Kokotailo Patricia K, Egan Judith, Gangnon Ronald, Brown David, Mundt Marlon, Fleming Michael
Departments of Pediatrics, University of Wisconsin, Madison, Wisconsin 53715, USA.
Alcohol Clin Exp Res. 2004 Jun;28(6):914-20. doi: 10.1097/01.alc.0000128239.87611.f5.
High-risk alcohol use among college students is associated with accidents, partner violence, unwanted sexual encounters, tobacco use, and performance issues. The identification and treatment of high-risk drinking students is a priority for many college campuses and college health centers. The goal of this study was to test the psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) in college students.
A convenience sample of students coming into a college health clinic was asked to complete the 10-question AUDIT and then participate in a research interview. The interview focused on assessing students for alcohol abuse and dependence by using the Composite International Diagnostic Interview Substance Abuse Module and timeline follow-back procedures to assess a 28-day drinking history.
A total of 302 students met the eligibility criteria and agreed to participate in the study. The sample consisted of 185 females (61%) and 117 males (39%), with a mean age of 20.3 years. Forty students were abstinent, 88 were high-risk drinkers, and 103 met criteria for a 12-month history of dependence. Receiver operator curves demonstrated that the AUDIT had the highest area under the cure for detecting high-risk alcohol use (0.872) and the lowest for identifying persons with a lifetime history of alcohol abuse or dependence (0.775). An AUDIT cutoff score of 6 or greater demonstrated a sensitivity of 91.0% and a specificity of 60.0% in the detection of high-risk drinkers.
The AUDIT has reasonable psychometric properties in sample of college students using student health services. This study supports the use of the AUDIT in this population.
大学生中的高风险饮酒行为与事故、伴侣暴力、非意愿性性接触、吸烟及学业问题相关。识别并治疗高风险饮酒的学生是许多大学校园和校医中心的工作重点。本研究的目的是检验酒精使用障碍识别测试（AUDIT）在大学生中的心理测量特性。
选取到大学健康诊所就诊的学生组成便利样本，要求他们完成10道题的AUDIT测试，然后参加一次研究访谈。访谈聚焦于通过使用《综合国际诊断访谈-物质滥用模块》以及时间线追溯程序来评估学生的酒精滥用及依赖情况，以评估其28天的饮酒史。
共有302名学生符合入选标准并同意参与研究。样本包括185名女性（61%）和117名男性（39%），平均年龄为20.3岁。40名学生戒酒，88名是高风险饮酒者，103名符合12个月依赖史标准。受试者工作特征曲线表明，AUDIT在检测高风险饮酒行为时曲线下面积最高（0.872），而在识别有终生酒精滥用或依赖史的人时曲线下面积最低（0.775）。AUDIT临界值分数为6分或更高时，在检测高风险饮酒者方面灵敏度为91.0%，特异度为60.0%。
AUDIT在使用学生健康服务的大学生样本中具有合理的心理测量特性。本研究支持在该人群中使用AUDIT。
