首页> 外文期刊>Alcohol and alcoholism: international journal of the Medical Council on Alcoholism >The 5-item alcohol use disorders identification test (AUDIT-5): An effective brief screening test for problem drinking, alcohol use disorders and alcohol dependence
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The 5-item alcohol use disorders identification test (AUDIT-5): An effective brief screening test for problem drinking, alcohol use disorders and alcohol dependence

机译:五项酒精使用障碍识别测试(AUDIT-5):有效的简短筛查,用于检查饮酒,酒精使用障碍和酒精依赖

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Aims: To identify an optimal brief version of the Alcohol Use Disorders Identification Test (AUDIT) and to evaluate its effectiveness as a screening test for problem drinking (PD), alcohol use disorders (AUD) and alcohol dependence (AD). Methods: A multicenter trial was conducted from March, 2010, to January, 2012, in 101 normal comparison, 203 risky drinking, 92 alcohol abuse and 101 AD men aged below 65 years of age in a Korean population. For the purposes of screening, risky drinking, alcohol abuse and AD were grouped: all the three grouped as PD and the latter two grouped as AUD. Logistic regression analysis was used to determine the items among the 10-item AUDIT that provided information predictive of PD, AUD and AD. Receiver operating characteristic (ROC) curve analysis was performed to investigate the discrimination ability of the brief versions of AUDIT, 10-item AUDIT and Cut-down, Annoyed, Guilt, Eye-opener as a screen for PD, AUD and AD. Areas under the ROC curve were compared between tests according to the method suggested by Hanley and McNeil. Results: The 5-item AUDIT (AUDIT-5: AUDIT items 2, 4, 5, 9 and 10) was obtained by stepwise multiple regression analyses for each screening. AUDIT-5 exhibited an AUD screening accuracy significantly superior to that of the 10-item AUDIT, but other brief versions of AUDIT and CAGE did not. Furthermore, AUDIT-5 had a high PD and AD screening accuracy equivalent to that of the 10-item AUDIT. Conclusion: These results strongly support the usefulness of AUDIT-5 for screening of PD, AUD and AD in clinical settings in Korean male populations.
机译:目的:确定最佳的简短版本的“酒精使用障碍识别测试”(AUDIT),并评估其作为筛查问题饮酒(PD),酒精使用障碍(AUD)和酒精依赖(AD)的有效性。方法:从2010年3月至2012年1月进行了一项多中心试验,在韩国人群中进行101例正常对照,203例危险饮酒,92例酗酒和101例65岁以下的AD男性。为了进行筛查,将危险饮酒,酗酒和AD归类:所有三个归类为PD,后两个归类为AUD。使用Logistic回归分析确定10个项目中的AUDIT项目,这些项目提供了可预测PD,AUD和AD的信息。进行接收者工作特征(ROC)曲线分析以研究简短版本的AUDIT,10个项目的AUDIT和Cut-down,Annoyed,Gult,令人大开眼界的PD,AUD和AD屏幕的辨别能力。根据Hanley和McNeil建议的方法,在测试之间比较了ROC曲线下的面积。结果:通过逐步多元回归分析,每次筛选获得5项AUDIT(AUDIT-5:AUDIT项目2、4、5、9和10)。 AUDIT-5的AUD筛选精度明显优于10项AUDIT,但是其他简短版本的AUDIT和CAGE则没有。此外,AUDIT-5具有很高的PD和AD筛选精度,与10项AUDIT相当。结论:这些结果强烈支持AUDIT-5在韩国男性人群临床环境中筛查PD,AUD和AD的有用性。

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