대학생들의 문제 음주 선별에 대한 Alcohol Use Disorders Identification Test의 유용성
Usefulness of the Alcohol Use Disorders Identification Test in Screening for Problem Drinkers among College Students
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초록
연구배경: Alcohol Use Disorders Identi cation Test (AUDIT)는문제 음주를 선별함에 있어 효과적이다. 하지만 성인과 다른음주 특성을 지닌 대학생들에서 유용성을 살펴본 연구는 국내에 없었다. 이에 본 연구에서는 일차 진료 외래에 내원한 한국 대학생들에서 AUDIT의 문제 음주 선별에 대한 타당도를평가하고자 하였다. 방법: 2008년 6월부터 10월까지 충남대학교 내의 보건 진료소를 방문한 대학생 235명을 대상으로 하였다. 진단적 면담을 통해 위험 음주와 알코올 사용 장애 여부를 평가하였다. 위험 음주의 정의는 National Institute on Alcohol Abuse and Alcoholism의 기준을 따랐다. 알코올 사용 장애에 대해서는Diagnostic and Statistical Manual of Mental Disorders, 4th edition,Text Revision (DSM-IV TR)진단 기준을 사용하였다. 위험 음주또는 알코올 사용 장애에 해당되는 경우를 문제 음주 상태로분류하였다. 동시에 AUDIT, cut down, annoyed, guilty feelings,eye opener (CAGE), cut down, under in uence, guilty feelings, eye opener (CUGE) 3가지 선별도구들을 이용한 설문을 실시하여 면담 결과에 대한 설문지들의 민감도, 특이도, Area Under Receiver Operating Characteristic Curve (AUROC)를 비교하였다. 결과: 위험 음주자는 71명이었고, 알코올 사용 장애는 46명으로 총 문제 음주자는 75명이었다. AUDIT의 문제 음주 선별에 대한 AUROC는 남자에서 0.970, 여자에서는 0.989이었다. CAGE의 경우는 남자에서 0.650, 여자에서 0.747이었다. CUGE 의 경우는 남자에서 0.689, 여자에서 0.745이었다. 결론: 대학생들의 문제 음주를 선별함에 있어서 AUDIT가 가장 우수하였다.
Abstract
Background: Alcohol Use Disorders Identification Test (AUDIT) is effective in identifying problem drinking. This study purposed to evaluate the usefulness of AUDIT in identifying problem drinking among Korean university students whose drinking characteristic is different from adults. Methods: The subjects were 235 students who had visited the Health Service Center of Chungnam National University. All subjects had a diagnostic interview for the presence of at-risk drinking and alcohol use disorder. At-risk drinking was defined according to the criteria of the National Institute on Alcohol Abuse and Alcoholism. Alcohol use disorder was diagnosed by the criteria of Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSMIV TR). At-risk drinking or alcohol use disorder was classified into problem drinking. At the same time, a survey was conducted using three screening tools: AUDIT, cut down, annoyed, guilty feelings, eye opener (CAGE), and cut down,under influence, guilty feelings, eye opener (CUGE). Area under receiver operating characteristic curve (AUROC) of the questionnaires to the results of interviews were compared. Results: Seventy one students were at-risk drinkers and 46 had alcohol use disorder, and 75 were classified into problem drinkers. For identification of problem drinking, AUROC of AUDIT was 0.970 in men and 0.989 in women. For CAGE, it was 0.650 in men and 0.747 in women. For CUGE, it was 0.689 in men and 0.745 in women. Conclusion: Above results suggest that AUDIT is most effective in identifying university students’ problem drinking.
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