Revision of AUDIT Consumption Items to Improve the Screening of Youth Binge Drinking

Abstract

This study analyzes the appropriateness of an improved version of one of the most frequently used instruments for the screening of high-risk alcohol consumption. This adaptation was created in accordance with certain limitations recognized by other researchers and in an attempt to adjust the content and scales of some items to a more consensual definition of binge drinking. After revising items 2 and 3, the areas under the ROC curves of the AUDIT and of different abbreviated versions were calculated. A total of 906 minors (468 females) between the ages of 15 and 17 were evaluated. Stratified sampling was conducted on a population of high school students in the city of Valencia (Spain). One school was randomly chosen from each of the city’s 16 school districts. Information was collected on sociodemographic aspects, consumption patterns and the AUDIT containing the improved items. The percentage of underage BD reached 36%, regardless of gender or age. BD groups have been differentiated by different intensity levels, both in males and females. Upon comparing the effectiveness of the distinct versions of the AUDIT, it is recommended that researchers and clinics use the combination of the revised items 2 and 3 to ensure a more precise identification of underage BD. A cut-off point of 5 for this test would permit identification of 94% of the underage BD and would notably reduce false positives.

Component process analysis of verbal memory in a sample of students with a binge drinking pattern

“…Alcohol consumption was assessed with two validated questionnaires designed to assess at-risk alcohol use. The Alcohol Use Disorders Identification Test-Consumption Revised (AUDIT-CR; Cortés-Tomàs et al, 2017 ) measures alcohol consumption frequency, intensity, and the number of drinking episodes in which participants drank more than 4 (women) or 5 (men) alcohol units within two hour. Item 3 was used to classify participants as binge BDs, if they reported at least one binge drinking episode per month over the previous 6 months.…”

Análise da estrutura fatorial do Audit em adolescentes entre 18 e 19 anos

“…O presente estudo avaliou a estrutura fatorial do Audit em uma amostra representativa de adolescentes de São Luís, Maranhão. Os resultados mostraram que a estrutura com três fatores obteve ajuste satisfatório para a amostra em estudo, em consonância com os domínios conceituais originais 13 propostos pela OMS e com outros estudos 10,11,15,18 realizados com adolescentes.…”

“…Dentre os instrumentos recomendados pela OMS destaca-se o Audit, que tem sido utilizado internacionalmente por clínicos e investigadores em diversos estudos 6,7,9,10 populacionais para identificação de grupos de risco e rastreamento do uso inadequado de álcool. Para determinação do desempenho psicométrico, estudos de validação [8][9][10][11][12] com a população adulta e amostras clínicas têm destacado, no geral, resultados satisfatórios em relação a consistência interna, sensibilidade e especificidade do instrumento.…”

Associations Between Peer Pressure and Adolescents’ Binge Behaviors: The Role of Basic Needs and Coping

“…Binge Drinking. Binge Drinking Frequency was assessed with the Alcohol Use Disorders Identification Test (AUDIT-3; Bush et al, 1998;Cortés-Tomás et al, 2016). AUDIT-3 is a single item measure (i.e., "How often did you have 6 or more drinks on one occasion in the past year?")…”