Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS)
Introduction: Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, ge...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-11-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X23000640 |
| _version_ | 1797647938931916800 |
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| author | Zsolt Horváth Léna Nagy Mónika Koós Shane W. Kraus Zsolt Demetrovics Marc N. Potenza Rafael Ballester-Arnal Dominik Batthyány Sophie Bergeron Joël Billieux Peer Briken Julius Burkauskas Georgina Cárdenas-López Joana Carvalho Jesús Castro-Calvo Lijun Chen Giacomo Ciocca Ornella Corazza Rita Csako David P. Fernandez Hironobu Fujiwara Elaine F. Fernandez Johannes Fuss Roman Gabrhelík Ateret Gewirtz-Meydan Biljana Gjoneska Mateusz Gola Joshua B. Grubbs Hashim T. Hashim Md. Saiful Islam Mustafa Ismail Martha C. Jiménez-Martínez Tanja Jurin Ondrej Kalina Verena Klein András Költő Sang-Kyu Lee Karol Lewczuk Chung-Ying Lin Christine Lochner Silvia López-Alvarado Kateřina Lukavská Percy Mayta-Tristán Dan J. Miller Oľga Orosová Gábor Orosz Fernando P. Ponce Gonzalo R. Quintana Gabriel C. Quintero Garzola Jano Ramos-Diaz Kévin Rigaud Ann Rousseau Marco De Tubino Scanavino Marion K. Schulmeyer Pratap Sharan Mami Shibata Sheikh Shoib Vera Sigre-Leirós Luke Sniewski Ognen Spasovski Vesta Steibliene Dan J. Stein Julian Strizek Meng-Che Tsai Berk C. Ünsal Marie-Pier Vaillancourt-Morel Marie Claire Van Hout Beáta Bőthe |
| author_facet | Zsolt Horváth Léna Nagy Mónika Koós Shane W. Kraus Zsolt Demetrovics Marc N. Potenza Rafael Ballester-Arnal Dominik Batthyány Sophie Bergeron Joël Billieux Peer Briken Julius Burkauskas Georgina Cárdenas-López Joana Carvalho Jesús Castro-Calvo Lijun Chen Giacomo Ciocca Ornella Corazza Rita Csako David P. Fernandez Hironobu Fujiwara Elaine F. Fernandez Johannes Fuss Roman Gabrhelík Ateret Gewirtz-Meydan Biljana Gjoneska Mateusz Gola Joshua B. Grubbs Hashim T. Hashim Md. Saiful Islam Mustafa Ismail Martha C. Jiménez-Martínez Tanja Jurin Ondrej Kalina Verena Klein András Költő Sang-Kyu Lee Karol Lewczuk Chung-Ying Lin Christine Lochner Silvia López-Alvarado Kateřina Lukavská Percy Mayta-Tristán Dan J. Miller Oľga Orosová Gábor Orosz Fernando P. Ponce Gonzalo R. Quintana Gabriel C. Quintero Garzola Jano Ramos-Diaz Kévin Rigaud Ann Rousseau Marco De Tubino Scanavino Marion K. Schulmeyer Pratap Sharan Mami Shibata Sheikh Shoib Vera Sigre-Leirós Luke Sniewski Ognen Spasovski Vesta Steibliene Dan J. Stein Julian Strizek Meng-Che Tsai Berk C. Ünsal Marie-Pier Vaillancourt-Morel Marie Claire Van Hout Beáta Bőthe |
| author_sort | Zsolt Horváth |
| collection | DOAJ |
| description | Introduction: Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, genders, and sexual orientations. Aims: The present study aimed to examine the fit of different measurement models for the AUDIT and its measurement invariance across a wide range of subgroups by country, language, gender, and sexual orientation. Methods: Responses concerning past-year alcohol use from the participants of the cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD = 12.59). Confirmatory factor analysis, as well as measurement invariance tests were performed for 21 countries, 14 languages, three genders, and four sexual-orientation subgroups that met the minimum sample size requirement for inclusion in these analyses. Results: A two-factor model with factors describing ‘alcohol use’ (items 1–3) and ‘alcohol problems’ (items 4–10) showed the best model fit across countries, languages, genders, and sexual orientations. For the former two, scalar and latent mean levels of invariance were reached considering different criteria. For gender and sexual orientation, a latent mean level of invariance was reached. Conclusions: In line with the two-factor model, the calculation of separate alcohol-use and alcohol-problem scores is recommended when using the AUDIT. The high levels of measurement invariance achieved for the AUDIT support its use in cross-cultural research, capable also of meaningful comparisons among genders and sexual orientations. |
| first_indexed | 2024-03-11T15:23:52Z |
| format | Article |
| id | doaj.art-18f89af4a5cf49f3aa98b0a6306f7eea |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-03-11T15:23:52Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-18f89af4a5cf49f3aa98b0a6306f7eea2023-10-28T05:06:17ZengElsevierComprehensive Psychiatry0010-440X2023-11-01127152427Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS)Zsolt Horváth0Léna Nagy1Mónika Koós2Shane W. Kraus3Zsolt Demetrovics4Marc N. Potenza5Rafael Ballester-Arnal6Dominik Batthyány7Sophie Bergeron8Joël Billieux9Peer Briken10Julius Burkauskas11Georgina Cárdenas-López12Joana Carvalho13Jesús Castro-Calvo14Lijun Chen15Giacomo Ciocca16Ornella Corazza17Rita Csako18David P. Fernandez19Hironobu Fujiwara20Elaine F. Fernandez21Johannes Fuss22Roman Gabrhelík23Ateret Gewirtz-Meydan24Biljana Gjoneska25Mateusz Gola26Joshua B. Grubbs27Hashim T. Hashim28Md. Saiful Islam29Mustafa Ismail30Martha C. Jiménez-Martínez31Tanja Jurin32Ondrej Kalina33Verena Klein34András Költő35Sang-Kyu Lee36Karol Lewczuk37Chung-Ying Lin38Christine Lochner39Silvia López-Alvarado40Kateřina Lukavská41Percy Mayta-Tristán42Dan J. Miller43Oľga Orosová44Gábor Orosz45Fernando P. Ponce46Gonzalo R. Quintana47Gabriel C. Quintero Garzola48Jano Ramos-Diaz49Kévin Rigaud50Ann Rousseau51Marco De Tubino Scanavino52Marion K. Schulmeyer53Pratap Sharan54Mami Shibata55Sheikh Shoib56Vera Sigre-Leirós57Luke Sniewski58Ognen Spasovski59Vesta Steibliene60Dan J. Stein61Julian Strizek62Meng-Che Tsai63Berk C. Ünsal64Marie-Pier Vaillancourt-Morel65Marie Claire Van Hout66Beáta Bőthe67Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar; Corresponding author at: Institute of Psychology, Eötvös Loránd University, Izabella utca 46, Budapest H-1064, Hungary.Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, HungaryInstitute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, HungaryDepartment of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, USAInstitute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, GibraltarYale University School of Medicine, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Connecticut Mental Health Center, New Haven, CT, USADepartmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón, SpainInstitute for Behavioural Addictions, Sigmund Freud University Vienna, AustriaDépartement de psychologie, Université de Montréal, Montréal, CanadaInstitute of Psychology, University of Lausanne, Lausanne, Switzerland; Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, SwitzerlandInstitute for Sex Research, Sexual Medicine, and Forensic Psychiatry; University Medical Centre Hamburg-Eppendorf; Hamburg, GermanyLaboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, LithuaniaVirtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, MexicoWilliam James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro, Aveiro, PortugalDepartment of Personality, Assessment, and Psychological Treatments, University of Valencia, SpainDepartment of Psychology, College of Humanity and Social Science, Fuzhou University, ChinaSection of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, ItalyDepartment of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, United Kingdom; Department of Psychocology and Cognitive Science, University of Trento, ItalyDepartment of Psychology and Neuroscience, Auckland University of Technology, Auckland, New ZealandNottingham Trent University, United KingdomDepartment of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Decentralized Big Data Team, RIKEN Center for Advanced Intelligence Project, Tokyo, Japan; The General Research Division, Osaka University Research Center on Ethical, Legal and Social Issues, Osaka, JapanHELP University, MalaysiaInstitute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, GermanyCharles University, First Faculty of Medicine, Department of Addictology, Prague, Czech Republic; General University Hospital in Prague, Department of Addictology, Czech RepublicSchool of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, IsraelMacedonian Academy of Sciences and Arts, North MacedoniaInstitute of Psychology, Polish Academy of Sciences, Poland; Institute for Neural Computations, University of California San Diego, USAUniversity of New Mexico, Albuquerque, United States; Center for Alcohol, Substance use, And Addiction (CASAA), University of New Mexico, Albuquerque, United StatesUniversity of Baghdad, College of Medicine, IraqDepartment of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka 1342, BangladeshUniversity of Baghdad, College of Medicine, IraqUniversidad Pedagógca y Tecnológica de Colombia, Colombia; Grupo de Investigación Biomédica y de Patología, ColombiaDepartment of Psychology, Humanities and Social Sciences, University of Zagreb, CroatiaDepartment of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, SlovakiaSchool of Psychology, University of Southampton, United KingdomHealth Promotion Research Centre, University of Galway, IrelandDepartment of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital, South Korea; Chuncheon Addiction Management Center, South KoreaInstitute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, PolandInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanSAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University, South AfricaUniversity of Cuenca, EcuadorCharles University, First Faculty of Medicine, Department of Addictology, Prague, Czech Republic; Charles University, Faculty of Education, Department of Psychology, Prague, Czech RepublicFacultad de Medicina, Universidad Científica del Sur, Lima, PeruCollege of Healthcare Sciences, James Cook University, AustraliaDepartment of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, SlovakiaArtois University, FranceFacultad de Psicología, Universidad de Talca, ChileDepartamento de Psicología y Filosofía, Facultad de Ciencias Sociales, Universidad de Tarapacá, Arica, Arica y Parinacota, ChileFlorida State University, Republic of Panama; Sistema Nacional de Investigación (SNI), SENACYT, PanamaFacultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, PeruArtois University, FranceLeuven School For Mass Communication, KU Leuven, Leuven, BelgiumDepartment of Psychiatry, Schulich School of Medicine & Dentistry, Western University, St. Joseph’s Health Care London and London Health Sciences