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Alcohol and Alcoholism Advance Access published online on May 8, 2008
Alcohol and Alcoholism, doi:10.1093/alcalc/agn036
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© The Author 2008. Published by Oxford University Press on behalf of Medical Council on Alcohol. All rights reserved

Validation and Comparison of Alcohol-Screening Instruments for Identifying Hazardous Drinking in Hospitalized Patients in Taiwan

Shu-I Wu1,2, Hui-Chun Huang2,3, Shen-Ing Liu1,2,3*, Chiu-Rong Huang3, Fang-Ju Sun3, Tse-Yun Chang2,4, Shou-Chuan Shih5 and Kuo-Shyang Jeng6

1 Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan
2 Mackay Medicine, Nursing and Management College, Taipei, Taiwan
3 Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan
4 Department of Nursing, Mackay Memorial Hospital, Taipei, Taiwan
5 Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
6 Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan

* Corresponding author: Dr. Shen-Ing Liu, Department of Psychiatry, Mackay Memorial Hospital, 45 Ming-Sheng Road, Tamshui, Taipei County 251, Taiwan. Tel: +886-2-2809-4661 extension 2733; Fax: +886-2-2809-5679; E-mail: liuyip{at}ms23.hinet.net, shui624{at}yahoo.com.tw

Received 8 October 2007; first review notified 8 April 2008; ; accepted 10 April 2008


  Abstract

Aim: The aim of this study was to validate the Mandarin Chinese version of different screening instruments and compare their performances for identifying hazardous drinkers in Taiwan.Methods: We compared the performance of the Mandarin Chinese versions of AUDIT, AUDIT-C (AUDIT items 1, 2 and 3), AUDIT-4 (AUDIT items 1, 2, 3 and 10), AUDIT-3 (AUDIT item 3), TWEAK, SMAST and CAGE to detect hazardous drinking in hospitalized patients in Taiwan. The results of the test instruments were blindly compared with the reference standard Schedule for Clinical Assessments in Neuropsychiatry (SCAN).Results: Of 404 patients evaluated, 100 were identified as having a hazardous drinking pattern. All screening instruments showed acceptable sensitivities (ranging from 85 to 93%) and specificities (ranging from 72 to 92%), but AUDIT and its short forms performed consistently better than the other instruments.Conclusions: The Mandarin Chinese versions of AUDIT and its derivatives perform well in screening hospitalized Taiwanese patients for hazardous drinking.


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