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Title
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Validation of the AUDIT and AUDIT-C for hazardous drinking in community-dwelling older adults
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Author
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Abstract
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| Background: One of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults. Method: A sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived. Results: Respectively 27.3% and 12.3% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7% and 81.3% and in women 100% and 71.7%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5% and 85.3% and in women 100% and 74.1%, respectively. Conclusion: The AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender. |
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Language
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English
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Source (journal)
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International journal of environmental research and public health. - Basel, 2004, currens
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Publication
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Basel
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MDPI
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2021
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ISSN
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1661-7827
[print]
1660-4601
[online]
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DOI
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10.3390/IJERPH18179266
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Volume/pages
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18
:17
(2021)
, 10 p.
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Article Reference
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9266
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ISI
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000695561800001
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Pubmed ID
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34501856
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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