Fujii Hideki, Nishimoto Naoki, Miyano Masato, Ueda Wataru, Oba Hiroko, Yamaguchi Seiko, Aoki Tetsuya, Kurai Osamu, Kawada Norifumi, Okawa Kiyotaka
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2016 Oct;51(5):293-301.
It is important to screen for alcohol consumption and drinking customs by using a stan- dardized method. The aim of this study was to investigate whether standardized questionnaire was useful for predicting alcohol consumption. A cross-sectional study using the Alcohol Use Disorders Identification Test (AUDIT) was conducted in 334 outpatients who consulted the Internal Medicine Department of Osaka City Juso Hospital. The patients completed self-reported questionnaires and underwent a diagnostic interview, physical examination, and laboratory testing. Forty (23%) male patients reported daily alcohol consumption 40 g, and 16 (10%) female patients reported consumption 20 g. The optimal cutoff values of hazardous drinking (all patients)/ drinker (male)/ drinker (female) were calculated using a 10-fold cross validation, resulting in an optimal AUDIT score cutoff of 8.2/ 7.2/ 6.1, with sensitivity of 95.5%/ 96.3%/ 88.9%, specificity of 87.0%/ 96.3%/ 88.9%, false positive rate of 13.0%/ 9.4%/6.6%, false negative rate of 4.5%/ 3.'%/ 11.1%, and area under the receiver operating characteristic curve of 0.97/ 0.98/ 0.99. In conclusion, this study showed that the AUDIT score was useful for predicting alcohol consumption.
采用标准化方法筛查饮酒情况和饮酒习惯很重要。本研究的目的是调查标准化问卷对预测饮酒量是否有用。在大阪市住吉医院内科就诊的334名门诊患者中开展了一项使用酒精使用障碍识别测试（AUDIT）的横断面研究。患者完成了自我报告问卷，并接受了诊断性访谈、体格检查和实验室检测。40名（23%）男性患者报告每日饮酒量≥40克，16名（10%）女性患者报告饮酒量≥20克。使用10倍交叉验证计算出危险饮酒（所有患者）/饮酒者（男性）/饮酒者（女性）的最佳临界值，得出AUDIT评分的最佳临界值分别为8.2/7.2/6.1，灵敏度分别为95.5%/96.3%/88.9%，特异度分别为87.0%/96.3%/88.9%，假阳性率分别为13.0%/9.4%/6.6%，假阴性率分别为4.5%/3.7%/11.1%，受试者工作特征曲线下面积分别为0.97/0.98/0.99。总之，本研究表明AUDIT评分对预测饮酒量有用。
