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Alcohol and Alcoholism Vol. 37, No. 6, pp. 591-596, 2002
© 2002 Medical Council on Alcohol

AUDIT-3 AND AUDIT-4: EFFECTIVENESS OF TWO SHORT FORMS OF THE ALCOHOL USE DISORDERS IDENTIFICATION TEST

Antoni Gual1,2,*, Lidia Segura1, Montserrat Contel1, Nick Heather3 and Joan Colom1

1 Health and Social Security Department, Program on Substance Abuse, Autonomous Government of Catalonia,
2 Alcohol Unit, Hospital Clinic, Barcelona, Spain and
3 Centre for Alcohol and Drug Studies, University of Northumbria at Newcastle upon Tyne, UK

Received 19 September 2001; first review notified 1 February 2002; accepted 27 May 2002

— Aims: To identify suitable short versions of the Alcohol Use Disorders Identification Test (AUDIT) and to evaluate their effectiveness as screening tests for ‘risky drinking’ among men and women in primary health care (PHC) settings. Methods: A total of 255 patients attending five PHC centres in Catalonia (Spain) were interviewed by clinicians regarding health status and drinking pattern. Patients also completed the AUDIT. Clinicians’ diagnosis of risky drinking was used as a gold standard to evaluate the effectiveness of three forms of AUDIT. Results: AUDIT-3 and AUDIT-4 performed similarly to AUDIT-10 in detecting risky drinking and had equivalent receiver operating characteristics curves and their areas under the curve. Conclusions: Both short forms of AUDIT seem to be as effective as the full AUDIT for detecting risky drinking among men and women in PHC settings.


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