Utility of the AUDIT for identification of hazardous or harmful drinking in drug-dependent patients

Skipsey, Kitzia; Burleson, Joseph A.; Kranzler, Henry R.

doi:10.1016/s0376-8716(97)01353-7

Cited by 115 publications

(60 citation statements)

References 24 publications

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“…The range of scores is 0 to 40, with scores from 8 to 13 classified as hazardous and scores greater than 13 classified as harmful. The reliability and sensitivity of this tool in identifying hazardous or harmful drinking among drug users have been validated (Skipsey et al, 1997).…”

Section: Methodsmentioning

confidence: 99%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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Background-Heavy alcohol use, hepatitis C and illicit drug use each have been shown to have negative impacts on health-related quality of life (HRQL). To date, considerations of HRQL have not played a prominent role in the design and measurement of intervention strategies for out-oftreatment at-risk populations.Methods-Data were collected from out-of-treatment IDUs recruited through street outreach in North Carolina. Multiple linear regression analyses were used to examine the independent effects of HCV status, harmful drinking (AUDIT), and illicit drug use on HRQL (SF-36).Results-Fifty-one percent of 619 study participants tested HCV-positive; 57% met criteria for harmful or hazardous drinking and 63% reported daily use of hard drugs. HRQL scores for this population were significantly lower than those of the general population. Multiple linear regression analyses demonstrated that harmful levels of alcohol consumption and use of methamphetamine in the past month had the strongest associations with reduced HRQL.Conclusions-Given the high rates of HCV in most IDU communities, new harm reduction approaches are needed for these populations which focus beyond prevention to the functioning and well-being of those already infected. In particular, reducing heavy alcohol use in addition to slowing HCV progression shows promise for improving HRQL.

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Section: Methodsmentioning

confidence: 99%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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“…AUDIT is a screening tool developed by the World Health Organization for identification of milder stages of problem drinking than alcoholism; a cut-off of ≥ 8 is used to detect hazardous or harmful alcohol consumption (Saunders et al, 1993;Fiellin et al, 2000). The AUDIT assessment is the preferred tool for HCV-infected populations (Sylvestre et al, 2004) and has been validated with drug users (Skipsey et al, 1997). AUDIT collects data on quantity and frequency of consumption, as well as alcohol-related behaviors and problems, within the past year.…”

Section: Methodsmentioning

confidence: 99%

High prevalence of alcohol use among hepatitis C virus antibody positive injection drug users in three US cities

Campbell

Hagan

Latka

et al. 2006

Drug and Alcohol Dependence

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Injection drug users (IDUs) acquire the majority of new hepatitis C virus (HCV) infections and frequently use alcohol. Alcohol abuse accelerates liver disease among HCV-infected persons, can reduce the effectiveness of treatment for HCV infection and may be a contraindication for HCV treatment. HCV seropositive, HIV-negative IDUs aged 18-35 years in Baltimore, New York City and Seattle who were enrolled in a behavioral risk-reduction intervention trial underwent computerized self-interviews to assess baseline alcohol use and dependence and medical history. We measured problem alcohol use using the 10-item Alcohol Use Disorders Identification Test (AUDIT) scale. Of 598 participants, 84% responded "false" to: "it is safe for a person with HCV to drink alcohol". Problem drinking, defined as score ≥ 8 on AUDIT, was identified in 37%. Correlates of scoring ≥ 8 on AUDIT included homelessness, male gender, primarily injecting speedballs, having injected with used needles, prior alcohol treatment and depression. Although most HCV seropositive IDUs in our sample appear informed about their increased risk of liver disease from alcohol, twofifths screened positive for problem alcohol use. These findings underscore the importance of referring HCV-positive persons to effective alcohol treatment programs to reduce future liver damage and improve eligibility for and effectiveness of treatment of HCV.

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“…O AUDIT, quando comparado a outros 22 instrumentos, é aquele que apresenta as características psicométricas mais sofisticadas com fidedignidade e validade estimadas em várias populações de diversos países (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) .…”

Section: Introductionunclassified

Confiabilidade do teste de identificação de transtornos devido ao uso de álcool (AUDIT) em adolescentes

Mattara

Ângelo

Faria

et al. 2010

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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O objetivo deste trabalho foi estimar a confiabilidade do teste de identificação de transtornos devido ao uso de álcool (AUDIT), aplicado em adolescentes. Foram avaliados 141 estudantes com idade de 14 a 17 anos (14,93±0,62). A consistência interna do instrumento foi estimada pelo coeficiente alfa de Cronbach e sua reprodutibilidade pela estatística Kappa ponderada por ponto e por intervalo de 95% de confiança. O AUDIT apresentou excelente consistência interna (α=0,80, r inter-item =0,29). A maioria das questões apresenta reprodutibilidade classificada como "boa". Pode-se concluir que o AUDIT revelou-se instrumento confiável para o levantamento de informações sobre o consumo de álcool em adolescentes. Descritores: Alcoolismo; Adolescente; Reprodutividade dos Testes. RELIABILITY OF THE ALCOHOL USE DISORDERS IDENTIFICATION TEST (AUDIT) IN ADOLESCENTSThe objective of this study was to estimate the reliability of the alcohol use disorders identification test (AUDIT) applied to adolescents. Evaluations were performed with 141 students of ages ranging from 14 to 17 years (14.93±0.62). The internal consistency of the instrument was estimated by Cronbach's alpha coefficient and its reproducibility by weighted Kappa statistics by score and by a reliability interval of 95%. The AUDIT presented excellent internal consistency (α=0.80, r inter-item =0.29). Most questions present reproducibility ranked as "good". It is concluded that the AUDIT is a reliable instrument to survey information about alcohol use in adolescents. Descriptors: Alcoholism; Adolescente; Reproducibility of Results.

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Utility of the AUDIT for identification of hazardous or harmful drinking in drug-dependent patients

Cited by 115 publications

References 24 publications

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

High prevalence of alcohol use among hepatitis C virus antibody positive injection drug users in three US cities

Confiabilidade do teste de identificação de transtornos devido ao uso de álcool (AUDIT) em adolescentes

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