Introduction: The World Health Organization's (WHO) Alcohol Use Disorders Identification Test (AUDIT) is used extensively across the world, with cutoff scores recommended by the WHO. We reviewed the use and validity of AUDIT cutoff scores in low-and middle-income countries as cultural contexts are expected to influence the detection of alcohol use disorders. Materials and Methods: The systematic review was guided by an a priori defined protocol consistent with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. We searched Cochrane library, Medline, EMBASE, PsycINFO, CINAHL, Indmed, LILACS, and AJOL databases using appropriate search terms. We conducted a narrative synthesis of the data. Results: We identified 54 distinct studies that used AUDIT cutoff scores which were not in alignment with those recommended by the WHO. India (n=10), Nigeria (n=9), and Brazil (n=9) produced most of these included studies. Most of the studies (n=42) did not conduct psychometric evaluations of AUDIT cutoff scores. Of the twelve studies which did report psychometric results, a wide range of cutoff scores performed well. In these studies the cutoff

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