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首页> 外文期刊>European addiction research >The Use of the Alcohol Use Disorders Identification Test - Consumption as an Indicator of Hazardous Alcohol Use among University Students
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The Use of the Alcohol Use Disorders Identification Test - Consumption as an Indicator of Hazardous Alcohol Use among University Students

机译：使用醇类使用障碍鉴定试验 - 消费作为大学生危险酒精使用的指标

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Background: Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the -AUDIT-Consumption (AUDIT-C). Currently, there's no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points. Methods: Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score >= 11 was used as the criterion of hazardous and harmful drinking. Results: Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95% CI 0.914-0.930). At an AUDIT-C cutoff score of >= 7, sensitivity and specificity were both >80%, while other cutoffs showed less balanced results. A cutoff of >= 8 performed better among males, but for other subgroups >= 7 was most suitable. Conclusion: AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs.
机译：背景：高等教育学生中的危险饮酒是一种日益关注。酒精使用障碍识别测试（审计）是成年人口中危险饮酒的黄金标准筛选仪器，其中开发了缩写版本：-Audit消费（审计-C）。目前，没有用于识别高等教育学生的危险饮酒的金标准，并且有关审计员的并发有效性的少数证据是本集团的筛选文书。本研究调查了审计员在大学生样本中的并行有效性，并提出了最合适的截止点。方法：使用了5,401名大学和荷兰应用科学大学的健康调查的横截面数据。接收器操作特征（ROC）用于不同截止评分的审计分数的诊断，敏感性，特异性和正面和负预测值，用于总样品和年龄，性别和教育程度分层分层的亚组。审计得分> = 11被用作危险和有害饮酒的标准。结果：20％的学生是危险和有害的饮酒者。 ROC曲线下的面积为0.922（95％CI 0.914-0.930）。在审计-C截止得分> = 7的情况下，敏感度和特异性均为> 80％，而其他截止结果表现出较低的均衡结果。截止值> = 8在雄性中表现更好，但对于其他亚组> = 7最合适。结论：审计 - C似乎有效地识别危险和有害的饮酒学生，建议最佳截止7（女性）或8（男性）。然而，关于避免假阳性与假否定的考虑因素与筛选后的干预类型相关，可能导致选择不同的截止值。

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