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Alcohol and Alcoholism Advance Access originally published online on August 22, 2005
Alcohol and Alcoholism 2005 40(6):578-583; doi:10.1093/alcalc/agh198
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© The Author 2005. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved

THE USE OF AUDIT TO ASSESS LEVEL OF ALCOHOL PROBLEMS IN RURAL VIETNAM

KIM BAO GIANG1,3, FREDIK SPAK2, TRUONG VIET DZUNG1,4 and PETER ALLEBECK2,3,*

1 Faculty of Public Health, Hanoi Medical University, Vietnam, 2 Department of Social Medicine, Gothenburg University, Sweden, 3 Department of Public Health Science, Karolinska Institutet, Sweden and 4 Department of Science and Training, Ministry of Health, Vietnam

* Author to whom correspondence should be addressed at: Department of Public Health Sciences, Norrbacka, Karolinska Instituet, SE-171 76 Stockholm, Sweden. E-mail: Peter.Allebeck{at}phs.ki.se

(Received 22 June 2005; first review notified 06 July 2005; in revised form 21 July 2005; accepted 26 July 2005)

Aims: To assess the accuracy and performance of AUDIT in detecting alcohol problems, as defined by ICD-10 and DSM-IV, in a rural district in Vietnam. Methods: The study was conducted in a rural district of Vietnam. Five hundred men and women aged 18–60 were randomly selected for interview with AUDIT and CIDI 2.1. The ICD-10 and DSM-IV criteria for harmful use/alcohol abuse and alcohol dependence were used to evaluate AUDIT. Results: Due to few cases of alcohol problems observed among women (1/282), we could only evaluate the validity of AUDIT in men. At cut-off point 7/8, AUDIT had a sensitivity of 81.8% and a specificity of 76.1% for detecting at-risk drinking. At this cut-off point, using ICD-10 criteria, the sensitivity was 100% for harmful use and 93.8% for alcohol dependence; the specificity was 69.9% for harmful use and 87.4% for alcohol dependence. The area under the ROC curve was 0.91 (0.84–0.98) for harmful use and 0.84 (0.74–0.94) for alcohol dependence (ICD-10). The agreement between ICD-10 and DSM-IV was higher for diagnosing alcohol dependence than alcohol abuse (Kappa coefficient: 0.98 vs 0.68). Conclusion: We confirmed that AUDIT is feasible to use in a rural community in a developing country. Different cut-off points are appropriate for different purposes, but for general population screening of at-risk drinking we found a cut-off point 7/8 to be optimal.


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