Centre, London, Canada; Lawson Health Research Institute, London, Canada; Departmento e Instituto de Psiquiatria, Hospital das Clinicas; and Experimental Pathophysiology Post Graduation Program, Faculdade de Medicina, Universidade de São Paulo, BrazilUniversidad Privada de Santa Cruz de la Sierra, BoliviaDepartment of Psychiatry, All India Institute of Medical Sciences, New Delhi -110029, IndiaDepartment of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Health Services, Srinagar, 190001, India; Sharda University, Greater Noida, India; Psychosis Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, IranInstitute of Psychology, University of Lausanne, Lausanne, SwitzerlandAuckland University of Technology, New ZealandFaculty of Philosophy, Ss. Cyril and Methodius University in Skopje, North Macedonia; Faculty of Philosophy, University of Ss. Cyril and Methodius in Trnava, SlovakiaLaboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, LithuaniaSAMRC Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape TownAustrian Public Health Institute, AustriaDepartment of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanInstitute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, HungaryDépartement de Psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, CanadaPublic Health Institute, Faculty of Health, Liverpool John Moores University, United KingdomDépartement de psychologie, Université de Montréal, Montréal, CanadaIntroduction: Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, genders, and sexual orientations. Aims: The present study aimed to examine the fit of different measurement models for the AUDIT and its measurement invariance across a wide range of subgroups by country, language, gender, and sexual orientation. Methods: Responses concerning past-year alcohol use from the participants of the cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD = 12.59). Confirmatory factor analysis, as well as measurement invariance tests were performed for 21 countries, 14 languages, three genders, and four sexual-orientation subgroups that met the minimum sample size requirement for inclusion in these analyses. Results: A two-factor model with factors describing ‘alcohol use’ (items 1–3) and ‘alcohol problems’ (items 4–10) showed the best model fit across countries, languages, genders, and sexual orientations. For the former two, scalar and latent mean levels of invariance were reached considering different criteria. For gender and sexual orientation, a latent mean level of invariance was reached. Conclusions: In line with the two-factor model, the calculation of separate alcohol-use and alcohol-problem scores is recommended when using the AUDIT. The high levels of measurement invariance achieved for the AUDIT support its use in cross-cultural research, capable also of meaningful comparisons among genders and sexual orientations.http://www.sciencedirect.com/science/article/pii/S0010440X23000640Addictive behaviorsAlcohol Use Disorders Identification Test (AUDIT)Cross-cultural comparisonGenderLGBTQSexual orientation |
| spellingShingle | Zsolt Horváth Léna Nagy Mónika Koós Shane W. Kraus Zsolt Demetrovics Marc N. Potenza Rafael Ballester-Arnal Dominik Batthyány Sophie Bergeron Joël Billieux Peer Briken Julius Burkauskas Georgina Cárdenas-López Joana Carvalho Jesús Castro-Calvo Lijun Chen Giacomo Ciocca Ornella Corazza Rita Csako David P. Fernandez Hironobu Fujiwara Elaine F. Fernandez Johannes Fuss Roman Gabrhelík Ateret Gewirtz-Meydan Biljana Gjoneska Mateusz Gola Joshua B. Grubbs Hashim T. Hashim Md. Saiful Islam Mustafa Ismail Martha C. Jiménez-Martínez Tanja Jurin Ondrej Kalina Verena Klein András Költő Sang-Kyu Lee Karol Lewczuk Chung-Ying Lin Christine Lochner Silvia López-Alvarado Kateřina Lukavská Percy Mayta-Tristán Dan J. Miller Oľga Orosová Gábor Orosz Fernando P. Ponce Gonzalo R. Quintana Gabriel C. Quintero Garzola Jano Ramos-Diaz Kévin Rigaud Ann Rousseau Marco De Tubino Scanavino Marion K. Schulmeyer Pratap Sharan Mami Shibata Sheikh Shoib Vera Sigre-Leirós Luke Sniewski Ognen Spasovski Vesta Steibliene Dan J. Stein Julian Strizek Meng-Che Tsai Berk C. Ünsal Marie-Pier Vaillancourt-Morel Marie Claire Van Hout Beáta Bőthe Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) Comprehensive Psychiatry Addictive behaviors Alcohol Use Disorders Identification Test (AUDIT) Cross-cultural comparison Gender LGBTQ Sexual orientation |
| title | Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) |
| title_full | Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) |
| title_fullStr | Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) |
| title_full_unstemmed | Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) |
| title_short | Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS) |
| title_sort | psychometric properties of the alcohol use disorders identification test audit across cross cultural subgroups genders and sexual orientations findings from the international sex survey iss |
| topic | Addictive behaviors Alcohol Use Disorders Identification Test (AUDIT) Cross-cultural comparison Gender LGBTQ Sexual orientation |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X23000640 |
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