Effectiveness of the AUDIT-C as a Screening Test for Alcohol Misuse in Three Race/Ethnic Groups

Frank, Danielle; DeBenedetti, Anna F.; Volk, Robert J.; Williams, Emily C.; Kivlahan, Daniel R.; Bradley, Katharine A.

doi:10.1007/s11606-008-0594-0

Cited by 286 publications

(224 citation statements)

References 42 publications

Supporting

Mentioning

214

Contrasting

Unclassified

Order By: Relevance

“…11 Consistent with implementation of other clinical services, 12,13 the VA used a combination of a national performance measure and an electronic clinical reminder to implement alcohol screening. Specifically, the VA implemented a national performance measure incentivizing annual screening with the validated Alcohol Use Disorders Identification Test -Consumption (AUDIT-C) questionnaire [14][15][16][17][18] and disseminated an associated clinical reminder ( Fig. 1), to be embedded in the electronic medical record.…”

Section: Introductionmentioning

confidence: 99%

Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study

et al. 2015

Self Cite

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study

et al. 2015

Self Cite

View full text Add to dashboard Cite

“…The cutoffs recommended for use in Western countries vary; however, the most commonly used cutoffs have been 4-6 points for men and 3-5 points for women (Bush et al, 1998;Nordqvist et al, 2004;Dawson et al, 2005;Gómez et al, 2006;Bradley et al, 2007;RodriguezMartos and Santamarina, 2007;Tuunanen et al, 2007;Frank et al, 2008;Kelly et al, 2009;Kaarne et al, 2010;Towers et al, 2011;Dawson et al, 2012;Crawford et al, 2013;Johnson et al, 2013). According to results from the United States and European countries, the AUDIT-C is a satisfactory screening tool for identifying alcohol dependence diagnosed by DSM-IV as binge drinking or heavy drinking with high sensitivity and specificity.…”

mentioning

confidence: 99%

“…According to results from the United States and European countries, the AUDIT-C is a satisfactory screening tool for identifying alcohol dependence diagnosed by DSM-IV as binge drinking or heavy drinking with high sensitivity and specificity. One article indicated that the sensitivity of the AUDIT-C varies by race or ethnicity (Frank et al, 2008). The sensitivity and specificity of the AUDIT-C tend to be lower for specific populations, such as veterans or young patients in emergency services (Kelly et al, 2009;Crawford et al, 2013).…”

mentioning

confidence: 99%

Reliability and Validity of the Alcohol Use Disorders Identification Test - Consumption in Screening for Adults with Alcohol Use Disorders and Risky Drinking In Japan

Osaki¹,

Ino²,

Matsushita³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: Alcohol is well established as a risk factor for cancer development in many organ sites. To assess the reliability and validity of the Alcohol Use Disorders Identification Test -Consumption (AUDIT-C) for detecting alcohol use disorders or risky drinking in Japanese adults the present study was conducted. Materials and Methods: A test-retest method was applied with a 2-week interval with 113 health care employees. The k coefficient, Cronbach's coefficient alpha, Spearman's correlation coefficient, and intraclass correlation coefficient (ICC) were determined and the validity of the AUDIT-C was analyzed using the data from a nationwide survey on adult alcohol use conducted in 2008 (n=4,123). Results: The reliability of the AUDIT-C score was high (k coefficient=0.63, Cronbach's alpha=0.98, correlation coefficient=0.95, and ICC=0.95). According to the likelihood ratio and Youden index, appropriate cutoffs for the AUDIT-C were ≥5points in men and ≥4 points in women. The sensitivity and specificity of these cutoffs for identifying ≥8 points on the AUDIT were 0.88 and 0.80, respectively, for men (positive likelihood ratio [LR+]=4.5) and 0.96 and 0.87, respectively, for women (LR+=7.7). The sensitivity and specificity of the cutoffs for identifying ≥12 points on the AUDIT were 0.90 and 0.84, respectively, for men (LR+=5.8) and 0.93 and 0.94, respectively, for women (LR+=15.8). The sensitivity and specificity of the cutoffs for identifying ≥16 points on the AUDIT were 0.93 and 0.80, respectively, for men (LR+=4.7) and 0.92 and 0.98, respectively, for women (LR+=55.6). With higher scores on the AUDIT, the specificity decreased and false-positives increased. The appropriate cutoffs for identifying risky drinking were the same for both genders. Conclusions: The reliability and validity of the AUDIT-C are high, indicating that it is useful for identifying alcohol use disorders or risky drinking among the general population in Japan, a group at high risk of cancer development.

show abstract

“…35,36 This measure has been shown to have good reliability and validity across racial/ethnic groups. 37 The AUDIT-C has also shown strong sensitivity and specificity for identifying heavy drinking and probable alcohol use disorders in veteran populations. 36 Internal consistency in the current sample was good (a = 0.73).…”

Section: Methodsmentioning

confidence: 99%

Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting

et al. 2017

View full text Add to dashboard Cite

Purpose: We explored the relationship between geographic location and health indicators for lesbian, gay, and transgender veterans. Methods: We solicited participation in an online survey through national and city LGBT organizations and personal contacts to examine differences in depression, anxiety, alcohol and tobacco use, and body mass index among lesbian, gay, and transgender veterans (n = 252) in suburban/urban and rural/small town locations. Bisexual participants were too few to include in the analyses. Results: As expected, rural/small town lesbian, gay, and transgender veterans spent more time traveling to their primary care provider. Travel time was also positively related to depressive and anxiety symptoms. However, only suburban/urban and rural/small town gay men differed in measures of depression and anxiety and tobacco use. That is, rural/small town gay men reported greater depressive and anxiety symptoms and greater tobacco use than their suburban/urban counterparts. Consistent with this finding, rural/small town gay men reported less community-related identity than suburban/urban men. Suburban/urban lesbian women showed a nonsignificant trend for community identity compared with rural/small town women. Conclusion: Similar to civilian studies, suburban/urban and rural/small town lesbian, gay, and transgender veterans evidenced few health differences, with the exception of suburban/urban gay men. Although rural/small town gay male veterans evidenced more depression and anxiety and less community identity than suburban/urban men, social networks likely differ for lesbian, gay, and transgender subgroups. Lesbian, gay, and transgender veterans may also differ from their civilian counterparts in ways that we do not yet understand.

show abstract

Effectiveness of the AUDIT-C as a Screening Test for Alcohol Misuse in Three Race/Ethnic Groups

Cited by 286 publications

References 42 publications

Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study

Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study

Reliability and Validity of the Alcohol Use Disorders Identification Test - Consumption in Screening for Adults with Alcohol Use Disorders and Risky Drinking In Japan

Health Differences Among Lesbian, Gay, and Transgender Veterans by Rural/Small Town and Suburban/Urban Setting

Contact Info

Product

Resources

About