Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults

Yannic Van Gils; Erik Franck; Eva Dierckx; Sebastiaan P. J. Van Alphen; John B. Saunders; Geert Dom

doi:10.3390/ijerph18179266

Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults

Yannic Van Gils^*
, Erik Franck
, Eva Dierckx
, Sebastiaan P. J. Van Alphen
, John B. Saunders
, Geert Dom

^*Corresponding author for this work

Medical and Clinical Psychology

Research output: Contribution to journal › Article › Scientific › peer-review

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Abstract

Background:
One of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults.

Method:
A sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived.

Results:
Respectively 27.3% and 12.3% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7% and 81.3% and in women 100% and 71.7%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5% and 85.3% and in women 100% and 74.1%, respectively.

Conclusion:
The AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender.

Original language	English
Article number	9266
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	17
DOIs	https://doi.org/10.3390/ijerph18179266
Publication status	Published - 2021

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10.3390/ijerph18179266Licence: CC BY

MCP v Alphen validation of the audit and audit c IJoERaPH 2021Final published version, 338 KBLicence: CC BY

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@article{d7ca9705229743efa081edc79429a0b7,

title = "Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults",

abstract = "Background: One of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults. Method: A sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived. Results: Respectively 27.3\% and 12.3\% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7\% and 81.3\% and in women 100\% and 71.7\%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5\% and 85.3\% and in women 100\% and 74.1\%, respectively. Conclusion: The AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender.",

author = "\{Van Gils\}, Yannic and Erik Franck and Eva Dierckx and \{Van Alphen\}, \{Sebastiaan P. J.\} and Saunders, \{John B.\} and Geert Dom",

note = "Funding: This research received no external funding",

year = "2021",

doi = "10.3390/ijerph18179266",

language = "English",

volume = "18",

journal = "International Journal of Environmental Research and Public Health",

issn = "1661-7827",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "17",

}

TY - JOUR

T1 - Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults

AU - Van Gils, Yannic

AU - Franck, Erik

AU - Dierckx, Eva

AU - Van Alphen, Sebastiaan P. J.

AU - Saunders, John B.

AU - Dom, Geert

N1 - Funding: This research received no external funding

PY - 2021

Y1 - 2021

N2 - Background: One of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults. Method: A sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived. Results: Respectively 27.3% and 12.3% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7% and 81.3% and in women 100% and 71.7%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5% and 85.3% and in women 100% and 74.1%, respectively. Conclusion: The AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender.

AB - Background: One of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults. Method: A sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived. Results: Respectively 27.3% and 12.3% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7% and 81.3% and in women 100% and 71.7%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5% and 85.3% and in women 100% and 74.1%, respectively. Conclusion: The AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender.

U2 - 10.3390/ijerph18179266

DO - 10.3390/ijerph18179266

M3 - Article

SN - 1661-7827

VL - 18

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 17

M1 - 9266

ER -

Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults

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