Validation of an online version of the alcohol use disorders identification test (AUDIT) for alcohol screening in spanish university students
Author
Ballester, Laura
Alayo, Itxaso
Vilagut, Gemma
Almenara, José
Cebrià, Ana Isabel
Echeburúa, Enrique
Gabilondo Cuéllar, Andrea
Gili, Margalida
Lagares, Carolina
Piqueras, José Antonio
Roca, Miquel
Soto-Sanz, Victoria
Blasco, Maria Jesús
Castellví Obiols, Pere
Forero, Carlos G.
Mortier, Philippe
Alonso, Jordi
UNIVERSAL Study Group
Publication date
2021ISSN
1660-4601
Abstract
Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18–24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT’s Cronbach’s alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Prova d’identificació de trastorns per consum d’alcohol
AUDIT
Estudiants universitaris
Enquesta en línia
Validesa
Prueba de identificación de trastornos por consumo de alcohol
Estudiantes universitarios
Encuesta en línea
Validez
AUDIT
Alcohol use disorders identification test
AUDIT
University students
Online survey
Validity
Pages
15
Publisher
MDPI
Collection
18;10
Is part of
International Journal of Environmental Research and Public Health
Citation
Ballester, Laura; Alayo, Itxaso; Vilagut, Gemma [et al.]. Validation of an online version of the alcohol use disorders identification test (AUDIT) for alcohol screening in spanish university students. International Journal of Environmental Research and Public Health, 2021, 18(10), 5213. Disponible en: <https://www.mdpi.com/1660-4601/18/10/5213>. Fecha de acceso: 3 sep. 2021. DOI: 10.3390/ijerph18105213
This item appears in the following Collection(s)
- Ciències de la Salut [725]
Rights
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/