The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings
<p>Abstract</p> <p>Background</p> <p>Alcohol problems are a major health issue in Nepal and remain under diagnosed. Increase in consumption are due to many factors, including advertising, pricing and availability, but accurate information is lacking on the prevalence of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-10-01
|
| Series: | Substance Abuse Treatment, Prevention, and Policy |
| Subjects: | |
| Online Access: | http://www.substanceabusepolicy.com/content/7/1/42 |
| _version_ | 1818808622777368576 |
|---|---|
| author | Pradhan Bickram Chappuis François Baral Dharanidhar Karki Prahlad Rijal Suman Hadengue Antoine Gache Pascal |
| author_facet | Pradhan Bickram Chappuis François Baral Dharanidhar Karki Prahlad Rijal Suman Hadengue Antoine Gache Pascal |
| author_sort | Pradhan Bickram |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Alcohol problems are a major health issue in Nepal and remain under diagnosed. Increase in consumption are due to many factors, including advertising, pricing and availability, but accurate information is lacking on the prevalence of current alcohol use disorders. The AUDIT (Alcohol Use Disorder Identification Test) questionnaire developed by WHO identifies individuals along the full spectrum of alcohol misuse and hence provides an opportunity for early intervention in non-specialty settings. This study aims to validate a Nepali version of AUDIT among patients attending a university hospital and assess the prevalence of alcohol use disorders along the full spectrum of alcohol misuse.</p> <p>Methods</p> <p>This cross-sectional study was conducted in patients attending the medicine out-patient department of a university hospital. DSM-IV diagnostic categories (alcohol abuse and alcohol dependence) were used as the gold standard to calculate the diagnostic parameters of the AUDIT. Hazardous drinking was defined as self reported consumption of ≥21 standard drink units per week for males and ≥14 standard drink units per week for females.</p> <p>Results</p> <p>A total of 1068 individuals successfully completed the study. According to DSM-IV, drinkers were classified as follows: No alcohol problem (n=562; 59.5%), alcohol abusers (n= 78; 8.3%) and alcohol dependent (n=304; 32.2%). The prevalence of hazardous drinker was 67.1%. The Nepali version of AUDIT is a reliable and valid screening tool to identify individuals with alcohol use disorders in the Nepalese population. AUDIT showed a good capacity to discriminate dependent patients (with AUDIT ≥11 for both the gender) and hazardous drinkers (with AUDIT ≥5 for males and ≥4 for females). For alcohol dependence/abuse the cut off values was ≥9 for both males and females.</p> <p>Conclusion</p> <p>The AUDIT questionnaire is a good screening instrument for detecting alcohol use disorders in patients attending a university hospital. This study also reveals a very high prevalence of alcohol use disorders in Nepal.</p> |
| first_indexed | 2024-12-18T19:44:29Z |
| format | Article |
| id | doaj.art-01c5d0c776754677b891b0d8e5129e27 |
| institution | Directory Open Access Journal |
| issn | 1747-597X |
| language | English |
| last_indexed | 2024-12-18T19:44:29Z |
| publishDate | 2012-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Substance Abuse Treatment, Prevention, and Policy |
| spelling | doaj.art-01c5d0c776754677b891b0d8e5129e272022-12-21T20:55:20ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2012-10-01714210.1186/1747-597X-7-42The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settingsPradhan BickramChappuis FrançoisBaral DharanidharKarki PrahladRijal SumanHadengue AntoineGache Pascal<p>Abstract</p> <p>Background</p> <p>Alcohol problems are a major health issue in Nepal and remain under diagnosed. Increase in consumption are due to many factors, including advertising, pricing and availability, but accurate information is lacking on the prevalence of current alcohol use disorders. The AUDIT (Alcohol Use Disorder Identification Test) questionnaire developed by WHO identifies individuals along the full spectrum of alcohol misuse and hence provides an opportunity for early intervention in non-specialty settings. This study aims to validate a Nepali version of AUDIT among patients attending a university hospital and assess the prevalence of alcohol use disorders along the full spectrum of alcohol misuse.</p> <p>Methods</p> <p>This cross-sectional study was conducted in patients attending the medicine out-patient department of a university hospital. DSM-IV diagnostic categories (alcohol abuse and alcohol dependence) were used as the gold standard to calculate the diagnostic parameters of the AUDIT. Hazardous drinking was defined as self reported consumption of ≥21 standard drink units per week for males and ≥14 standard drink units per week for females.</p> <p>Results</p> <p>A total of 1068 individuals successfully completed the study. According to DSM-IV, drinkers were classified as follows: No alcohol problem (n=562; 59.5%), alcohol abusers (n= 78; 8.3%) and alcohol dependent (n=304; 32.2%). The prevalence of hazardous drinker was 67.1%. The Nepali version of AUDIT is a reliable and valid screening tool to identify individuals with alcohol use disorders in the Nepalese population. AUDIT showed a good capacity to discriminate dependent patients (with AUDIT ≥11 for both the gender) and hazardous drinkers (with AUDIT ≥5 for males and ≥4 for females). For alcohol dependence/abuse the cut off values was ≥9 for both males and females.</p> <p>Conclusion</p> <p>The AUDIT questionnaire is a good screening instrument for detecting alcohol use disorders in patients attending a university hospital. This study also reveals a very high prevalence of alcohol use disorders in Nepal.</p>http://www.substanceabusepolicy.com/content/7/1/42Alcohol use disorderAUDITSCID for DSM- IV |
| spellingShingle | Pradhan Bickram Chappuis François Baral Dharanidhar Karki Prahlad Rijal Suman Hadengue Antoine Gache Pascal The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings Substance Abuse Treatment, Prevention, and Policy Alcohol use disorder AUDIT SCID for DSM- IV |
| title | The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| title_full | The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| title_fullStr | The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| title_full_unstemmed | The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| title_short | The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| title_sort | alcohol use disorders identification test audit validation of a nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings |
| topic | Alcohol use disorder AUDIT SCID for DSM- IV |
| url | http://www.substanceabusepolicy.com/content/7/1/42 |
| work_keys_str_mv | AT pradhanbickram thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT chappuisfrancois thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT baraldharanidhar thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT karkiprahlad thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT rijalsuman thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT hadengueantoine thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT gachepascal thealcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT pradhanbickram alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT chappuisfrancois alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT baraldharanidhar alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT karkiprahlad alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT rijalsuman alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT hadengueantoine alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings AT gachepascal alcoholusedisordersidentificationtestauditvalidationofanepaliversionforthedetectionofalcoholusedisordersandhazardousdrinkinginmedicalsettings |