Effectiveness of the AUDIT-C as a screening test for alcohol misuse in three race/ethnic groups.

Journal of General Internal Medicine
Danielle FrankKatharine A Bradley

Abstract

The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) is a brief validated screen for risky drinking and alcohol abuse and dependence (alcohol misuse). However, the AUDIT-C was validated in predominantly White populations, and its performance in different racial/ethnic groups is unclear. To evaluate the validity of the AUDIT-C among primary care patients from the predominant racial/ethnic subgroups within the United States: White, African American, and Hispanic. Cross-sectional interview validation study. 1,292 outpatients from an academic family practice clinic in Texas (90% of randomly sampled eligible). Race/ethnicity was self-reported. Areas under the receiver operating curve (AuROCs) evaluated overall AUDIT-C performance in the 3 racial/ethnic groups compared to diagnostic interviews for alcohol misuse. AUDIT-C sensitivities and specificities at recommended screening thresholds were compared across racial/ethnic groups. AuROCs were greater than 0.85 in all 3 groups, with no significant differences across racial/ethnic groups in men (P = .43) or women (P = .12). At previously recommended cut points, there were statistically significant differences by race in AUDIT-C sensitivities but not specificities. In wome...Continue Reading

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Citations

Jun 6, 2009·Journal of General Internal Medicine·Katharine A BradleyEmily C Williams
Sep 23, 2010·Journal of General Internal Medicine·Katharine A BradleyDaniel R Kivlahan
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