Noble Natasha, Paul Christine, Conigrave Katherine, Lee Kylie, Blunden Stephen, Turon Heidi, Carey Mariko, McElduff Patrick
1School of Medicine and Public Health, HMRI Building, University of Newcastle, Callaghan, Newcastle, Australia.
Subst Use Misuse. 2015 Feb;50(3):308-19. doi: 10.3109/10826084.2014.980951. Epub 2014 Dec 4.
Alcohol disproportionately affects socially disadvantaged groups including Aboriginal and Torres Strait Islander Australians. METHODs to assess alcohol intake for disadvantaged communities need to be able to capture variable or episodic drinking. The ability of a seven-day diary to capture typical consumption for a predominantly Aboriginal sample has not been assessed.
One aim of this paper was to examine agreement between a seven-day retrospective diary and 'usual' drinking assessed by a modified version of the Alcohol Use Disorders Identification Test question 3 (AUDIT-3m; two questions). Other aims were to describe drinking patterns as reported in the seven-day diary.
In 2012, consecutive adults attending an Aboriginal Community Controlled Health Service completed a cross-sectional health risk survey on a touch screen laptop (n = 188). Alcohol consumption questions included the retrospective diary and AUDIT-3m. Agreement was assessed using weighted kappa analysis.
There was good agreement between the two measures of consumption; however, the AUDIT-3m questions identified more current drinkers. Respondents who were drinkers (54%) tended to consume large amounts per drinking occasion: almost half (46%) of diary completers reported nine or more standard drinks on at least one occasion in the last week.
The seven-day diary did not adequately capture variability in alcohol consumption common among this sample. Although the AUDIT-3m appeared acceptable, alternative approaches to assess usual or risky alcohol consumption, such as asking about specific drinking occasions, or allowing participants to respond in non-standard drink sizes, also need to be considered for indigenous and other disadvantaged communities.
酒精对包括澳大利亚原住民和托雷斯海峡岛民在内的社会弱势群体的影响尤为严重。评估弱势群体酒精摄入量的方法需要能够捕捉到不规律或偶尔的饮酒情况。七日饮酒日记能否反映以原住民为主的样本的典型饮酒量尚未得到评估。
本文的一个目的是检验七日回顾性饮酒日记与通过酒精使用障碍识别测试问题3的修改版（AUDIT-3m；两个问题）评估的“通常”饮酒情况之间的一致性。其他目的是描述七日饮酒日记中报告的饮酒模式。
2012年，连续就诊于原住民社区控制卫生服务中心的成年人在触摸屏笔记本电脑上完成了一项横断面健康风险调查（n = 188）。饮酒相关问题包括回顾性饮酒日记和AUDIT-3m。使用加权kappa分析评估一致性。
两种饮酒量测量方法之间存在良好的一致性；然而，AUDIT-3m问题识别出更多当前饮酒者。饮酒者（54%）在每次饮酒时往往饮用大量酒精：近一半（46%）的日记填写者报告在过去一周中至少有一次饮用了九杯或更多标准饮酒量的酒。
七日饮酒日记未能充分捕捉该样本中常见的酒精摄入量变化情况。尽管AUDIT-3m似乎是可接受的，但对于原住民和其他弱势群体，也需要考虑采用其他方法来评估通常或危险的酒精摄入量，例如询问特定饮酒场合，或允许参与者以非标准饮酒量作答。
