Diagnostic usefulness of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire for the detection of hazardous drinking and dependence on alcohol among Spanish patients

Torres, Luis Ángel Pérula de; Rebollo, Encarnación Márquez; Moral, Roger Ruiz; Fernández-García, J.A.; Vega, Raquel Arias; Palomino, María Muriel

doi:10.1080/13814780902855754

Cited by 20 publications

(14 citation statements)

References 17 publications

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“…Because of its validity and reliability, WHO and PAPPS recommend using the AUDIT questionnaire. Nationwide, a Spanish version of AUDIT has been validated in several studies [23] [24]. Rubio [23] published the validation of this questionnaire in a sample of 326 PC patients.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

et al. 2019

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Introduction Primary care (PC) professionals' knowledge about alcohol use has been identified as one of the barriers PC providers face in their clinic. Both PC professionals’ level of training and attitude are crucial in the clinical practice regarding alcohol use. Objective To evaluate the knowledge, attitude, and preventive practices of Spanish PC physicians and nurses towards alcohol use. Design An observational, descriptive, cross-sectional, multi-center study. Methodology Location: PC centers of the Spanish National Health System (NHS). Participants: PC physicians and nurses selected randomly from health care centers, and by sending an e-mail to semFYC and SEMERGEN members. Healthcare providers completed an online survey on knowledge, attitude, and follow-up recommendations for reducing alcohol intake. A descriptive, bivariate, and multivariate statistical analysis was conducted (p<0.05). Results Participants: 1,760 healthcare providers completed the survey (75.6% [95% CI 73.5–77.6] family physicians; 11.4% [95% CI 9.9–12.9] medical residents; and 12.5% [95% CI 10.9–14.1] nurses), with a mean age of 44.7 (SD 11.24, range: 26–64, 95% CI: 47.2–48.2). Knowledge was higher in family physicians (p<0.001), older professionals (Spearman's r = 0.11, p<0.001), and resident trainers (p<0.001). The PC professional most likely to provide advice for reducing alcohol use was: a nurse (p <0.001), female (p = 0.010), between 46 and 55 years old (p <0.001). Conclusions PC providers’ knowledge and preventive practices regarding alcohol use are scarce, hence specific training strategies to increase their knowledge and improve their attitude and skills with regard to this health problem should be considered a healthcare policy priority.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

et al. 2019

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“…Adjusting the standard drink size (13g versus 10g in the international version), the authors found a cut score of 6 is effective for detecting hazardous drinking (sensitivity, 0.83; specificity, 0.88) and a cut score of 9 (sensitivity, 0.87; specificity, 0.85) for dependence. A study by Pérula et al (2009) among primary care patients in Spain (N = 614) assessed the psychometric properties of the AUDIT and its capacity to correctly diagnose alcohol abuse or AD, as defined by DSM-IV, ICD-10, and hazardous drinking. Researchers found that a cut score of 7 points is effective for detecting hazardous drinking (sensitivity, 0.92; specificity, 0.92); and the optimum cut score is 6 to detect possible dependence.…”

Section: Detection Of Alcohol Use Disordersmentioning

confidence: 99%

The Alcohol Use Disorders Identification Test (AUDIT): A review of graded severity algorithms and national adaptations

Babor¹,

Robaina²

2016

IJADR

107

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Aims: Since it was first released in 1989, the Alcohol Use Disorders Identification Test (AUDIT) has generated a large amount of research to evaluate its psychometric properties. The purpose of this review is to critically evaluate the literature relevant to applications of the AUDIT in screening, brief intervention, and treatment referral programs, and identify national adaptations of the AUDIT to country-specific health, education, and reimbursement needs. Methods:Methods comprised a search of the world literature published since 2004, combined with review articles published since 1997. Findings:We identified 431 studies of the AUDIT, including 386 articles, 26 review papers, and 11 book chapters since 2004, with a six-fold increase in the last decade. The factor structure of the AUDIT items remains unclear, but the weight of evidence supports a two-factor model. Despite the translation of the AUDIT into numerous languages, the alcohol consumption questions were rarely adapted to suit cultural or national conditions. Although numerous studies have supported the recommended cutoff thresholds for a possible alcohol use disorder, only three studies evaluated the classification accuracy of the AUDIT's graded severity system. Conclusions:Further development of the AUDIT score's severity zones is needed to guide intervention selection in clinical settings.

