The utility of the Alcohol Use Disorders Identification test (AUDIT) for the analysis of binge drinking in university students.

  1. María Teresa Cortés Tomás 1
  2. José Antonio Giménez Costa 1
  3. Patricia Motos-Sellés 1
  4. María Dolores Sancerni Beitia 1
  5. Fernando Cadaveira Mahía 2
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  2. 2 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

Revista:
Psicothema

ISSN: 0214-9915

Ano de publicación: 2017

Volume: 29

Número: 2

Páxinas: 229-235

Tipo: Artigo

DOI: 10.7334/PSICOTHEMA2016.271 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Psicothema

Resumo

Background: The increasingly precise conceptualization of Binge Drinking (BD), along with the rising incidence of this pattern of intake amongst young people, make it necessary to review the usefulness of instruments used to detect it. Little evidence exists regarding effectiveness of the AUDIT, AUDIT-C and AUDIT-3 in the detection of BD. This study evaluates their utility in a sample of university students, revealing the most appropriate cut-off points for each sex. Methods: All students self-administered the AUDIT and completed a self-report of their alcohol consumption. A Two-step cluster analysis differentiated 5 groups of BD in terms of: the quantity consumed, the frequency of BD over the past six months and gender. A ROC curve adjusted cut-off points for each case. Results: 862 university students (18-19 years-old/59.5% female), 424 (49.2%) from Valencia and 438 (50.8%) from Madrid, had cut-off points of 4 in AUDIT and 3 in AUDIT-C as a better fit. In all cases, the best classifier was AUDIT-C. Neither version properly classifies students with varying degrees of BD. Conclusions: All versions differentiate BD from non-BD, but none are able to differentiate between types of BD.

