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

Addiction science & clinical practice, 2019-07, Vol.14 (1), p.22-22, Article 22 [Peer Reviewed Journal]

COPYRIGHT 2019 BioMed Central Ltd. ;COPYRIGHT 2019 BioMed Central Ltd. ;2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2019 ;ISSN: 1940-0640 ;ISSN: 1940-0632 ;EISSN: 1940-0640 ;DOI: 10.1186/s13722-019-0152-6 ;PMID: 31256762

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Title:
Short screening tools for risky drinking in Aboriginal and Torres Strait Islander Australians: modified AUDIT-C and a new approach
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
Subjects: Aboriginal ; Aboriginal Australians ; Adult ; Alcohol ; Alcohol related disorders ; Alcohol use ; Alcohol use disorder ; Alcoholism - diagnosis ; AUDIT-C ; Australia ; Australian aborigines ; Beverages ; Business metrics ; Cultural Competency ; Drinking (Alcoholic beverages) ; Drinking behavior ; Drinking of alcoholic beverages ; Drinks ; Female ; Health aspects ; Humans ; Indigenous peoples ; Intermittent ; Inuit ; Male ; Medical screening ; Methods ; Middle Aged ; Modification ; Native peoples ; Oceanic Ancestry Group ; Population ; Portable computers ; Screening ; Sensitivity ; Short term ; Subsets ; Substance abuse disorders ; Surveys and Questionnaires - standards ; Timing ; Torres Strait Islander
Is Part Of: Addiction science & clinical practice, 2019-07, Vol.14 (1), p.22-22, Article 22
Description: 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). 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. 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 = 0.997). 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.
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1940-0640
ISSN: 1940-0632
EISSN: 1940-0640
DOI: 10.1186/s13722-019-0152-6
PMID: 31256762
Source: ProQuest One Psychology
Open Access: DOAJ Directory of Open Access Journals
PubMed Central (Open access)
Geneva Foundation Free Medical Journals at publisher websites
AUTh Library subscriptions: ProQuest Central
MEDLINE
Springer OA刊

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

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