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

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 sev...

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Autores principales: Lee, K. S. Kylie, Conigrave, James H., Wilson, Scott, Perry, Jimmy, Callinan, Sarah, Room, Robin, Chikritzhs, Tanya N., Slade, Tim, Hayman, Noel, Leggat, Geoffrey, Conigrave, Katherine M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600888/
https://www.ncbi.nlm.nih.gov/pubmed/31256762
http://dx.doi.org/10.1186/s13722-019-0152-6
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author Lee, K. S. Kylie
Conigrave, James H.
Wilson, Scott
Perry, Jimmy
Callinan, Sarah
Room, Robin
Chikritzhs, Tanya N.
Slade, Tim
Hayman, Noel
Leggat, Geoffrey
Conigrave, Katherine M.
author_facet Lee, K. S. Kylie
Conigrave, James H.
Wilson, Scott
Perry, Jimmy
Callinan, Sarah
Room, Robin
Chikritzhs, Tanya N.
Slade, Tim
Hayman, Noel
Leggat, Geoffrey
Conigrave, Katherine M.
author_sort Lee, K. S. Kylie
collection PubMed
description 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 (r(2) = 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13722-019-0152-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-66008882019-07-12 Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach Lee, K. S. Kylie Conigrave, James H. Wilson, Scott Perry, Jimmy Callinan, Sarah Room, Robin Chikritzhs, Tanya N. Slade, Tim Hayman, Noel Leggat, Geoffrey Conigrave, Katherine M. Addict Sci Clin Pract Research 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 (r(2) = 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13722-019-0152-6) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-01 2019 /pmc/articles/PMC6600888/ /pubmed/31256762 http://dx.doi.org/10.1186/s13722-019-0152-6 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Lee, K. S. Kylie
Conigrave, James H.
Wilson, Scott
Perry, Jimmy
Callinan, Sarah
Room, Robin
Chikritzhs, Tanya N.
Slade, Tim
Hayman, Noel
Leggat, Geoffrey
Conigrave, Katherine M.
Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600888/
https://www.ncbi.nlm.nih.gov/pubmed/31256762
http://dx.doi.org/10.1186/s13722-019-0152-6
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