Auditing the AUDIT: A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low- and middle-income countries
dc.contributor.author | Weobong, B. | |
dc.contributor.author | Nadkarni, A. | |
dc.contributor.author | Garber, A. | |
dc.contributor.author | Costa, S. | |
dc.contributor.author | Wood, S. | |
dc.contributor.author | Kumar, S. | |
dc.contributor.author | MacKinnon, N. | |
dc.contributor.author | Ibrahim, M. | |
dc.contributor.author | Velleman, R. | |
dc.contributor.author | Bhatia, U. | |
dc.contributor.author | Fernandes, G. | |
dc.contributor.author | Rane, A. | |
dc.date.accessioned | 2019-09-10T09:52:21Z | |
dc.date.available | 2019-09-10T09:52:21Z | |
dc.date.issued | 2019-07-16 | |
dc.description | Research Article | en_US |
dc.description.abstract | INTRODUCTION: The World Health Organization's (WHO) Alcohol Use Disorders Identification Test (AUDIT) is used extensively across the world, with cut-off scores recommended by the WHO. We reviewed the use and validity of AUDIT cut-off scores in low- and middle-income countries as cultural contexts are expected to influence the detection of alcohol use disorders. MATERIALS AND METHODS: The systematic review was guided by an a priori defined protocol consistent with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. We searched Cochrane library, Medline, EMBASE, PsycINFO, CINAHL, Indmed, LILACS, and AJOL databases using appropriate search terms. We conducted a narrative synthesis of the data. RESULTS: We identified 54 distinct studies that used AUDIT cut-off scores which were not in alignment with those recommended by the WHO. India (n = 10), Nigeria (n = 9), and Brazil (n = 9) produced most of these included studies. Most of the studies (n = 42) did not conduct psychometric evaluations of AUDIT cut-off scores. Of the twelve studies which did report psychometric results, a wide range of cut-off scores performed well. In these studies the cut-off scores to detect hazardous drinking ranged from >3 to >5, for harmful drinking from >5 to >16, and for dependent drinking from >7 to >24. DISCUSSION: AUDIT is being widely used in LMICs and non-recommended cut-off scores are considered to be appropriate in these countries. It is important to systematically evaluate the psychometric properties of those cut-off scores to ensure the internal validity of the studies in which they are used | en_US |
dc.identifier.other | 10.1016/j.drugalcdep.2019.04.031 | |
dc.identifier.uri | http://ugspace.ug.edu.gh/handle/123456789/32107 | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartofseries | ;2019 | |
dc.subject | Alcohol Use Disorders Identification Test (AUDIT) | en_US |
dc.subject | Alcohol use disorders | en_US |
dc.subject | Low- and middle-income countries | en_US |
dc.subject | Psychometrics | en_US |
dc.subject | Systematic review | en_US |
dc.title | Auditing the AUDIT: A systematic review of cut-off scores for the Alcohol Use Disorders Identification Test (AUDIT) in low- and middle-income countries | en_US |
dc.type | Article | en_US |
Files
License bundle
1 - 1 of 1
Loading...
- Name:
- license.txt
- Size:
- 1.6 KB
- Format:
- Item-specific license agreed upon to submission
- Description: