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

Show simple item record

dc.contributor.author Liskola, Joni
dc.contributor.author Haravuori, Henna
dc.contributor.author Lindberg, Nina
dc.contributor.author Niemelä, Solja
dc.contributor.author Karlsson, Linnea
dc.contributor.author Kiviruusu, Olli
dc.contributor.author Marttunen, Mauri
dc.date.accessioned 2019-06-30T21:46:07Z
dc.date.available 2021-12-17T22:02:36Z
dc.date.issued 2018-07-01
dc.identifier.citation 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
dc.identifier.other PURE: 114691031
dc.identifier.other PURE UUID: 22bb04cf-669e-4594-b322-c70714061cb4
dc.identifier.other WOS: 000436912700037
dc.identifier.other Scopus: 85047253769
dc.identifier.uri http://hdl.handle.net/10138/303666
dc.description.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. en
dc.format.extent 8
dc.language.iso eng
dc.relation.ispartof Drug and Alcohol Dependence
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Adolescents
dc.subject Alcohol
dc.subject AUDIT
dc.subject Screening
dc.subject DISORDERS IDENTIFICATION TEST
dc.subject 18-35 YEAR-OLDS
dc.subject PROBLEM DRINKING
dc.subject COLLEGE-STUDENTS
dc.subject EMERGENCY-DEPARTMENTS
dc.subject ABBREVIATED VERSIONS
dc.subject UNIVERSITY-STUDENTS
dc.subject HAZARDOUS DRINKING
dc.subject BRIEF INTERVENTION
dc.subject BINGE DRINKING
dc.subject 3124 Neurology and psychiatry
dc.title AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents en
dc.type Article
dc.contributor.organization Department of Psychiatry
dc.contributor.organization Nuorisopsykiatria
dc.contributor.organization Clinicum
dc.contributor.organization University of Helsinki
dc.contributor.organization HUS Psychiatry
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.drugalcdep.2018.04.015
dc.relation.issn 0376-8716
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

Files in this item

Total number of downloads: Loading...

Files Size Format View
1_s2.0_S0376871618302758_main.pdf 339.8Kb PDF View/Open

This item appears in the following Collection(s)

Show simple item record