The use of the alcohol use disorders identification test

Consumption as an indicator of hazardous alcohol use among university students

S. Verhoog, J.M. Dopmeijer*, J.M. de Jonge, C.M. van der Heijde, P. Vonk, R.H.L.M. Bovens, M.R. de Boer, T. Hoekstra, A.E. Kunst, R.W. Wiers, M.A.G. Kuipers

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background: 
Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the AUDIT-Consumption (AUDIT-C). Currently, there’s no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points. 
Methods: 
Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score ≥11 was used as the criterion of hazardous and harmful drinking. 
Results: 
Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95% CI 0.914–0.930). At an AUDIT-C cutoff score of ≥7, sensitivity and specificity were both >80%, while other cutoffs showed less balanced results. A cutoff of ≥8 performed better among males, but for other subgroups ≥7 was most suitable. 
Conclusion: 
AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs.
Original languageEnglish
JournalEuropean Addiction Research
DOIs
Publication statusE-pub ahead of print - 2019

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alcohol
Alcohols
university
Drinking
student
gold standard
recipient
Education
applied science
Health Surveys
Netherlands
education
gender
health
evidence
Group

Cite this

Verhoog, S. ; Dopmeijer, J.M. ; de Jonge, J.M. ; van der Heijde, C.M. ; Vonk, P. ; Bovens, R.H.L.M. ; de Boer, M.R. ; Hoekstra, T. ; Kunst, A.E. ; Wiers, R.W. ; Kuipers, M.A.G. / The use of the alcohol use disorders identification test : Consumption as an indicator of hazardous alcohol use among university students. In: European Addiction Research. 2019.
@article{914dfdf8572b4c8ebc19e2980835eb1b,
title = "The use of the alcohol use disorders identification test: Consumption as an indicator of hazardous alcohol use among university students",
abstract = "Background: Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the AUDIT-Consumption (AUDIT-C). Currently, there’s no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points. Methods: Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score ≥11 was used as the criterion of hazardous and harmful drinking. Results: Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95{\%} CI 0.914–0.930). At an AUDIT-C cutoff score of ≥7, sensitivity and specificity were both >80{\%}, while other cutoffs showed less balanced results. A cutoff of ≥8 performed better among males, but for other subgroups ≥7 was most suitable. Conclusion: AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs.",
author = "S. Verhoog and J.M. Dopmeijer and {de Jonge}, J.M. and {van der Heijde}, C.M. and P. Vonk and R.H.L.M. Bovens and {de Boer}, M.R. and T. Hoekstra and A.E. Kunst and R.W. Wiers and M.A.G. Kuipers",
year = "2019",
doi = "10.1159/000503342",
language = "English",
journal = "European Addiction Research",
issn = "1022-6877",
publisher = "Karger",

}

Verhoog, S, Dopmeijer, JM, de Jonge, JM, van der Heijde, CM, Vonk, P, Bovens, RHLM, de Boer, MR, Hoekstra, T, Kunst, AE, Wiers, RW & Kuipers, MAG 2019, 'The use of the alcohol use disorders identification test: Consumption as an indicator of hazardous alcohol use among university students', European Addiction Research. https://doi.org/10.1159/000503342

The use of the alcohol use disorders identification test : Consumption as an indicator of hazardous alcohol use among university students. / Verhoog, S.; Dopmeijer, J.M.; de Jonge, J.M.; van der Heijde, C.M.; Vonk, P.; Bovens, R.H.L.M.; de Boer, M.R.; Hoekstra, T.; Kunst, A.E.; Wiers, R.W.; Kuipers, M.A.G.

In: European Addiction Research, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The use of the alcohol use disorders identification test

T2 - Consumption as an indicator of hazardous alcohol use among university students

AU - Verhoog, S.

AU - Dopmeijer, J.M.

AU - de Jonge, J.M.

AU - van der Heijde, C.M.

AU - Vonk, P.

AU - Bovens, R.H.L.M.

AU - de Boer, M.R.

AU - Hoekstra, T.

AU - Kunst, A.E.

AU - Wiers, R.W.

AU - Kuipers, M.A.G.

PY - 2019

Y1 - 2019

N2 - Background: Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the AUDIT-Consumption (AUDIT-C). Currently, there’s no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points. Methods: Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score ≥11 was used as the criterion of hazardous and harmful drinking. Results: Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95% CI 0.914–0.930). At an AUDIT-C cutoff score of ≥7, sensitivity and specificity were both >80%, while other cutoffs showed less balanced results. A cutoff of ≥8 performed better among males, but for other subgroups ≥7 was most suitable. Conclusion: AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs.

AB - Background: Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the AUDIT-Consumption (AUDIT-C). Currently, there’s no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points. Methods: Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score ≥11 was used as the criterion of hazardous and harmful drinking. Results: Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95% CI 0.914–0.930). At an AUDIT-C cutoff score of ≥7, sensitivity and specificity were both >80%, while other cutoffs showed less balanced results. A cutoff of ≥8 performed better among males, but for other subgroups ≥7 was most suitable. Conclusion: AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs.

U2 - 10.1159/000503342

DO - 10.1159/000503342

M3 - Article

JO - European Addiction Research

JF - European Addiction Research

SN - 1022-6877

ER -