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酒精使用障碍识别测试(AUDIT)的同时效度。

Concurrent validity of the alcohol use disorders identification test (AUDIT).

作者信息

De Silva Prasantha, Jayawardana Pushpa, Pathmeswaran A

机构信息

Management Development and Planning Unit, Ministry Of Health Care and Nutrition, Sri Lanka.

出版信息

Alcohol Alcohol. 2008 Jan-Feb;43(1):49-50. doi: 10.1093/alcalc/agm061. Epub 2007 Sep 11.

DOI:10.1093/alcalc/agm061
PMID:17855334
Abstract

AIMS

To determine cut-offs for the Alcohol Use Disorders Identification Test (AUDIT) 10-item questionnaire, differentiating hazardous drinking (HZD) and alcohol use disorders (AUD) from low risk drinking (LRD), and AUD from HZD and LRD among married men in a Sri Lankan sample.

METHODS

Using 62 low risk drinkers and 88 each from hazardous drinkers and AUD, the AUDIT instrument was compared with adapted and translated versions of a beverage-specific, quantity-frequency questionnaire, and the alcohol use module of the Composite International Diagnostic Interview (CIDI), and two receiver operating characteristic (ROC) curves were plotted.

RESULTS

The area under the ROC curves to differentiate HZD + AUD from LRD and AUD from HZD + LRD were 0.96 (95% CI: 0.94-0.99) and 0.97 (95% CI: 0.95-0.99) respectively. The cut-off values of 7 and 16 were observed to have the best trade-offs between sensitivity, specificity, the ratio of positive likelihood to negative likelihood ratios, and positive predictive values.

CONCLUSION

The AUDIT could be used to screen for LRD, HZD, and AUD among Sinhalese married men in Sri Lanka.

摘要

目的

确定酒精使用障碍识别测试(AUDIT)10项问卷的临界值,以区分斯里兰卡已婚男性样本中的危险饮酒(HZD)、酒精使用障碍(AUD)与低风险饮酒(LRD),以及AUD与HZD和LRD。

方法

将62名低风险饮酒者、88名危险饮酒者和88名酒精使用障碍者作为样本,将AUDIT工具与针对特定饮料的数量频率问卷的改编和翻译版本、综合国际诊断访谈(CIDI)的酒精使用模块进行比较,并绘制两条受试者工作特征(ROC)曲线。

结果

区分HZD+AUD与LRD以及AUD与HZD+LRD的ROC曲线下面积分别为0.96(95%CI:0.94-0.99)和0.97(95%CI:0.95-0.99)。观察到临界值7和16在敏感性、特异性、阳性似然比与阴性似然比的比值以及阳性预测值之间具有最佳权衡。

结论

AUDIT可用于筛查斯里兰卡僧伽罗族已婚男性中的LRD、HZD和AUD。

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