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Related Experiment Videos

Three questions can detect hazardous drinkers.

A J Gordon1, S A Maisto, M McNeil

  • 1Section of General Internal Medicine, VA Center for Health Services Research, VA Pittsburgh Health Care System, University Drive C, Pittsburgh, PA 15240, USA. gordona@msx.upmc.edu

The Journal of Family Practice
|April 13, 2001
PubMed
Summary

The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) effectively identifies hazardous drinking in primary care. This brief screening tool performs comparably to the full AUDIT, aiding early detection of alcohol use disorders.

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Area of Science:

  • Primary care research
  • Public health
  • Addiction medicine

Background:

  • Hazardous alcohol consumption is a significant public health concern.
  • Effective screening tools are crucial for early identification in primary care settings.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of the Alcohol Use Disorders Identification Test (AUDIT) and its shorter versions (AUDIT-C, AUDIT-3) for identifying hazardous drinkers.
  • To compare the performance of these screening tools against a quantity-frequency measure of hazardous drinking.

Main Methods:

  • A cross-sectional survey was conducted with 13,438 patients across 12 primary care sites.
  • The study assessed the sensitivity, specificity, and predictive values of the AUDIT, AUDIT-C, and AUDIT-3.
  • Receiver operating characteristic curves (AUROC) were used to compare the performance of the different AUDIT versions.

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Main Results:

  • The AUDIT-C demonstrated a high area under the receiver-operating characteristic curve (0.949), comparable to the full AUDIT (0.940).
  • Both AUDIT and AUDIT-C showed significantly better performance than AUDIT-3 (0.871).
  • AUDIT-C achieved 94.9% sensitivity and 68.8% specificity for detecting hazardous drinkers, defined by a positive AUDIT score of 8 or higher.

Conclusions:

  • The 3-question AUDIT-C is a highly effective tool for identifying hazardous drinkers in primary care, performing similarly to the full AUDIT.
  • The AUDIT-C's brevity and accuracy make it a valuable initial screening instrument for hazardous alcohol use.
  • This validated screening approach can facilitate timely interventions for individuals with problematic alcohol consumption.