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Performance of the AUDIT Alcohol Consumption Questions (AUDIT-C) and AUDIT-K Question 3 Alone in Screening for Problem Drinking / 가정의학회지
Korean Journal of Family Medicine ; : 695-702, 2009.
Artigo em Coreano | WPRIM | ID: wpr-19747
ABSTRACT

BACKGROUND:

In the busy primary care setting, there are several limitations in applying Alcohol Use Disorders Identification Test in Korea (AUDIT-K) to screen problem drinking. Thus, for primary healthcare practice, we evaluated AUDIT-C, which covers questions from 1 to 3 in AUDIT-K, and AUDIT-K Question 3 Alone to present cut points for these two screening questionnaire according to AUDIT-K test scores.

METHODS:

In a university hospital, we surveyed 302 males with a drinking history via self-administered questionnaire including AUDIT-K, from November 2007 to April 2008. On the basis of total score in AUDIT-K, we divided them into four groups normal, problem drinking, alcohol use disorder, and alcohol dependence. For each alcohol drinking behavior pattern, we drew the receiver operating characteristics (ROC) curves to present cut points for appropriate sensitivity and specificity. In addition, we compared the performance of AUDIT-C and AUDIT-K Question 3 Alone through area under the curve (AUC).

RESULTS:

For AUDIT-C, we designated the score 8 or more as problem drinking, 9 or more as alcohol use disorder, and 11 or more as dependence. The results of sensitivity/specificity for each group were 82%/76%, 76%/79%, 80%/86%, respectively, which were suitable for screening. For AUDIT-K Question 3 Alone, we defined the score 3 or more as problem drinking or alcohol use disorder and the score 4 as dependence. The results of sensitivity/specificity for each group were 79%/80%, 84%/67%, 85%/77%, which were appropriate for screening. For every drinking behavior group, AUDIT-C was superior to AUDIT-K Question 3 Alone in screening performance (problem drinking 0.88 vs. respectively 0.85, alcohol use disorder 0.86 vs. 0.82, alcohol dependence 0.88 vs. 0.81)

CONCLUSION:

We confirmed that both AUDIT-C and AUDIT-K Question 3 Alone, which are more convenient and have fewer time con-straints than AUDIT-K, are reasonable screening methods for problem drinking. Thus, we recommend further drinking assessment and proper intervention for male drinkers who have scores 8 or more in AUDIT-C or 3 or more in AUDIT-K Question 3 Alone.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Atenção Primária à Saúde / Consumo de Bebidas Alcoólicas / Programas de Rastreamento / Curva ROC / Sensibilidade e Especificidade / Ingestão de Líquidos / Comportamento de Ingestão de Líquido / Alcoolismo / Coreia (Geográfico) Tipo de estudo: Estudo diagnóstico / Estudo prognóstico / Estudo de rastreamento Limite: Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Family Medicine Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Atenção Primária à Saúde / Consumo de Bebidas Alcoólicas / Programas de Rastreamento / Curva ROC / Sensibilidade e Especificidade / Ingestão de Líquidos / Comportamento de Ingestão de Líquido / Alcoolismo / Coreia (Geográfico) Tipo de estudo: Estudo diagnóstico / Estudo prognóstico / Estudo de rastreamento Limite: Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Family Medicine Ano de publicação: 2009 Tipo de documento: Artigo