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Alcohol and Alcoholism Vol. 37, No. 5, pp. 465-467, 2002
© 2002 Medical Council on Alcohol

INTERPRETATION OF ITEMS IN THE AUDIT QUESTIONNAIRE

Kypros Kypri*, Rob McGee1, John B. Saunders2, John D. Langley and Johanna I. Dean3

Injury Prevention Research Unit, Department of Preventive and Social Medicine and
1 Department of Preventive and Social Medicine, University of Otago Medical School, P. O. Box 913, Dunedin, New Zealand,
2 Centre for Drug and Alcohol Studies, Department of Psychiatry, School of Medicine, University of Queensland, Brisbane, Qld 4029, Australia and
3 Early Intervention for Psychosis Service, Otago District Health Board, Dunedin, New Zealand

Received 6 December 2001; first review notified 12 February 2002; accepted 28 February 2002

Aims: To test for the possibility that tertiary students misinterpret certain items on the Alcohol Use Disorders Identification Test (AUDIT). Methods: Responses to alternative question wordings were compared with responses to standard items. Results: Alterations to items 5 and 9, so that consequences of drinking epitomized in these items were more specifically defined, resulted in markedly different response distributions to the item, but the total AUDIT score was not changed. Conclusions: Caution is necessary before using individual AUDIT items as measures of consequences in population surveys, and the possibility of false positives in total scores should be borne in mind.


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