Reliability and Validity of the Alcohol Use Disorders Identification Test (AUDIT) Imbedded Within a General Health Risk Screening Questionnaire: Results of a Survey in 332 Primary Care Patients

Daeppen, Jean‐Bernard; Yersin, Bertrand; Landry, Ulrika; P??coud, Alain; Decrey, H

doi:10.1097/00000374-200005000-00010

Cited by 77 publications

(96 citation statements)

References 23 publications

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“…Among the geographical variables, urbanization of the study site (highly urbanized Lima, urban Puno, rural Puno, and semi-urban Tumbes) and altitude (high altitude vs. sea level) were considered. Modifiable risk factors evaluated at baseline included: daily smoking of at least 1 cigarette per day, self-reported; hazardous drinking, based on the Alcohol Use Disorders Identification Test (⩾8 points in the score) [18]; number of hours of TV watching per day (<2, and ⩾2 h per day) [19]; transport-related physical inactivity, considering only the transport-related physical activity domain of the IPAQ and defined as not reporting walking or cycling trips in the last 7 days (i.e. a single walk or cycle trip for 10 min or more was considered to be classified as physical active) [20]; and fruits and vegetables intake, categorized according to the WHO recommendation (<5 and ⩾5 portions per day) [21].…”

Section: Methodsmentioning

confidence: 99%

Geographical variation in the progression of type 2 diabetes in Peru: The CRONICAS Cohort Study

Bernabé‐Ortiz

Carrillo‐Larco

Gilman

et al. 2016

Diabetes Research and Clinical Practice

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BackgroundThe study aims were to estimate the incidence and risk factors for T2D in four settings with different degree of urbanization and altitude in Peru.MethodsProspective cohort study conducted in urban, semi-urban, and rural areas in Peru. An age- and sex-stratified random sample of participants was taken from the most updated census. T2D was defined as fasting blood glucose ⩾7.0 mmol/L or taking anti-diabetes medication. Exposures were divided into two groups: geographical variables (urbanization and altitude), and modifiable risk factors. Incidence, relative risks (RR), 95% confidence intervals (95%CI), and population attributable fractions (PAF) were estimated.ResultsData from 3135 participants, 48.8% males, mean age 55.6 years, was analyzed. Overall baseline prevalence of T2D was 7.1% (95%CI 6.2–8.0%). At follow-up, including 6207 person-years of follow-up, a total of 121 new T2D cases were accrued, equating to an incidence of 1.95 (95%CI 1.63–2.33) per 100 person-years. There was no urban to rural gradient in the T2D incidence; however, compared to sea level sites, participants living in high altitude had a higher incidence of diabetes (RR = 1.58; 95%CI 1.01–2.48). Obesity had the highest attributable risk for developing T2D, although results varied by setting, ranging from 14% to 80% depending on urbanization and altitude.ConclusionsOur results suggest that the incidence of T2D was greater in high altitude sites. New cases of diabetes were largely attributed to obesity, but with substantial variation in the contribution of obesity depending on the environment. These findings can inform appropriate context-specific strategies to reduce the incidence of diabetes.

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Section: Methodsmentioning

confidence: 99%

Geographical variation in the progression of type 2 diabetes in Peru: The CRONICAS Cohort Study

Bernabé‐Ortiz

Carrillo‐Larco

Gilman

et al. 2016

Diabetes Research and Clinical Practice

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“…AUDIT scores have been correlated with those on the Michigan alcohol screening test (Bohn et al 1995) and the Cut down, Annoyed, Guilty, Eye-opener (CAGE) alcohol screening instrument (Hays et al 1995) as well as with future indicators of alcohol-related problems (Claussen and Aasland 1993). The AUDIT has high test–retest reliability (Daeppen et al, 2000) and internal consistency reliability (Ivis et al 2000). AUDIT scores also were used to classify men and women as hazardous drinkers using gender-based cutoff scores (Conigrave et al 1995; Bradley et al 1998; Steinbauer et al 1998; Babor et al 2001; von der Pahlen et al 2008).…”

Section: Methodsmentioning

confidence: 99%

Self-reported impulsivity, but not behavioral choice or response impulsivity, partially mediates the effect of stress on drinking behavior

