Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients

Vitesnikova, Jana; Dinh, Michael; Leonard, Elizabeth; Boufous, Soufiane; Conigrave, Katherine M.

doi:10.1016/j.injury.2014.01.004

Cited by 35 publications

(28 citation statements)

References 18 publications

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“…Other studies suggested higher sensitivities with a cut-off score ≥ 5 points [24,25]. In this study we decided to use a cut-off score ≥ 5 points as a countermeasure to any bias related to the high response rate and selection bias.…”

Section: Discussionmentioning

confidence: 99%

Poor weight control, alcoholic beverage consumption and sudden sleep onset at the wheel among Italian truck drivers: A preliminary pilot study

Rosso¹,

Montomoli²,

Candura³

2016

Int J Occup Med Environ Health

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Objectives: The aim of this study was to investigate the prevalence of obesity, alcoholic beverage consumption, unhealthy alcohol use and sudden sleep onset at the wheel among Italian truck drivers. In addition to prevalence rates, this study also aimed at investigating potential predictors for sudden-onset sleepiness and obesity. Material and Methods: A sample of truck drivers was extracted from the database of the High Risk Professional Driver Study. Data concerning demographics, anthropometry, medical information and working conditions were collected using anonymous questionnaires. Logistic regression analyses were performed to assess the association of the reported body mass index (BMI), alcohol consumption and sudden sleep onset with working conditions and general lifestyle factors. Results: Three hundred and thirty-five questionnaires were collected. According to their BMI, 45% of the participants were overweight and 21.4% of them were obese. Twenty-four point two percent declared they drank alcoholic beverages during working hours or work breaks and 21.3% of the drivers had an Alcohol Use Disorders Identyfication Test Consumption (AUDIT C) score ≥ 5 (the threshold value for unhealthy alcohol use). Forty-one point six percent of the interviewees experienced one episode of sudden sleep onset at the wheel per month (5.5% per week and 0.9% daily). Predictive factors for obesity were: length of service (odds ratio (OR) = 1.09, confidence interval (95% CI): 1.04-1.15, p < 0.001) and the AUDIT C total score (OR = 1.34, 95% CI: 1.08-1.66, p = 0.008). Predictive factors for sudden-onset sleepiness at the wheel were: age > 55 years old (OR = 5.22, 95% CI: 1.29-21.1, p = 0.020), driving more than 50 000 km per year (OR = 2.89, 95% CI: 1.37-6.11, p = 0.006) and the Chalder Fatigue Questionnaire (CFQ) score > 11 (adjusted OR = 2.97, 95% CI: 1.22-7.21, p = 0.016). Conclusions: This study strongly emphasizes the need for intervention in order to reduce and prevent important risk factors for the sake of road safety and truck drivers' health.

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Section: Discussionmentioning

confidence: 99%

Poor weight control, alcoholic beverage consumption and sudden sleep onset at the wheel among Italian truck drivers: A preliminary pilot study

Rosso¹,

Montomoli²,

Candura³

2016

Int J Occup Med Environ Health

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“…For example, in the US, a cutoff score ≥4 points for men and ≥3 points for women has been set (Delaney et al, 2014). Other studies have suggested higher sensitivities with a cut-off score ≥5 points (Vitesnikova et al, 2014;Calabria et al, 2014).…”

mentioning

confidence: 99%

AUDIT-C score and its association with risky behaviours among professional drivers

Rosso

Montomoli

Candura

2016

International Journal of Drug Policy

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“…13 In addition, the AUDIT-C has been used in other population groups, including university students, 14 patients with a diagnosis of depression, 11 and patients admitted to trauma hospitals. 15 The ODHIN randomized controlled trial (RCT) 16 used the first 3 questions of the AUDIT (AUDIT-C) as a screening tool to promote early identification of hazardous and harmful drinking and tested 3 strategies alone, and in combination, to encourage clinicians to give brief alcohol advice to patients as follows: training and support, financial incentives, and internet-based counselling (eBI). While the most commonly used cut-off points in the AUDIT-C are ≥5 for men and ≥4 for women, 5 the ODHIN trial used cut-off points of ≥5 for men and women in Catalonia and England.…”

Section: Discussionmentioning

confidence: 99%

“…A shorter form of AUDIT is the AUDIT‐C, which includes only the 3 alcohol questions of the full AUDIT, has been validated for use in primary health care in many countries with high levels of sensitivity and specificity and high levels of correlation between the responses in the first and second application (0.6‐0.8) . In addition, the AUDIT‐C has been used in other population groups, including university students, patients with a diagnosis of depression, and patients admitted to trauma hospitals …”

Section: Introductionmentioning

confidence: 99%

Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT‐C

Palacio-Vieira

Segura

Anderson

et al. 2017

Evaluation Clinical Practice

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Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients

Cited by 35 publications

References 18 publications

Poor weight control, alcoholic beverage consumption and sudden sleep onset at the wheel among Italian truck drivers: A preliminary pilot study

Poor weight control, alcoholic beverage consumption and sudden sleep onset at the wheel among Italian truck drivers: A preliminary pilot study

AUDIT-C score and its association with risky behaviours among professional drivers

Improving screening and brief intervention activities in primary health care: Secondary analysis of professional accuracy based on the AUDIT‐C

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