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Accuracy and Utility of the AUDIT-C with Adolescent Girls and Young Women (AGYW) Who Engage in HIV Risk Behaviors in South Africa

机译:审计 - C的准确性和效用与南非艾滋病病毒风险行为的青春期女孩和年轻女性(Agyw)

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摘要

Hazardous drinking is a risk factor associated with sexual risk, gender-based violence, and HIV transmission in South Africa. Consequently, sound and appropriate measurement of drinking behavior is critical to determining what constitutes hazardous drinking. Many research studies use internal consistency estimates as the determining factor in psychometric assessment; however, deeper assessments are needed to best define a measurement tool. Rasch methodology was used to evaluate a shorter version of the Alcohol Use Disorders Identification Test, the AUDIT-C, in a sample of adolescent girls and young women (AGYW) who use alcohol and other drugs in South Africa (n =100). Investigations of operational response range, item fit, sensitivity, and response option usage provide a richer picture of AUDIT-C functioning than internal consistency alone in women who are vulnerable to hazardous drinking and therefore at risk of HIV. Analyses indicate that the AUDIT-C does not adequately measure this specialized population, and that more validation is needed to determine if the AUDIT-C should continue to be used in HIV prevention intervention studies focused on vulnerable adolescent girls and young women.
机译:危险饮酒是与性风险,基于性别的暴力和艾滋病毒传播相关的危险因素。因此,对饮酒行为的声音和适当测量对于确定危险饮酒是至关重要的。许多研究研究使用内部一致性估计作为心理测量评估中的确定因素;但是,需要更深入的评估来最佳定义测量工具。 Rasch方法用于评估较短版本的酒精使用障碍鉴定试验,审计-C,在南非使用酒精和其他药物的青少年女孩和年轻女性(Agyw)样本中(n = 100)。运营响应范围,项目适合,敏感性和响应选项的调查提供了比单独的内部一致性的审核 - C功能的更丰富的图像,易受危害饮酒的女性,因此有艾滋病毒的风险。分析表明,审计-C没有充分衡量这种专业人群,并且需要更多的验证来确定审计-C是否应继续用于艾滋病预防干预研究,其专注于脆弱的青少年女孩和年轻女性。

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  • 来源
    《Journal of applied measurement》 |2019年第1期|112-122|共11页
  • 作者单位

    Courtney Peasant Bonner RTI International;

    Courtney Peasant Bonner RTI International;

    Alcohol Tobacco and Other Drug Research Unit South African Medical Research Council;

    RTI International;

    RTI International University of North Carolina at Chapel Hill Duke University School of Medicine North Carolina State University;

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