Hamilton¹,

Ansell²,

Reynolds³

et al. 2012

Stress

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Stress and impulsivity contribute to alcohol use, and stress may also act via impulsivity to increase drinking behavior. Impulsivity represents a multi-faceted construct and self-report and behavioral assessments may effectively capture distinct clinically relevant factors. The present research investigated whether aspects of impulsivity mediate the effect of stress on alcohol use. A community-based sample of 192 men and women was assessed on measures of cumulative stress, alcohol use, self-reported impulsivity, and behavioral choice and response impulsivity. Data were analyzed using regression and bootstrapping techniques to estimate indirect effects of stress on drinking via impulsivity. Cumulative adversity exhibited both direct effects and indirect effects (via self-reported impulsivity) on drinking behavior. Additional models examining specific types of stress indicated direct and indirect effects of trauma and recent life events, and indirect effects of major life events and chronic stressors on drinking behavior. Overall, cumulative stress was associated with increased drinking behavior, and this effect was partially mediated by self-reported impulsivity. Self-reported impulsivity also mediated the effects of different types of stress on drinking behavior. These findings highlight the value of mediation models to examine the pathways through which different types of stress increase drinking behavior. Treatment and prevention strategies should focus on enhancing stress management and self-control.

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“…Substance use was assessed for alcohol and both injection and non-injection drugs during the three months prior to incarceration, as well as lifetime use of injection drugs. Drug dependence, categorized as “not drug dependent” and “drug dependent”, was assessed using the TCU Drug Dependence scale and hazardous alcohol use was determined using the WHO-AUDIT with participants categorized as low, medium or high hazardous harmful alcohol use, both of which have been previously validated [35, 36]. Symptoms related to post-traumatic stress disorder (PTSD) and depression were assessed using the Primary Care PTSD Screen and the CES-D instruments, respectively [37, 38].…”

Section: Methodsmentioning

confidence: 99%

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

et al. 2017

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BackgroundHIV-infected individuals recently released from incarceration have suboptimal linkage and engagement in community HIV care. We conducted a study to evaluate an information and communication technology intervention to increase linkage to community care among HIV-infected persons recently involved in the criminal justice (CJ) system. Baseline characteristics including risk behaviors and HIV care indicators are reported and stratified by gender.MethodsWe recruited HIV-infected individuals in the District of Columbia jail and persons with a recent history of incarceration through community and street outreach. Participants completed a baseline computer-assisted personal interview regarding HIV care and antiretroviral treatment (ART) adherence, substance use, and sexual behaviors. CD4 and HIV plasma viral load testing were performed at baseline or obtained through medical records. Data were analyzed for the sample overall and stratified by gender.ResultsOf 110 individuals, 70% were community-enrolled, mean age was 40 (SD = 10.5), 85% were Black, and 58% were male, 24% female, and 18% transgender women. Nearly half (47%) had condomless sex in the three months prior to incarceration. Although drug dependence and hazardous alcohol use were highly prevalent overall, transgender women were more likely to have participated in drug treatment than men and women (90%, 61%, and 50% respectively; p = 0.01). Prior to their most recent incarceration, 80% had an HIV provider and 91% had ever taken ART. Among those, only 51% reported ≥90% ART adherence. Fewer women (67%) had received HIV medications during their last incarceration compared to men (96%) and transgender women (95%; p = 0.001). Although neither was statistically significant, transgender women and men had higher proportions of baseline HIV viral suppression compared to women (80%, 69%, and 48.0% respectively, p>0.05); a higher proportion of women had a CD4 count ≤200 compared to men and transgender women (17%, 8% and 5% respectively; p>0.05).ConclusionsIn this study, HIV-infected persons with recent incarceration in Washington, DC reported important risk factors and co-morbidities, yet the majority had access to HIV care and ART prior to, during, and after incarceration. Self-reported ART adherence was sub-optimal, and while there were not statistically significant differences, CJ-involved women appeared to be at greatest risk of poor HIV outcomes.Trial registrationRegistered on ClinicalTrials.gov on 10/16/2012. Reference number: NCT01721226.

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Reliability and Validity of the Alcohol Use Disorders Identification Test (AUDIT) Imbedded Within a General Health Risk Screening Questionnaire: Results of a Survey in 332 Primary Care Patients

Abstract: The AUDIT incorporated in a health risk screening questionnaire is a reliable and valid self-administered instrument to identify at-risk drinkers and alcohol-dependent individuals in primary care settings.

Cited by 77 publications

References 23 publications

Geographical variation in the progression of type 2 diabetes in Peru: The CRONICAS Cohort Study

Geographical variation in the progression of type 2 diabetes in Peru: The CRONICAS Cohort Study

Self-reported impulsivity, but not behavioral choice or response impulsivity, partially mediates the effect of stress on drinking behavior

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

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