Cent Eur J Public Health 2010, 18(3):127-131 | DOI: 10.21101/cejph.a3599

The Czech AUDIT: Internal Consistency, Latent Structure and Identification of Risky Alcohol Consumption

Hana Sovinová, Ladislav Csémy
National Institute of Public Health, Prague, Czech Republic

Aim: The primary aim of the study is to examine the psychometric properties and the structure of the Czech version of the Alcohol Use Disorders Identification Test (AUDIT), and to estimate the rate of risky, harmful and problematic alcohol consumers. Methods and sample: Two large data sets were analyzed. The first was based on the application of the AUDIT as a part of a general population survey (N=1.326; age range 18-64), the second represents data gathered by general practitioners (GPs) in the context of a pilot screening and brief advice (SBA) project in the area of Greater Prague (N=2.589).

Results: Analyses of reliability showed satisfying internal consistency of the AUDIT (Cronbach's α=0.83 for population survey and 0.77 for survey based on SBA). Principal component analyses suggest two factor solutions where one factor represents drinking patterns and the second alcohol-related problems or symptoms of dependence. The principal component analyses of both data sets led to similar factor formation. A total of 19% of the general population sample was classified as risky or harmful drinkers and 2% as problem drinkers. These figures were slightly lower in the sample of patients of general practitioners.

Conclusions: The Czech version of the AUDIT seems to be a plausible screening instrument. The properties of the instrument suggest usefulness of the summary score for identification of the level of risk.

Keywords: AUDIT questionnaire, reliability, screening, alcohol consumption, risky drinking, Czech Republic

Received: December 4, 2009; Revised: May 25, 2010; Accepted: May 25, 2010; Published: September 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Sovinová H, Csémy L. The Czech AUDIT: Internal Consistency, Latent Structure and Identification of Risky Alcohol Consumption. Cent Eur J Public Health. 2010;18(3):127-131. doi: 10.21101/cejph.a3599. PubMed PMID: 21033606.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders identification test. Guidelines for use in primary care. 2nd ed. Geneva: World Health Organization; 2001.
    2. Shevlin M, Smith GW. The factor structure and concurrent validity of the alcohol use disorder identification test based on a nationally representative UK sample. Alcohol Alcohol. 2007 Nov-Dec;42(6):582-7. Go to original source... Go to PubMed...
    3. Carey KB, Carey MP, Chandra PS. Psychometric evaluation of the alcohol use disorders identification test and short drug abuse screening test with psychiatric patients in India. J Clin Psychiatry. 2003 Jul;64(7):767-74. Go to original source...
    4. Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007 Jul;31(7):1208-17. Go to original source... Go to PubMed...
    5. Neumann T, Neuner B, Gentilello LM, Weiss-Gerlach E, Mentz H, Rettig JS, et al. Gender differences in the performance of a computerized version of the alcohol use disorders identification test in subcritically injured patients who are admitted to the emergency department. Alcohol Clin Exp Res. 2004 Nov;28(11):1693-701. Go to original source...
    6. Skipsey K, Burleson JA, Kranzler HR. Utility of the AUDIT for identification of hazardous or harmful drinking in drug-dependent patients. Drug Alcohol Depend. 1997 May 2;45(3):157-63. Go to original source...
    7. Sovinová H, Csémy L, editors. Brief intervention for hazardous and harmful drinking: a manual for use in primary. Prague: National Institute of Public Health; 2003. (In Czech.)
    8. Von der Pahlen B, Santtila P, Witting K, Varjonen M, Jern P, Johansson A, et al. Factor structure of theAlcohol Use Disorders Identification Test (AUDIT) for men and women in different age groups. J Stud Alcohol Drugs. 2008 Jul;69(4):616-21. Go to original source...
    9. Selin KH.Alcohol Use Disorder Identification Test (AUDIT): what does it screen? Performance of the AUDIT against four different criteria in a Swedish population sample. Subst Use Misuse. 2006;41(14):1881-99. Go to original source... Go to PubMed...
    10. Berner MM, Bentele M, Kriston L, Mänz C, Clement HW, Härter M, et al. DOVER and QUVER-new marker combinations to detect and monitor at-risk drinking. Alcohol Clin Exp Res. 2006 Aug;30(8):1372-80. Go to original source... Go to PubMed...
    11. McCann BS, Simpson TL, Ries R, Roy-Byrne P. Reliability and validity of screening instruments for drug and alcohol abuse in adults seeking evaluation for attention-deficit/hyperactivity disorder. Am J Addict. 2000;9(1):1-9. Go to original source... Go to PubMed...

    Return to the content