Health Services Research Group, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain.
Department of Psychology, Girona University (UdG), 17004 Girona, Spain.
Int J Environ Res Public Health. 2021 May 14;18(10):5213. doi: 10.3390/ijerph18105213.
Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18-24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT's Cronbach's alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.
在线酒精筛查可能有助于预防酒精使用障碍。我们评估了西班牙大学生中酒精使用障碍识别测试（AUDIT）在线版本的心理测量特性。我们使用了五个大学一年级学生（18-24 岁）的纵向在线调查（UNIVERSAL 项目），其中包括 AUDIT，作为世界卫生组织世界心理健康国际大学生（WMH-ICS）倡议的一部分。使用酒精消费类别时间线回溯（TLFB）和酒精使用障碍的迷你国际神经精神访谈（MINI）对学生进行了再评估访谈。评估了可靠性、结构有效性和诊断准确性。结果：287 名学生（75%为女性）完成了 MINI，其中 242 名学生还完成了 TLFB。AUDIT 的 Cronbach's alpha 为 0.82。AUDIT 单因素解决方案的验证性因素分析与数据拟合良好。TLFB 类别和 MINI 障碍观察到 AUDIT 评分差异显著。依赖的曲线下面积（AUC）非常大（AUC = 0.96），消费类别（AUC > 0.7）的 AUC 也足够大。AUDIT 截点为 6/8（女性/男性）表示中度风险饮酒，13 表示酒精依赖，其敏感性/特异性分别为 76.2%/78.9%和 56%/97.5%。AUDIT 的在线版本可用于检测西班牙大学生的酒精消费类别和酒精依赖。
