Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach
Abstract Background Alcohol 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 abilit...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | Addiction Science & Clinical Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13722-019-0152-6 |
| _version_ | 1818108911550464000 |
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| author | K. S. Kylie Lee James H. Conigrave Scott Wilson Jimmy Perry Sarah Callinan Robin Room Tanya N. Chikritzhs Tim Slade Noel Hayman Geoffrey Leggat Katherine M. Conigrave |
| author_facet | K. S. Kylie Lee James H. Conigrave Scott Wilson Jimmy Perry Sarah Callinan Robin Room Tanya N. Chikritzhs Tim Slade Noel Hayman Geoffrey Leggat Katherine M. Conigrave |
| author_sort | K. S. Kylie Lee |
| collection | DOAJ |
| description | Abstract Background Alcohol 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). Methods Alcohol 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. Results AUDIT-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). Conclusions The 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. |
| first_indexed | 2024-12-11T02:22:53Z |
| format | Article |
| id | doaj.art-09891278a8c049fcaff4a87a4a8e6e39 |
| institution | Directory Open Access Journal |
| issn | 1940-0640 |
| language | English |
| last_indexed | 2024-12-11T02:22:53Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj.art-09891278a8c049fcaff4a87a4a8e6e392022-12-22T01:24:01ZengBMCAddiction Science & Clinical Practice1940-06402019-07-0114111210.1186/s13722-019-0152-6Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approachK. S. Kylie Lee0James H. Conigrave1Scott Wilson2Jimmy Perry3Sarah Callinan4Robin Room5Tanya N. Chikritzhs6Tim Slade7Noel Hayman8Geoffrey Leggat9Katherine M. Conigrave10NHMRC 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 SydneyNHMRC 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 SydneyNHMRC 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 SydneyAboriginal Drug and Alcohol Council (ADAC)Centre for Alcohol Policy Research, La Trobe UniversityCentre for Alcohol Policy Research, La Trobe UniversityHealth Sciences, National Drug Research Institute, Curtin UniversityNational Drug and Alcohol Research Centre, University of New South WalesSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care (Inala Indigenous Health Service)Centre for Alcohol Policy Research, La Trobe UniversityNHMRC 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 SydneyAbstract Background Alcohol 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). Methods Alcohol 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. Results AUDIT-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). Conclusions The 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.http://link.springer.com/article/10.1186/s13722-019-0152-6AboriginalTorres Strait IslanderAlcoholScreeningAlcohol use disorderAUDIT-C |
| spellingShingle | K. S. Kylie Lee James H. Conigrave Scott Wilson Jimmy Perry Sarah Callinan Robin Room Tanya N. Chikritzhs Tim Slade Noel Hayman Geoffrey Leggat Katherine M. Conigrave Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach Addiction Science & Clinical Practice Aboriginal Torres Strait Islander Alcohol Screening Alcohol use disorder AUDIT-C |
| title | Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach |
| title_full | Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach |
| title_fullStr | Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach |
| title_full_unstemmed | Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach |
| title_short | Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach |
| title_sort | short screening tools for risky drinking in aboriginal and torres strait islander australians modified audit c and a new approach |
| topic | Aboriginal Torres Strait Islander Alcohol Screening Alcohol use disorder AUDIT-C |
| url | http://link.springer.com/article/10.1186/s13722-019-0152-6 |
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