Bowring Anna L, Gouillou Maelenn, Hellard Margaret, Dietze Paul
Centre for Population Health, Burnet Institute, 85 Commercial Rd, Melbourne, VIC, 3004, Australia.
BMC Public Health. 2013 Apr 4;13:301. doi: 10.1186/1471-2458-13-301.
The 10-item Alcohol Use Disorders Identification Test (AUDIT-10) is commonly used to monitor harmful alcohol consumption among high-risk groups, including young people. However, time and space constraints have generated interest for shortened versions. Commonly used variations are the AUDIT-C (three questions) and the Fast Alcohol Screening Test (FAST) (four questions), but their utility in screening young people in non-clinical settings has received little attention.
We examined the performance of established and novel shortened versions of the AUDIT in relation to the full AUDIT-10 in a community-based survey of young people (16-29 years) attending a music festival in Melbourne, Australia (January 2010).Among those reporting drinking alcohol in the previous 12 months, the following statistics were systematically assessed for all possible combinations of three or four AUDIT items and established AUDIT variations: Cronbach's alpha (internal consistency), variance explained (R2) and Pearson's correlation coefficient (concurrent validity). For our purposes, novel shortened AUDIT versions considered were required to represent all three AUDIT domains and include item 9 on alcohol-related injury.
We recruited 640 participants (68% female) reporting drinking in the previous 12 months. Median AUDIT-10 score was 10 in males and 9 in females, and 127 (20%) were classified as having at least high-level alcohol problems according to WHO classification.The FAST scored consistently high across statistical measures; it explained 85.6% of variance in AUDIT-10, correlation with AUDIT-10 was 0.92, and Cronbach's alpha was 0.66. A number of novel four-item AUDIT variations scored similarly high. Comparatively, the AUDIT-C scored substantially lower on all measures except internal consistency.
Numerous abbreviated variations of the AUDIT may be a suitable alternative to the AUDIT-10 for classifying high-level alcohol problems in a community-based population of young Australians. Four-item AUDIT variations scored more consistently high across all evaluated statistics compared to three-item combinations. Novel AUDIT versions may be more effective than many established shortened versions as an alternative screening tool to the AUDIT-10 to measure hazardous or harmful alcohol consumption in this population.
10项酒精使用障碍识别测试（AUDIT - 10）通常用于监测包括年轻人在内的高危人群中的有害饮酒情况。然而，时间和空间限制引发了对缩短版测试的兴趣。常用的变体是AUDIT - C（三个问题）和快速酒精筛查测试（FAST）（四个问题），但它们在非临床环境中筛查年轻人的效用很少受到关注。
在澳大利亚墨尔本一场音乐节上对16 - 29岁的年轻人进行的一项社区调查中，我们将已有的和新的AUDIT缩短版与完整的AUDIT - 10进行了性能比较。在那些报告在过去12个月内饮酒的人群中，对三个或四个AUDIT项目的所有可能组合以及已有的AUDIT变体系统地评估了以下统计数据：克朗巴哈系数（内部一致性）、解释方差（R2）和皮尔逊相关系数（同时效度）。就我们的目的而言，所考虑的新的AUDIT缩短版需要涵盖AUDIT的所有三个领域，并包括与酒精相关伤害的第9项。
我们招募了640名报告在过去12个月内饮酒的参与者（68%为女性）。男性的AUDIT - 10得分中位数为10分，女性为9分，根据世界卫生组织的分类，127人（20%）被归类为至少有高水平的酒精问题。FAST在各项统计指标上得分一直很高；它解释了AUDIT - 10中85.6%的方差，与AUDIT - 10的相关性为0.92，克朗巴哈系数为0.66。一些新的四项AUDIT变体得分同样很高。相比之下，AUDIT - C除内部一致性外，在所有指标上得分都低得多。
对于澳大利亚年轻社区人群中高水平酒精问题的分类，AUDIT的许多缩写变体可能是AUDIT - 10的合适替代方案。与三项组合相比，四项AUDIT变体在所有评估统计数据上得分更稳定。作为AUDIT - 10的替代筛查工具，用于测量该人群中危险或有害饮酒情况时，新的AUDIT版本可能比许多已有的缩短版更有效。
