Skip Navigation



Alcohol and Alcoholism Advance Access published online on August 22, 2005
Alcohol and Alcoholism, doi:10.1093/alcalc/agh198
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
40/6/578    most recent
agh198v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by GIANG, K. B.
Right arrow Articles by ALLEBECK, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GIANG, K. B.
Right arrow Articles by ALLEBECK, P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
Received June 22, 2005
Revised July 21, 2005
Accepted July 26, 2005

Article

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

KIM BAO GIANG 1, FREDIK SPAK 2, TRUONG VIET DZUNG 3, and PETER ALLEBECK 4*

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

* To whom correspondence should be addressed.
PETER ALLEBECK, E-mail: Peter.Allebeck{at}phs.ki.se


  Abstract

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.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.