Utility of the Alcohol Consumption Questions in the Alcohol Use Disorders Identification Test for Screening At-Risk Drinking and Alcohol Use Disorders among Korean College Students
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Background: This study evaluated the utility of the Alcohol Use Disorders Identification Test Alcohol Consumption Questions (AUDIT-C) in screening at-risk drinking and alcohol use disorders among Korean college students. Methods: For the 387 students who visited Chungnam National University student health center, drinking state and alcohol use disorders were assessed through diagnostic interviews. In addition, Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and cut down, annoyed, guilty, eye-opener (CAGE) were applied. The utility of the questionnaires for the interview results were compared. Results: The areas under the receiver operating characteristic curves (AUROCs) of AUDIT-C for screening at-risk drinking were 0.927 in the male and 0.921 in the female participants. The AUROCs of AUDIT and CAGE were 0.906 and 0.643,respectively, in the male, and 0.898 and 0.657, respectively, in the female participants. The optimal screening scores of at-risk drinking in AUDIT-C were ≥6 in the male and ≥4 in the female participants; and in AUDIT and CAGE, ≥8 and ≥1,respectively, in the male, and ≥5 and ≥1 in the female participants. The AUROCs of AUDIT-C in screening alcohol use disorders were 0.902 in the male and 0.939 in the female participants. In the AUDIT and CAGE, the AUROCs were 0.936and 0.712, respectively, in the male, and 0.960 and 0.844, respectively, in the female participants. The optimal screening scores of alcohol use disorders in AUDIT-C were ≥7 in the male and ≥6 in the female participants; and in AUDIT and CAGE, ≥10 and ≥1, respectively, in the male, and ≥8 and ≥1 in the female participants. Conclusion: AUDIT-C is considered useful in screening at-risk drinking and alcohol use disorders among college students.
Abstract
Background: This study evaluated the utility of the Alcohol Use Disorders Identification Test Alcohol Consumption Questions (AUDIT-C) in screening at-risk drinking and alcohol use disorders among Korean college students. Methods: For the 387 students who visited Chungnam National University student health center, drinking state and alcohol use disorders were assessed through diagnostic interviews. In addition, Alcohol Use Disorders Identification Test (AUDIT), AUDIT-C, and cut down, annoyed, guilty, eye-opener (CAGE) were applied. The utility of the questionnaires for the interview results were compared. Results: The areas under the receiver operating characteristic curves (AUROCs) of AUDIT-C for screening at-risk drinking were 0.927 in the male and 0.921 in the female participants. The AUROCs of AUDIT and CAGE were 0.906 and 0.643,respectively, in the male, and 0.898 and 0.657, respectively, in the female participants. The optimal screening scores of at-risk drinking in AUDIT-C were ≥6 in the male and ≥4 in the female participants; and in AUDIT and CAGE, ≥8 and ≥1,respectively, in the male, and ≥5 and ≥1 in the female participants. The AUROCs of AUDIT-C in screening alcohol use disorders were 0.902 in the male and 0.939 in the female participants. In the AUDIT and CAGE, the AUROCs were 0.936and 0.712, respectively, in the male, and 0.960 and 0.844, respectively, in the female participants. The optimal screening scores of alcohol use disorders in AUDIT-C were ≥7 in the male and ≥6 in the female participants; and in AUDIT and CAGE, ≥10 and ≥1, respectively, in the male, and ≥8 and ≥1 in the female participants. Conclusion: AUDIT-C is considered useful in screening at-risk drinking and alcohol use disorders among college students.
참고문헌 (21)
- 천성수, "AUDIT척도에 의한 한국대학생의 알코올사용장애 실태 및 원인 분석", 예방의학회지, 38(3), pp.307~314 (2005), 대한예방의학회
- Kuo M, "Wechsler H. More Canadian students drink but American students drink more: comparing college alcohol use in two countries", Addiction, 97, pp.1583~1592 (2002)
- Evans DM, "Alcohol expectancies, coping responses and self-efficacy judgments: a replication and extension of Copper et al.’s 1988 study in a college sample", J Stud Alcohol, 56, pp.186~193 (1995)
- Wechsler H, "Health and behavioral consequences of binge drinking in college: a national survey of students at 140 campuses", JAMA, 272, pp.1672~1677 (1994)
- Marlatt GA, "Screening and brief intervention for highrisk college student drinkers: results from a 2-year follow-up assessment", J Consult Clin Psychol, 66, pp.604~615 (1998)
- Murphy JG, "Relative efficacy of a brief motivational intervention for college student drinkers", Psychol Addict Behav, 15, pp.373~379 (2001)
- Mayfield D, "The CAGE questionnaire: validation of a new alcoholism screening instrument", Am J Psychiatry, 131, pp.1121~1123 (1974)
- 이정길, "대학생들의 문제 음주 선별에 대한 Alcohol Use Disorders Identification Test의 유용성", Korean Journal of Family Medicine, 32(1), pp.29~36 (2011), 대한가정의학회
- Saunders JB, "Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-- II", Addiction, 88, pp.791~804 (1993)
- Werner MJ, "Screening for problem drinking among college freshmen", J Adolesc Health, 15, pp.303~310 (1994)
- Heck EJ, "Using the CAGE to screen for drinking-related problems in college students", J Stud Alcohol, 56, pp.282~286 (1995)
- Bush K, "The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test", Arch Intern Med, 158, pp.1789~1795 (1998)
- Gordon AJ, "Three questions can detect hazardous drinkers", J Fam Pract, 50, pp.313~320 (2001)
- 성정환, "일차진료에서 문제음주자 선별을 위한 Alcohol Use Disorders Identification Test Alcohol Consumption Questions (AUDIT-C)의 타당도 조사", Korean Journal of Family Medicine, 30(09), pp.695~702 (2009), 대한가정의학회
- "Helping patients who drink too much: a clinician’s guide" (2005)[URL]
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2000), American Psychiatric Association
- Kim JS, "Screening criteria of alcoholism by alcohol use disorders identification test(AUDIT) in Korea", J Korean Acad Fam Med, 20, pp.1152~1159 (1999)
- Kim JS, "Essentials of family medicine for medical students" (2010), Chungnam National University Press
- Bradley KA, "Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population", Arch Intern Med, 163, pp.821~829 (2003)
- Aertgeerts B, "Screening properties of questionnaires and laboratory tests for the detection of alcohol abuse or dependence in a general practice population", Br J Gen Pract, 51, pp.206~217 (2001)
- Gual A, "Audit-3 and audit-4: effectiveness of two short forms of the alcohol use disorders identification test", Alcohol Alcohol, 37, pp.591~596 (2002)
