Kim Chang-Gi, Kim Jong Sung, Jung Jin-Gyu, Kim Sung-Soo, Yoon Seok-Joon, Suh Hae-Sun
Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, Korea.
Korean J Fam Med. 2014 Jan;35(1):2-10. doi: 10.4082/kjfm.2014.35.1.2. Epub 2014 Jan 23.
There needs to be an amendment to the Korean version of the Alcohol Use Disorder Identification Test (AUDIT) with regards to the recent change in percent alcohol by volume (ABV) Korean liquor. This study was performed to suggest a cutoff value, reliability and validity of AUDIT-Korean revised version (AUDIT-KR), which reflect the change of the ABV of Korean alcohol.
The subjects were 435 peoples (210 males and 225 females), who visited the Chungnam National University Hospital for a comprehensive medical examination. The respondents completed the AUDIT-KR. At-risk drinking and alcohol use disorders had been evaluated by diagnostic interview. The Cronbach's alpha value, the receiver operating characteristic curve, the appropriate cutoff value, sensitivity and specificity of the AUDIT-KR were evaluated.
There were 190 at-risk drinkers (111 males and 79 females), and 66 people with alcohol use disorders (48 males and 18 females). The cutoff value of the AUDIT-KR for at-risk drinking was 3 points (sensitivity 93.69% and specificity 78.79%) for males and 3 points (sensitivity 92.40% and specificity 78.08%) for females. The cutoff value for alcohol use disorders was 10 points (sensitivity 100.00% and specificity 89.51%) for males and 8 points (sensitivity 100.00% and specificity 93.71%) for females. Cronbach's alpha of the AUDIT-KR was 0.885.
The above results suggest that the AUDIT-KR shows a high reliability and validity in identifying at-risk drinking and alcohol use disorders.
鉴于韩国酒类按体积计算的酒精百分比（ABV）最近发生了变化，需要对韩国版酒精使用障碍识别测试（AUDIT）进行修订。本研究旨在提出AUDIT韩国修订版（AUDIT-KR）的临界值、信度和效度，以反映韩国酒精ABV的变化。
研究对象为435人（男性210人，女性225人），他们前往忠南国立大学医院进行全面体检。受访者完成了AUDIT-KR测试。通过诊断性访谈评估高危饮酒和酒精使用障碍情况。评估了AUDIT-KR的克朗巴哈系数值、受试者工作特征曲线、合适的临界值、敏感性和特异性。
有190名高危饮酒者（男性111人，女性79人），66名酒精使用障碍患者（男性48人，女性18人）。AUDIT-KR对男性高危饮酒的临界值为3分（敏感性93.69%，特异性78.79%），对女性高危饮酒的临界值为3分（敏感性92.40%，特异性78.08%）。对男性酒精使用障碍的临界值为10分（敏感性100.00%，特异性89.51%），对女性酒精使用障碍的临界值为8分（敏感性100.00%，特异性93.71%）。AUDIT-KR的克朗巴哈系数为0.885。
上述结果表明，AUDIT-KR在识别高危饮酒和酒精使用障碍方面具有较高的信度和效度。
