To evaluate the 3 alcohol consumption questions from the Alcohol Use Disorders Identification Test (AUDIT-C) as a brief screening test for heavy drinking and/or active alcohol abuse or dependence.
Patients from 3 Veterans Affairs general medical clinics were mailed questionnaires.
A random, weighted sample of Health History Questionnaire respondents, who had 5 or more drinks over the past year, were eligible for telephone interviews (N=447).
Heavy drinkers were oversampled 2 : 1. Patients were excluded if they could not be contacted by telephone, were too ill for interviews, or were female (n=54).
Areas under receiver operating characteristic curves (AUROCs) were used to compare mailed alcohol screening questionnaires (AUDIT-C and full AUDIT) with 3 comparison standards based on telephone interviews :
(1) past year heavy drinking (>14 drinks/week or =5 drinks/occasion) ;
(2) active alcohol abuse or dependence according to the Diagnostic and Statistical Manual of Mental Disorders,
Revised Third Edition, criteria ;
and (3) either.
Of 393 eligible patients, 243 (62%) completed AUDIT-C and interviews.
For detecting heavy drinking, AUDIT-C had a higher AUROC than the full AUDIT (0.891 vs 0.881 ; P=03).
Although the full AUDIT performed better than AUDIT-C for detecting active alcohol abuse or dependence (0.811 vs 0.786 ; P<. 001), the 2 questionnaires performed similarly for detecting heavy drinking and/or active abuse or dependence (0. (...)
Mots-clés Pascal : Alcoolisme, Dépistage, Audit, Questionnaire, Facteur prédictif, Evaluation, Etats Unis, Amérique du Nord, Amérique, Homme, Toxicologie, Psychopathologie
Mots-clés Pascal anglais : Alcoholism, Medical screening, Audit, Questionnaire, Predictive factor, Evaluation, United States, North America, America, Human, Toxicology, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0431716
Code Inist : 002B03F. Création : 25/01/1999.