The 5-item Alcohol Use Disorders Identification Test (AUDIT-5): an effective brief screening test for problem drinking, alcohol use disorders and alcohol dependence.

Kim, Jee Wook; Lee, Boung Chul; Lee, Dong Young; Seo, Cheong Hoon; Kim, Suryong; Kang, Tae-Cheon; Choi, Ihn-Geun
Alcohol and alcoholism (Oxford, Oxfordshire)
2013Jan ; 48 ( 1 ) :68-73.
저자 상세정보
Kim, Jee Wook -
Lee, Boung Chul -
Lee, Dong Young -
Seo, Cheong Hoon -
Kim, Suryong -
Kang, Tae-Cheon -
Choi, Ihn-Geun -
AIMS: To identify an optimal brief version of the Alcohol Use Disorders Identification Test (AUDIT) and to evaluate its effectiveness as a screening test for problem drinking (PD), alcohol use disorders (AUD) and alcohol dependence (AD).

METHODS: A multicenter trial was conducted from March, 2010, to January, 2012, in 101 normal comparison, 203 risky drinking, 92 alcohol abuse and 101 AD men aged below 65 years of age in a Korean population. For the purposes of screening, risky drinking, alcohol abuse and AD were grouped: all the three grouped as PD and the latter two grouped as AUD. Logistic regression analysis was used to determine the items among the 10-item AUDIT that provided information predictive of PD, AUD and AD. Receiver operating characteristic (ROC) curve analysis was performed to investigate the discrimination ability of the brief versions of AUDIT, 10-item AUDIT and Cut-down, Annoyed, Guilt, Eye-opener as a screen for PD, AUD and AD. Areas under the ROC curve were compared between tests according to the method suggested by Hanley and McNeil.

RESULTS: The 5-item AUDIT (AUDIT-5: AUDIT items 2, 4, 5, 9 and 10) was obtained by stepwise multiple regression analyses for each screening. AUDIT-5 exhibited an AUD screening accuracy significantly superior to that of the 10-item AUDIT, but other brief versions of AUDIT and CAGE did not. Furthermore, AUDIT-5 had a high PD and AD screening accuracy equivalent to that of the 10-item AUDIT. CONCLUSION: These results strongly support the usefulness of AUDIT-5 for screening of PD, AUD and AD in clinical settings in Korean male populations.
alcohol abuse, alcohol dependence, ethanol, alcohol drinking, guilt, roc curve, eye, alcohol use disorders identification test, alcohol use disorder, screening test
Adult, Alcohol Drinking/*epidemiology/psychology, Alcohol-Related Disorders/diagnosis/epidemiology/psychology, Alcoholism/*diagnosis/*epidemiology/psychology, Humans, Male, Middle Aged, Surveys and Questionnaires/*standards, Time Factors, Young Adult

주제명(Target field)
연구참여(Sample size)
질병특성(Condition Category)
연구설계(Study Design)
중재방법(Intervention Type)
중재명칭(Intervention Name)
The syudy results strongly support that the usefulness of AUDIT-5 for screening of PD, AUD and AD in clinical settings in Korean male populations.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
ICD 03