Referencias bibliográficas

  • Aalto, M., Alho, H., Halme, J., & Seppä, K. (2009). AUDIT and its abbreviated versions in detecting heavy and binge drinking in a general population survey. Drug and Alcohol Dependence, 103, 25-29.
  • Adewuya, A.O. (2005). Validation of the alcohol use disorders identification test (AUDIT) as a screening tool for alcohol-related problems among Nigerian university students. Alcohol and Alcoholism, 40, 575-577.
  • Caamaño-Isorna, F., Corral, M., Parada, M., & Cadaveira, F. (2008). Factors associated with risky consumption and heavy episodic drinking among Spanish university students. Journal of Studies on Alcohol, 69, 308-312.
  • Chung, T., Colby, S.M., Barnett, N.P., Rohsenow, D.J., Spirito, A., & Monti, P.M. (2000). Screening adolescents for problem drinking: Performance of brief screens against DSM-IV alcohol diagnoses. Journal of Studies on Alcohol, 61, 579-587.
  • CNAPA-Committee on National Alcohol Policy and Action (2014). Action Plan on Youth Drinking and on Heavy Episodic Drinking (Binge Drinking) (2014-2016). Brussels: European Commission.
  • Cortés, M.T., Giménez, J.A., Motos, P., & Cadaveira, F. (2014). The importance of expectations in the relationship between impulsivity and binge drinking among university students. Adicciones, 26, 134-145.
  • Cortés, M.T., & Motos, P. (2015). Cómo definir y medir el Consumo Intensivo de Alcohol [How to define and measure BD]. In M.T. Cortés (Coord.), Consumo intensivo de alcohol en jóvenes [Intensive alcohol consumption in young] (pp. 25-46). Barcelona: SOCIDROGALCOHOL.
  • Cortés, M.T., Giménez, J.A., Motos, P., & Sancerni, M.D. (2016). Different versions of the Alcohol Use Disorders Identification Test (AUDIT) as screening instruments for underage binge drinking. Drug and Alcohol Dependence, 158, 52-59.
  • D’Alessio, M., Baiocco, R., & Laghi, F. (2006). The problem of binge drinking among Italian university students: A preliminary investigation. Addictive Behaviours, 31, 2328-2333.
  • Davoren, M.P., Shiely, F., Byrne, M., & Perry, I.J. (2015). Hazardous alcohol consumption among university students in Ireland: A cross-sectional study. British Medical Journal Open, 5(1), e006045.
  • Dawson, D.A., Grant, B.F., Stinson, F.S., & Zhou, Y. (2005). Effectiveness of the derived alcohol use disorders identification test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the US general population. Alcohol Clinical and Experimental Research, 29, 844-854.
  • de Meneses-Gaya, C., Zuardi, A.W., Loureiro, S.R., & Crippa, J.A.S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology & Neuroscience, 2, 83.
  • Del Boca, F.K., & Darkes, J. (2003). The validity of self-reports of alcohol consumption: State of the science and challenges for research. Addiction, 98-S2, 1-12.
  • DeMartini, K.S., & Carey, K.B. (2012). Optimising the use of the AUDIT for alcohol screening in college students. Psychological Assessment, 24, 954.
  • Eurobarometer (2010). EU citizens’ attitudes towards alcohol. Brussels: European Commission.
  • García, C.M., Novalbos, R.J., Martínez, D.J., & O’Ferrall, G.C. (2016). Validation of the Alcohol Use Disorders Identification Test in university students: AUDIT and AUDIT-C. Adicciones, 28, 194-204.
  • Haug, S., Ulbricht, S., Hanke, M., Meyer, C., & John, U. (2011). Overestimation of drinking norms and its association with alcohol consumption in apprentices. Alcohol and Alcoholism, 46, 204-209.
  • Hibell, B., Andersson, B., Bjarnason, T., Ahlström, S., Balakireva, O., Kokkevi, A., & Morgan, M. (2004). The ESPAD Report 2003: Alcohol and Other Drug Use Among Students in 35 European Countries. Stockholm: Swedish Council for Information on Alcohol and Other Drugs.
  • Kokotailo, P.K., Egan, J., Gangnon, R., Brown, D., Mundt, M., & Fleming, M. (2004). Validity of the Alcohol Use Disorders Identification Test in college students. Alcohol Clinical and Experimental Research, 28, 914-920.
  • Kypri, K., McGee, R., Saunders, J.B., Langley, J.D., & Dean, J.I. (2002). Interpretation of items in the AUDIT questionnaire. Alcohol and Alcoholism, 37, 465-467.
  • Lee, J.G., Kim, J.S., Jung, J.G., Choi, T.K., & Ryou, Y.I. (2011). Usefulness of the Alcohol Use Disorders Identification Test in screening for problem drinkers among college students. Korean Journal of Family Medicine, 32, 29-36.
  • López, E., Mota, N., Crego, A., Velásquez, T., Corral, M., Rodríguez, S., & Cadaveira, F. (2014). Neurocognitive anomalies associated with the binge drinking pattern of alcohol consumption in adolescents and young people: A review. Adicciones, 26, 334-359.
  • Martínez, J.A., Sher, K.J., & Wood, P.K. (2014). Drinking consequences and subsequent drinking in college students over 4 years. Psychology of Addictive Behaviours, 28, 1240-1245.
  • Matano, R.A., Koopman, C., Wanat, S.F., Whitsell, S.D., Borggrefe, A., & Westrup, D. (2003). Assessment of binge drinking of alcohol in highly educated employees. Addictive Behaviours, 28, 1299-1310.
  • McCambridge, J., & Thomas, B.A. (2009). Short forms of the AUDIT in a Web-based study of young drinkers. Drug and Alcohol Review, 28, 18-24.
  • Midanik, L.T. (1988). Validity of self-reported alcohol use: A literature review and assessment. British Journal of Addiction, 83, 1019-1029.
  • Newes-Adeyi, G., Chen, C.M., Williams, G.D., & Fader, V.B. (2005). Surveillance report 74: Trends in underage drinking in the United States 1991-2003. Rockville: NIAAA.
  • OED-Observatorio Español sobre Drogas (2013). Encuesta sobre alcohol y drogas en España (EDADES) [Survey about drug and alcohol consumption in Spain], 1995-2013. Madrid: Ministerio de Sanidad y Política Social.
  • Patton, R., & Boniface, S. (2016). Prevalence of hazardous drinking among UK 18-35 year olds; the impact of a revision to de AUDIT cut score. Alcohol and Alcoholism, 51, 281-282.
  • Rubio, G., Bermejo, J., Caballero, M.C., & Santo-Domingo, J. (1998). Validación de la prueba para la identificación de trastornos por uso de alcohol (AUDIT) en Atención Primaria [Validation of a test for identifying alcohol use disorders (AUDIT) in Primary Care]. Revista Clínica Española, 198, 11-14.
  • SAMHSA-Substance Abuse and Mental Health Services Administration (2014). Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health. U.S. Department of Health and Human Services (HHS).
  • Tuunanen, M., Aalto, M., & Seppä, K. (2007). Binge drinking and its detection among middle-aged men using AUDIT, AUDIT-C and AUDIT-3. Drug and Alcohol Review, 26, 295-299.
  • Wicki, M., Kuntsche, E., & Gmel, G. (2010). Drinking at European universities? A review of students’ alcohol use. Addictive Behaviours, 35, 913-924.
  • Zweig, M.H., & Campbell, G. (1993). Receiver-operating characteristic (ROC) plots: A fundamental evaluation tool in clinical medicine. Clinical Chemistry, 39, 561-577.