AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents

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Liskola , J , Haravuori , H , Lindberg , N , Niemelä , S , Karlsson , L , Kiviruusu , O & Marttunen , M 2018 , ' AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents ' , Drug and Alcohol Dependence , vol. 188 , pp. 266-273 . https://doi.org/10.1016/j.drugalcdep.2018.04.015

Title: AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents
Author: Liskola, Joni; Haravuori, Henna; Lindberg, Nina; Niemelä, Solja; Karlsson, Linnea; Kiviruusu, Olli; Marttunen, Mauri
Other contributor: University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, National Institute for Health and Welfare (THL)
University of Helsinki, Clinicum




Date: 2018-07-01
Language: eng
Number of pages: 8
Belongs to series: Drug and Alcohol Dependence
ISSN: 0376-8716
DOI: https://doi.org/10.1016/j.drugalcdep.2018.04.015
URI: http://hdl.handle.net/10138/303666
Abstract: Background: The Alcohol Use Disorders Identification Test (AUDIT) is commonly used in adults to screen for harmful alcohol consumption but few studies exist on its use among adolescents. Our aim was to validate the AUDIT and its derivative consumption questionnaire (AUDIT-C) as screening instruments for the detection of problem use of alcohol in adolescents. Methods: 621 adolescents (age-range, 12-19 years) were drawn from clinical and population samples who completed the AUDIT questionnaire. Psychiatric diagnoses were assessed using K-SADS-PL. A rating based on the K-SADS-PL was used to assess alcohol use habits, alcohol use disorders, screening and symptom criteria questions. Screening performance of the AUDIT and AUDIT-C sum scores and Receiver Operating Characteristic (ROC) curves were calculated. The diagnostic odds ratios (dOR) were calculated to express the overall discrimination between cut-offs. Results: Comparisons of ROC between the AUDIT and AUDIT-C pairs indicated a slightly better test performance by AUDIT for the whole sample and in a proportion of the subsamples. Optimal cut-off value for the AUDIT was >= 5 (sensitivity 0.931, specificity 0.772, dOR 45.22; 95% CI: 24.72-83.57) for detecting alcohol problem use. The corresponding optimal cut-off value for the AUDIT-C was >= 3 in detecting alcohol problem use (sensitivity 0.952, specificity 0.663, dOR 39.31; 95% CI: 19.46-78.97). Agreement between the AUDIT and AUDIT-C using these cut-off scores was high at 91.9%. Conclusions: Our results for the cut-off scores for the early detection of alcohol problem use in adolescents are >= 5 for AUDIT, and >= 3 for AUDIT-C.
Subject: Adolescents
Alcohol
AUDIT
Screening
DISORDERS IDENTIFICATION TEST
18-35 YEAR-OLDS
PROBLEM DRINKING
COLLEGE-STUDENTS
EMERGENCY-DEPARTMENTS
ABBREVIATED VERSIONS
UNIVERSITY-STUDENTS
HAZARDOUS DRINKING
BRIEF INTERVENTION
BINGE DRINKING
3124 Neurology and psychiatry
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