Validation of the Alcohol Use Disorders Identification Test in adolescents Peruvians
Keywords:
adolescent, adolescent health, alcohol related disorders, underage drinking.Abstract
Introduction: Alcohol consumption is a contemporary public health problem in society and affects adolescents in all countries. Excessive consumption at an early age can have short or long-term negative effects on physical and psychological health, which is necessary to provide an evidence-based instrument for its prevention.
Objective: To analyze the psychometric properties of the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) in Peruvian adolescents.
Methods: Instrumental and transversal research. 402 adolescents participated and answered the AUDIT-C, and other psychological variables. Statistical analyzes were performed through structural equations, Bayesian reliability, measurement invariance, and item response theory.
Results: 84% consumed an alcoholic beverage once a month or less. The unidimensional structure was acceptable (CFI= 0.99; RMSEA= 0.01; SRMR= 0.01), adequate reliability (ωbayes= 0.81; H= 0.98), invariance according to sex and relationship with child abuse and suicidal ideation. Likewise, item 3 was the one that most discriminated the latent trait and the scale is useful at high levels of alcohol consumption.
Conclusions: The AUDIT-C presents adequate sources of validity evidence for the interpretation and inference of its scores on adolescent alcohol consumption. Given its brevity, it is useful as a complementary tool to obtain additional information in the evaluation or research processes.
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References
1. Organización Mundial de la Salud. Alcohol. Ginebra: OMS; 2022. [acceso: 09/09/2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/alcohol
2. Organización Panamericana de la Salud. 2018. La carga de los trastornos mentales en la región de las Américas. Washington: OPS; 2018. [acceso: 09/09/2023]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/49578/9789275320280_spa.pdf?sequ-ence=9&isAllowed=y
3. Caira-Chuquineyra B, Fernández-Guzmán D, Quispe-Vicuña C, Gutiérrez-Rodríguez R, Valencia PD. Factors associated with alcohol abuse in the Peruvian population: analysis of a national health survey 2019 Get access Arrow. J Public Health. 2023; 45(2): e204-e14. DOI: 10.1093/pubmed/fdac116
4. Molina-Quiñones H, Salazar-Taquiri V. Factores asociados al consumo de alcohol en adolescentes residentes en Lima, Perú. Rev haban cienc méd. 2022 [acceso: 09/09/2023]; 21(3):e4655. Disponible en: https://revhabanera.sld.cu/index.php/rhab/article/view/4655/3193
5. Nam EW. Prevalence and Associated Factors of Alcohol and Cigarette Use among Peruvian Adolescents. J Korean Soc Sch Health. 2020; 33(1):28-38. DOI: 10.15434/kssh.2020.33.1.28
6. Lees B, Meredith LR, Kirkland AE, Bryant BE, Squeglia LM. Effect of alcohol use on the adolescent brain and behavior. Pharmacol Biochem Behav. 2020; 192:172906. DOI: 10.1016/j.pbb.2020.172906
7. Yuen WS, Chan G, Bruno R, Clare P, Mattick R, Aiken A, et al. Adolescent Alcohol Use Trajectories: Risk Factors and Adult Outcomes. Pediatrics. 2020; 146(4):e20200440. DOI: 10.1542/peds.2020-0440
8. Culbreth R, Masyn KE, Swahn MH, