◽  
...  

Abstract Background This study objective was to evaluate the prevalence as well as factors (smoking, internet addiction, social phobia, depression, child abuse and bullying) associated with alcohol use disorder among a representative sample of Lebanese young people, in addition to validating and confirming psychometric properties of the AUDIT scale. Methods A cross-sectional study, conducted between January and May 2019, enrolled 1810 adolescents aged between 14 and 17. Alcohol dependence was defined as a high AUDIT score. A principal component analysis technique to confirm the validity of the construct of the AUDIT scale score was done and a confirmatory analysis to assess the structure of the instrument was conducted. Results The mean AUDIT score was 6.46 ± 8.44 and high risk of hazardous alcohol drinking was found in 28% of adolescents. One factor solution of the AUDIT scale had been found after running the factor analysis and the confirmatory factor analysis demonstrated that the χ2/df=2.4, the Steiger-Lind RMSEA was 0.10 [0.084-0.155] and the Joreskog GFI equaled 0.91 and AGFI equaled 0.92. Higher cigarette (Beta=0.372) and waterpipe (Beta=0.319) dependence, higher child sexual (Beta=0.581) and neglect (Beta=0.106) abuse, higher internet addiction (Beta=0.088), separated parents compared to living together (Beta=3.202) and higher bullying victimization (Beta=0.143) were significantly associated with higher AUDIT scores. Conclusion Alcohol dependence seems to be influenced by several risk factors among the Lebanese adolescents such as cigarette and waterpipe dependence, higher internet addiction, bullying, and child sexual and neglect abuse. Parents and healthcare professionals could use this data to influence intervention efforts.

2020 ◽  
Author(s):  
Jennifer Hallit ◽  
Pascale Salameh ◽  
Chadia Haddad ◽  
Hala Sacre ◽  
Michel Soufia ◽  
...  

Abstract Background This study objective was to evaluate the prevalence of AUD and related factors (smoking, internet addiction, social anxiety, child abuse, and bullying) among a representative sample of Lebanese adolescents, and to validate and confirm psychometric properties of the AUDIT scale. Methods A cross-sectional study, conducted between January and May 2019, enrolled 1810 adolescents aged between 14 and 17. Alcohol dependence was defined as a high AUDIT score (≥8; score range 0-40). A principal component analysis technique to confirm the validity of the construct of the AUDIT scale score was done and a confirmatory analysis to assess the structure of the instrument was conducted. Results The mean AUDIT score was 6.46 ± 8.44 and high risk of hazardous alcohol drinking was found in 507 (28.0%) adolescents [95% CI 0.259-0.301]. One factor solution of the AUDIT scale was found after running the factor analysis (α Cronbach =0.978). Higher cigarette (Beta=0.372; p<0.001) and waterpipe (Beta=0.319; p<0.001) dependence, higher child sexual (Beta=0.581; p<0.001) and neglect (Beta=0.106; p<0.001) abuse, higher internet addiction (Beta=0.088; p<0.001), separated parents compared to living together (Beta=3.202; p<0.001) and higher bullying victimization (Beta=0.143; p<0.001) were significantly associated with higher AUDIT scores. Conclusion Alcohol dependence among Lebanese adolescents seems to be influenced by several risk factors, such as cigarette and waterpipe dependence, parents’ divorce, higher internet addiction, bullying victimization, and childhood sexual abuse and neglect. Parents and healthcare professionals could use this data for early interventions.


2021 ◽  
Vol 9 ◽  
pp. 205031212110487
Author(s):  
Habtamu Tadesse ◽  
Yohannes Mirkana ◽  
Tadesse Misgana

Background: Alcohol use disorder is one of the primary causes of avoidable death, illness, and injury in many societies throughout the world. Although alcohol use disorder can influence the natural history of a disease, disease recurrence, quality of life, and treatment adherence in psychiatric patients, the data on its magnitude is scarce. Objectives: This study was aimed to determine the magnitude of alcohol use disorder and its determinants among patients with schizophrenia attending a mental specialized hospital in Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study was conducted from May 15 to June 15, 2018. An alcohol use disorder identification test was employed among a sample of 414 randomly selected patients with schizophrenia. Alcohol use disorder was categorized as hazardous drinking (Alcohol Use Disorders Identification Test (AUDIT) score of 8–15), harmful drinking (AUDIT score of 16–19), and alcohol dependence (AUDIT score of 20 or above). The data were entered into Epi-Data 3.1 and exported to SPSS 20 for analysis. Logistic regression was fitted to identify factors associated with alcohol use disorder. Results: The prevalence of alcohol use disorder was 38.4% (95% confidence interval (CI) 33.7, 42.9). Of this, 22.4% of the patients had hazardous drinking, 8.4% harmful drinking, and 7.6% alcohol dependence. Factors associated with alcohol use disorder were male sex (adjusted odds ratio (AOR) = 5.8, 95% CI 2.55, 13.19), being single (AOR = 3.0, 95% CI 1.63, 5.51), divorced (AOR = 4.3, 95% CI 1.95, 9.47) and widowed (AOR = 3.5, 95% CI 1.39, 8.81), having family history of alcoholism (AOR = 3.8, 95% CI 1.98, 7.19), longer duration of illness (AOR = 3.9, 95% CI 1.83, 8.36), previous history of psychiatric diagnosis (AOR = 2.2, 95% CI 1.1, 4.34), and concomitant use of non-alcoholic substances (AOR = 3.7, 95% CI 2.06, 6.74). Conclusions: Almost four in ten patients with schizophrenia had alcohol use disorder. Male sex, single, divorced, and widowed, family history of alcohol use, long duration of illness, previous history of psychiatric diagnosis, and concomitant use of non-alcoholic substances were significantly associated with alcohol use disorder. Continuous counseling of at risk populations about alcohol consumption should be strengthened.


Author(s):  
Demeke Demilew ◽  
Berhanu Boru ◽  
Getachew Tesfaw ◽  
Habtamu Kerebih ◽  
Endalamaw Salelew

Abstract Background Alcohol use disorder increase the risk of physical harm, mental or social consequences for patients and others in the community. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data on alcohol use disorder and associated factors among alcohol user medical and surgical outpatients to intervene in the future. Methods An institution-based cross-sectional study was conducted by using the systematic random sampling technique. Alcohol use disorders were assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Bivariate and multivariate logistic regression analyses were performed, a P-value less than 0.05 were considered statistically significant in the multivariate analysis and the strength of association was measured at a 95% confidence interval. Results The prevalence of alcohol use disorder was 34.5% with a 95% CI (29.20, 39.80) among study participants. In the multivariate logistic regression analysis, male sex (AOR = 3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR = 2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR = 1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR = 5.64, 95%CI: 1.95, 16.29) were factors significantly associated with alcohol use disorder. Conclusion The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, alcohol use for relaxation and lifetime cigarette smoking need more attention during the assessment of patients in the medical and surgical outpatient departments.


2021 ◽  
Vol 35 (3) ◽  
pp. 124
Author(s):  
FrankHuang-Chih Chou ◽  
Kuan-Ying Hsieh ◽  
Chun-Hua Cheng ◽  
Li-Ling Huang ◽  
Wei-Tsung Kao ◽  
...  

2021 ◽  
Vol 20 (1) ◽  
pp. 172-192
Author(s):  
Jacqueline Hernández-Escolar ◽  
Cristina Bohórquez Moreno ◽  
Sandra Mondragón- Bohórquez

Objetivo: Validar un instrumento para evaluar el componente comunitario, de la estrategia de atención integrada a las enfermedades prevalentes de la infancia (AIEPI). Método: Estudio transversal descriptivo, el cual buscó hallar la validez de constructo de la encuesta SIAC utilizada para medir AIEPI comunitario, mediante un análisis factorial exploratorio, el cual redujo el número de ítems que explicaban los constructos; participaron 120 madres adolescentes de la ciudad de Cartagena, Colombia. La validación de constructo se realizó a través del Análisis Factorial Exploratorio, con el método de Factores Principales, se utilizó la prueba de esfericidad de Bartlett y la medida de la adecuación muestral de Kaiser-Meyer-Olkin (Coeficiente KMO) mediante el paquete estadístico SPSS versión 22.0. Resultados. De acuerdo a los valores obtenidos en los dominios 1 (saneamiento básico), 3 (lactancia materna y alimentación complementaria), 4 (inmunizaciones), 5 (signos de alarma), 11 (cuidado de la mujer gestante) y 13 (SIDA), se procedió a aplicar el método de factorización por ejes principales. En el dominio 7 (prevención de accidentes) se realizó el método de factorización por componentes principales. Conclusiones: La encuesta SIAC mantuvo en los 7 dominios buenos niveles de validez después del cambio, se hace necesario evaluar los puntos de corte que permitan un diagnóstico más sensible y específico del grado de apropiación y aplicación de las practicas clave de la estrategia AIEPI, por parte de los cuidadores de los niños y niñas menores de 5 años. Objective: Validate an instrument to evaluate the community component of the integrated care strategy for prevalent childhood diseases (IMCI).Method: descriptive cross-sectional study, which sought to find the construct validity of the SIAC survey specified to measure community IMCI, through an exploratory factor analysis, which reduces the number of items that explained the constructs; 120 teenage mothers from the city of Cartagena, Colombia participated. The construction validation was carried out through the Exploratory Factor Analysis, with the Main Factors method, the Bartlett sphericity test and the measurement of the sampling adequacy of Kaiser-Meyer-Olkin (KMO coefficient) were performed using the SPSS statistical package. version 22.0.Results: According to the values obtained in domains 1 (basic sanitation), 3 (breastfeeding and complementary feeding), 4 (immunizations), 5 (warning signs), 11 (care of pregnant women) and 13 (AIDS), the main axis factorization method was applied. In domain 7 (accident prevention) the principal component factorization method was performed.Conclusions: the SIAC survey maintained good levels of validity after the change in the 7 domains, it is necessary to evaluate the cut-off points that allow a more sensitive and specific diagnosis of the degree of appropriation and application of the key practices of the IMCI strategy, for part of the caregivers of children under 5 years Objetivo: validar um instrumento para avaliar o componente comunitário da estratégia de atendimento integrado para doenças prevalentes na infância (AIDPI). Método: estudo descritivo transversal, que buscou encontrar a validade de construto da pesquisa SIAC especificada para mensurar o IMCI da comunidade, por meio de uma análise fatorial exploratória, que reduz o número de itens que explicam os construtos; Participaram 120 mães adolescentes da cidade de Cartagena, Colômbia. A validação da construção foi realizada através da Análise Fatorial Exploratória, com o método dos Principais Fatores, o teste de esfericidade de Bartlett e a medição da adequação da amostra de Kaiser-Meyer-Olkin (coeficiente KMO), utilizando o pacote estatístico SPSS. versão 22.0. Resultados: De acordo com os valores obtidos nos domínios 1 (saneamento básico), 3 (aleitamento materno e alimentação complementar), 4 (imunizações), 5 (sinais de alerta), 11 (assistência a gestantes) e 13 (AIDS), o principal eixo método de fatoração foi aplicado. No domínio 7 (prevenção de acidentes), foi realizado o método de fatoração do componente principal. Conclusões: a pesquisa do SIAC manteve bons níveis de validade após a mudança nos 7 domínios, é necessário avaliar os pontos de corte que permitem um diagnóstico mais sensível e específico do grau de apropriação e aplicação das principais práticas da AIDPI. estratégia, para parte dos cuidadores de crianças menores de 5 anos


2020 ◽  
Author(s):  
Nour Jabbour ◽  
Vanessa Abi Rached ◽  
Chadia Haddad ◽  
Pascale Salameh ◽  
Hala Sacre ◽  
...  

Abstract Objectives: to investigate the association between the divorce of parents and smoking, alcohol, and internet addiction among a representative sample of Lebanese adolescents.Methods: This study was a cross-sectional, conducted between January and May 2019 using a proportionate random sample of schools from all Lebanese Mohafazat. Out of 2000 questionnaires distributed; 1810 (90.5%) were completed and collected back.Results: The mean age was 15.42 ± 1.14 years, with 53.3% females and 74.1% smokers. In addition, 11.9% [95% CI 0.104-0.134] of the adolescents had separated/divorced parents. Divorce in parents was significantly associated with higher alcohol use disorder (Beta=8.035), higher cigarette dependence (Beta=2.767) and a higher waterpipe dependence (Beta=5.263) in adolescents. However, divorce in parents was not associated with internet addiction in adolescents.Conclusion: Parental divorce was correlated to higher alcohol and smoking, but not internet addiction among adolescents. Children whose parents are divorced should be subject to continuous follow-up by their parents and by a psychiatrist/psychologist in order not to develop any addiction that could potentially harm them.


2014 ◽  
Vol 36 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Rodrigo da Rosa Silveira ◽  
Betina Lejderman ◽  
Pedro Eugênio Mazzucchi Santana Ferreira ◽  
Gibsi Maria Possapp da Rocha

Objectives: To evaluate the prevalence of methylphenidate (MPH) use among 5th and 6th year medical students, to discriminate MPH use with and without medical indication, and to correlate MPH use with alcohol intake. Methods: This is a cross-sectional study in which medical students were invited to answer a questionnaire to evaluate academic and socioeconomic status, MPH use patterns, and attitudes towards neuroenhancing drugs. The Alcohol Use Disorders Identification Test (AUDIT) was used to assess alcohol intake; a score ≥ 8 suggests potentially hazardous alcohol use. Results: Fifty-two participants (34.2%) had already used MPH, of which 35 (23.02%) had used it without medical indication. The number of 6th year students who had used MPH was more than twice higher than that of their 5th year counterparts (32.89 vs. 13.15%, respectively; p = 0.004). Also, 43.6% (p = 0.031) of the users of MPH had an AUDIT score ≥ 8; 33.3% (p = 0.029) of non-medical users of MPH had an AUDIT score ≥ 8. Conclusions: In this study, the use of MPH without medical indication was prevalent. Our findings also confirmed the association between non-medical use of MPH and potentially hazardous alcohol use.


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