酒精使用障碍识别测试（AUDIT）：验证尼泊尔版本在医疗环境中检测酒精使用障碍和危险饮酒的有效性。
The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings.
机构信息
Department of Internal Medicine, B,P Koirala Institute of Health Sciences, Dharan, Nepal.
出版信息
Subst Abuse Treat Prev Policy. 2012 Oct 5;7:42. doi: 10.1186/1747-597X-7-42.
BACKGROUND
Alcohol problems are a major health issue in Nepal and remain under diagnosed. Increase in consumption are due to many factors, including advertising, pricing and availability, but accurate information is lacking on the prevalence of current alcohol use disorders. The AUDIT (Alcohol Use Disorder Identification Test) questionnaire developed by WHO identifies individuals along the full spectrum of alcohol misuse and hence provides an opportunity for early intervention in non-specialty settings. This study aims to validate a Nepali version of AUDIT among patients attending a university hospital and assess the prevalence of alcohol use disorders along the full spectrum of alcohol misuse.
METHODS
This cross-sectional study was conducted in patients attending the medicine out-patient department of a university hospital. DSM-IV diagnostic categories (alcohol abuse and alcohol dependence) were used as the gold standard to calculate the diagnostic parameters of the AUDIT. Hazardous drinking was defined as self reported consumption of ≥21 standard drink units per week for males and ≥14 standard drink units per week for females.
RESULTS
A total of 1068 individuals successfully completed the study. According to DSM-IV, drinkers were classified as follows: No alcohol problem (n=562; 59.5%), alcohol abusers (n= 78; 8.3%) and alcohol dependent (n=304; 32.2%). The prevalence of hazardous drinker was 67.1%. The Nepali version of AUDIT is a reliable and valid screening tool to identify individuals with alcohol use disorders in the Nepalese population. AUDIT showed a good capacity to discriminate dependent patients (with AUDIT ≥11 for both the gender) and hazardous drinkers (with AUDIT ≥5 for males and ≥4 for females). For alcohol dependence/abuse the cut off values was ≥9 for both males and females.
CONCLUSION
The AUDIT questionnaire is a good screening instrument for detecting alcohol use disorders in patients attending a university hospital. This study also reveals a very high prevalence of alcohol use disorders in Nepal.
背景
在尼泊尔，酒精问题是一个主要的健康问题，但仍未得到充分诊断。酒精消费的增加有许多因素，包括广告、价格和供应，但关于当前酒精使用障碍的流行程度，准确的信息仍然缺乏。世界卫生组织（WHO）开发的 AUDIT（酒精使用障碍识别测试）问卷可以识别出处于酒精滥用全谱的个体，因此为非专业环境下的早期干预提供了机会。本研究旨在验证 AUDIT 在一家大学医院就诊的患者中的尼泊尔版本，并评估酒精使用障碍在酒精滥用全谱中的流行程度。
方法
这是一项在大学医院门诊患者中进行的横断面研究。DSM-IV 诊断类别（酒精滥用和酒精依赖）被用作计算 AUDIT 诊断参数的金标准。危险饮酒定义为男性每周自我报告饮酒量≥21 标准单位，女性每周自我报告饮酒量≥14 标准单位。
结果
共有 1068 人成功完成了这项研究。根据 DSM-IV，饮酒者分为以下几类：无酒精问题（n=562；59.5%）、酒精滥用者（n=78；8.3%）和酒精依赖者（n=304；32.2%）。危险饮酒者的患病率为 67.1%。尼泊尔版 AUDIT 是一种可靠和有效的筛查工具，可用于识别尼泊尔人群中患有酒精使用障碍的个体。AUDIT 对依赖患者（男女 AUDIT≥11）和危险饮酒者（男性 AUDIT≥5，女性 AUDIT≥4）均具有良好的鉴别能力。对于酒精依赖/滥用，男女的截断值均为≥9。
结论
AUDIT 问卷是一种检测大学医院就诊患者酒精使用障碍的良好筛查工具。本研究还揭示了尼泊尔酒精使用障碍的高患病率。
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