Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach

Addiction Science & Clinical Practice

  ^{1    1    1    2    3    4    5    6    7    8    9} 

[1] 0000 0001 2342 0938, grid.1018.8, Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia;0000 0004 0375 4078, grid.1032.0, Health Sciences, National Drug Research Institute, Curtin University, Perth, WA, Australia;0000 0004 1936 834X, grid.1013.3, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Discipline of Addiction Medicine, Indigenous Health and Substance Use, Faculty of Medicine and Health, The University of Sydney, King George V Building, Level 6, 83-117 Missenden Road, 2050, Camperdown, NSW, Australia;0000 0004 1936 834X, grid.1013.3, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Discipline of Addiction Medicine, Indigenous Health and Substance Use, Faculty of Medicine and Health, The University of Sydney, King George V Building, Level 6, 83-117 Missenden Road, 2050, Camperdown, NSW, Australia;0000 0001 2342 0938, grid.1018.8, Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia;0000 0004 1936 834X, grid.1013.3, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Discipline of Addiction Medicine, Indigenous Health and Substance Use, Faculty of Medicine and Health, The University of Sydney, King George V Building, Level 6, 83-117 Missenden Road, 2050, Camperdown, NSW, Australia;0000 0004 0495 2383, grid.482212.f, Sydney Local Health District, Royal Prince Alfred Hospital, Drug Health Services, Camperdown, NSW, Australia;0000 0004 1936 834X, grid.1013.3, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Discipline of Addiction Medicine, Indigenous Health and Substance Use, Faculty of Medicine and Health, The University of Sydney, King George V Building, Level 6, 83-117 Missenden Road, 2050, Camperdown, NSW, Australia;Aboriginal Drug and Alcohol Council (ADAC), Underdale, SA, Australia;0000 0004 4902 0432, grid.1005.4, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia;Aboriginal Drug and Alcohol Council (ADAC), Underdale, SA, Australia;Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care (Inala Indigenous Health Service), Inala, QLD, Australia;0000 0004 0437 5432, grid.1022.1, School of Medicine, Griffith University, Brisbane, QLD, Australia;0000 0000 9320 7537, grid.1003.2, School of Medicine, University of Queensland, Saint Lucia, QLD, Australia;

关键词: Aboriginal;    Torres Strait Islander;    Alcohol;    Screening;    Alcohol use disorder;    AUDIT-C;    Finnish method;    Consumption;   

DOI  :  10.1186/s13722-019-0152-6

来源: publisher

【 摘 要 】

BackgroundAlcohol consumption among Indigenous Australians can involve a stop-start pattern of drinking, with consumption well above recommended guidelines on each occasion. Such intermittent drinking patterns can make screening for risky drinking difficult. This study evaluates the ability of several short alcohol screening tools, contained in the Grog Survey Application, to detect short- or long-term risky drinking as defined by Australian guidelines. Tested tools include a modification of Alcohol Use Disorders Identification Test-Consumption (AUDIT-Cm).MethodsAlcohol consumption was assessed in current drinkers in the past year (n = 184) using AUDIT-Cm and using the last four drinking occasions (Finnish method). Sensitivity and specificity were assessed relative to the Finnish method, for how AUDIT-Cm score (3 + for women, 4 + for men), and how subsets of AUDIT-Cm questions (AUDIT-1m and AUDIT-2m; and AUDIT-3mV alone) were able to determine short- or long-term risk from drinking. Responses to AUDIT-Cm were used to calculate the average standard drinks consumed per day, and the frequency at which more than four standard drinks were consumed on single occasions. Finally, shorter versions of the Finnish method (1, 2, or 3 occasions of drinking) were compared to the full Finnish method, by examining the percentage of variance retained by shorter versions.ResultsAUDIT-Cm has a high sensitivity in detecting at-risk drinking compared with the Finnish method (sensitivity = 99%, specificity = 67%). The combination of AUDIT-1m and AUDIT-2m was able to classify the drinking risk status for all but four individuals in the same way as the Finnish method did. For the Finnish method, two drinking sessions to calculate drinks per drinking occasion, and four to calculate frequency resulted in nearly identical estimates to data on all four of the most recent drinking occasions (r2 = 0.997).ConclusionsThe combination of AUDIT-1m and AUDIT-2m may offer advantages as a short screening tool, over AUDIT-3mV, in groups where intermittent and high per occasion drinking is common. As an alternative to the full Finnish method, the quantity consumed on the last two occasions and timing of the last four occasions may provide a practical short screening tool.

【 授权许可】

CC BY