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Alcohol and Alcoholism Advance Access originally published online on September 11, 2007
Alcohol and Alcoholism 2008 43(1):49-50; doi:10.1093/alcalc/agm061
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The Author 2007. Published by Oxford University Press on behalf of the Medical Council on Alcohol.

Concurrent validity of the alcohol use disorders identification test (AUDIT)

Prasantha De Silva1,*, Pushpa Jayawardana2 and A. Pathmeswaran3

1 Medical Officer, Management Development and Planning Unit, Ministry Of Health Care and Nutrition, Sri Lanka
2 Senior Lecturer, Department of Community Medicine, Faculty of Medicine, University of Kelaniya, Sri Lanka
3 Head of the Department, Senior Lecturer, Department of Community Medicine, Faculty of Medicine, University of Kelaniya, Sri Lanka

* Author to whom correspondence should be addressed at: Medical Officer, Management Development and Planning Unit, Ministry Of Health Care and Nutrition, Sri Lanka; E-mail: prasantha.silva{at}gmail.com

Received 19 January 2007;
  Abstract

Aims: To determine cut-offs for the Alcohol Use Disorders Identification Test (AUDIT) 10-item questionnaire, differentiating hazardous drinking (HZD) and alcohol use disorders (AUD) from low risk drinking (LRD), and AUD from HZD and LRD among married men in a Sri Lankan sample. Methods: Using 62 low risk drinkers and 88 each from hazardous drinkers and AUD, the AUDIT instrument was compared with adapted and translated versions of a beverage-specific, quantity-frequency questionnaire, and the alcohol use module of the Composite International Diagnostic Interview (CIDI), and two receiver operating characteristic (ROC) curves were plotted. Results: The area under the ROC curves to differentiate HZD + AUD from LRD and AUD from HZD + LRD were 0.96 (95% CI: 0.94–0.99) and 0.97 (95% CI: 0.95–0.99) respectively. The cut-off values of 7 and 16 were observed to have the best trade-offs between sensitivity, specificity, the ratio of positive likelihood to negative likelihood ratios, and positive predictive values. Conclusion: The AUDIT could be used to screen for LRD, HZD, and AUD among Sinhalese married men in Sri Lanka.


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