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“…Se utilizó una versión en español (Rubio Valladolid, Bermejo Vicedo, Caballero Sanchez-Serrano y Santo-Domingo Carrasco, 1998) del Alcohol Use Disorders Identification Test (AU-DIT, Test de Identificación de Trastornos del Uso del Alcohol; (Saunders, Aasland, Babor, de la Fuente y Grant, 1993) para evaluar los hábitos de consumo y para detectar el posible consumo de riesgo y perjudicial de alcohol. Se empleó una puntuación de corte de 8 para el consumo de riesgo, con sensibilidad de 81,4% a 90% y especificidad de 90% a 94,6% (de Torres et al, 2009;Gomez, Conde, Santana y Jorrin, 2005;Rubio Valladolid et al, 1998). Para evaluar los hábitos de fumar se utilizó una pregunta de respuesta múltiple: ¿Cuántos cigarrillos fumas por día?…”

Section: Medicionesunclassified

Patrones de consumo de alcohol, tabaco y drogas ilegales en personas transexuales

et al. 2018

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Este estudio evalúa los patrones de consumo de sustancias en personas transexuales de hombre a mujer (H-M) y de mujer a hombre (M-H). Un total de 251 personas transexuales (163 H-M y 88 M-H), atendidas en la Unidad de Identidad de Género de Cataluña, completaron un cuestionario autoadministrado sobre el consumo de alcohol, tabaco, cannabis, cocaína, opiáceos y drogas de diseño. Los resultados se compararon con datos del Servicio Nacional de Salud en población general en Cataluña (estudio EDADES 2013). La prevalencia del consumo de alcohol (70,1%), tabaco (46,2%) y cannabis (16,3%) actual en el total de personas transexuales de ambos sexos fue similar al de hombres en población general (72,1%, 42,1%, 12,8%) y mayor que la prevalencia en mujeres (57,6%, 35,2%, 5%); no se encontraron diferencias en dicho consumo entre H-M y M-H. El consumo de cocaína en H-M (9,8%) fue casi diez veces más prevalente que en el subgrupo M-H (1,1%) y que en ambos sexos en población general (menor del 1%). Sólo unos pocos referían consumo de opiáceos y drogas de diseño. En conclusión, el patrón de consumo de sustancias en personas transexuales, excepto para la cocaína, es similar entre ambos sexos, y se asemeja al patrón de consumo masculino en población general. El consumo de cocaína es hasta diez veces mayor en el grupo de mujeres transexuales (H-M) con respecto a los otros grupos. Palabras clave: Transexual; Transexualismo; Disforia de género; Patrones de consumo; Alcohol; Tabaco; Drogas. This study evaluated the patterns of substance use in a large sample of male-to-female (MtoF) and female-to-male (FtoM) transsexuals. A total of 251 transsexual subjects (163 MtoF and 88 FtoM), attended in the Catalonia Gender Unit, completed self-administrated questionnaires on consumption of alcohol, tobacco, cannabis, cocaine, opioids, and designer drugs. Results were compared with the general population in Catalonia using data from the National Health Service (EDADES 2013 study). Current consumption of alcohol (70.1%), tobacco (46.2%), and cannabis (16.3%) among transsexuals was similar when compared with men (72.1%, 42.1%, 12.8%) and increased when compared with women (57.6%, 35.2%, 5%); the consumption between MtoF and FtoM subgroups was similar. The use of cocaine was almost ten times more prevalent in the MtoF subgroup than in the FtoM subgroup (1.1%), and in general population (less than 1%).Only a few reported uses of opioids and designer drugs. In conclusion, the substance use among transsexuals, except for the use of cocaine, was similar between MtoF and FtoM subgroups, and resembled the consumption prevalence among men in the general population.The proportion of cocaine consumers in the MtoF subgroup was up to ten times higher than in other subgroups.

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Diagnostic usefulness of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire for the detection of hazardous drinking and dependence on alcohol among Spanish patients

Cited by 20 publications

References 17 publications

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

The Alcohol Use Disorders Identification Test (AUDIT): A review of graded severity algorithms and national adaptations

Patrones de consumo de alcohol, tabaco y drogas ilegales en personas transexuales

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