The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings

Pradhan, Bickram; Chappuis, François; Baral, Dharanidhar; Karki, Prahlad; Rijal, Suman; Hadengue, Antoine; Gache, Pascal

doi:10.1186/1747-597x-7-42

Cited by 71 publications

(53 citation statements)

References 33 publications

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“…On the other hand, the prevalence of alcohol use disorder in this work is lower than that of a study conducted on medical and surgical outpatients aged 45-64 years in Nigeria (41.4%) [32], 53.5% on America Veteran Affairs outpatients [33] and 40.5% in Nepal [34]. The possible reasons for the difference might be the tools.…”

Section: Discussioncontrasting

confidence: 59%

Alcohol Use Disorder and Associated Factors Among Medicaland Surgical Outpatients of University of Gondar Specialized Hospital: A Cross-sectional Study

Demilew

Tesfaw

Kerebih

et al. 2020

Preprint

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Background: Alcohol use disorders increase the risk for physical harm, mental or social consequences for patients and others in the communities. Studies on alcohol use disorder and associated factors among medical and surgical outpatients in Ethiopia are limited. Therefore, this study is meant to provide essential data alcohol use disorder and associated factors among medical and surgical outpatients for future interventions. Methods:An institution-based cross-sectional study was conducted using the systematic random sampling technique. Alcohol use disorder was assessed using the World Health Organization’s 10-item Alcohol Use Disorder Identification Test (AUDIT) questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Bivariate and multivariate logistic regression analyses were performed, P-values less than 0.05 were considered statistically significant in the multivariate analysisand the strength of association was measured using AOR at a 95% confidence interval.Results: The prevalence of alcohol use and use disorder were 322(68.50%) and 111(34.5%), respectively. In the multivariate analysis, male sex (AOR=3.33, 95%CI: 1.40, 7.93), history of mental illness (AOR=2.68, 95%CI: 1.12, 6.38), drinking for relaxation (AOR=1.88, 95%CI: 1.02, 3.48) and history of lifetime tobacco use (AOR=5.64, 95%CI: 1.95, 16.29) were significantly associated with the disorders. Conclusions: The prevalence of alcohol use disorders among medical and surgical outpatients was found to be high. Male sex, history of mental illness, use of alcohol for relaxation and tobacco smoking need further attention in the assessment of the disorder.

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Section: Discussioncontrasting

confidence: 59%

Alcohol Use Disorder and Associated Factors Among Medicaland Surgical Outpatients of University of Gondar Specialized Hospital: A Cross-sectional Study

Demilew

Tesfaw

Kerebih

et al. 2020

Preprint

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“…For example, if an individual consumed 200 ml of locally brewed alcohol with concentration of 25% it implies that he/she consumed five units of alcohol. The scale has already been validated and applied in Nepal [29], and the Cronbach’s alpha was 0.78 in this study. A cumulative total score ranges from 0 to 40.…”

Section: Methodsmentioning

confidence: 82%

Harmful alcohol drinking among HIV-positive people in Nepal: an overlooked threat to anti-retroviral therapy adherence and health-related quality of life

Pokhrel

Pokhrel²,

Neupane³

et al. 2018

Global Health Action

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Background: People living with Human Immunodeficiency Virus (HIV) often suffer from alcohol-use disorders resulting in their poor health and treatment outcomes. Little is known about the association of harmful alcohol drinking with their adherence to anti-retroviral therapy (ART) and health-related quality of life (QOL) in low-resource settings. Objective: This study aimed to investigate associations between harmful alcohol drinking, adherence to ART and health-related QOL in HIV-positive people, stratified by gender, in Nepal. Methods: We conducted a cross-sectional study of 682 HIV-positive people on ART to measure their self-reported harmful alcohol drinking and non-adherence to ART in the previous month of data collection. We also measured health-related QOL using a WHOQOL-HIV BREF scale. The association between harmful alcohol drinking and non-adherence to ART was examined using multiple logistic regressions. Additionally, multiple linear regressions examined association between harmful alcohol drinking and QOL. Results: Harmful alcohol drinking was associated with non-adherence to ART among men (AOR: 2.48, 95% CI: 1.50, 4.11, p < 0.001) and women (AOR: 2.52, 95% CI: 1.32, 4.80, p = 0.005). Men were more likely to have lower score for the psychological (β = −0.55, p = 0.021) and level of independence (β = −0.68, p = 0.018) domains when they had harmful alcohol drinking. Moreover, women were more likely to have lower scores for the physical (β = −1.01, p = 0.015), social relations (β = −0.82, p = 0.033), environmental (β = −0.88, p = 0.011), and spiritual (β = −1.30, p = 0.005) domains of QOL when they had harmful alcohol drinking. Conclusions: Harmful alcohol drinking had a negative association with ART adherence and QOL in both HIV-positive men and women in Nepal. Screening for alcohol-use disorders and community-based counseling services should be provided while delivering ART services to improve treatment adherence and QOL.

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“…A cut score of 5 was found to be most appropriate for identifying alcohol abuse in Malaysia (Yee, Adlan, Rashid, Habil, & Kamali, 2015) and AUDs and/or at-risk consumption (with the exception of AD) in an outpatient population in Northern Germany (Dybek et al, 2006). In a validation study of a Nepali version of the AUDIT (N = 1,068), Pradhan et al (2012) suggest a cutoff value of 11 for AD for both men and women. Authors recommend cutoff scores of ≥ 5 for males and ≥ 4 for females to identify hazardous drinking, based on the WHO's definition of a standard drink (10g ethanol).…”

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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The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings

Cited by 71 publications

References 33 publications

Alcohol Use Disorder and Associated Factors Among Medicaland Surgical Outpatients of University of Gondar Specialized Hospital: A Cross-sectional Study

Alcohol Use Disorder and Associated Factors Among Medicaland Surgical Outpatients of University of Gondar Specialized Hospital: A Cross-sectional Study

Harmful alcohol drinking among HIV-positive people in Nepal: an overlooked threat to anti-retroviral therapy adherence and health-related quality of life

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

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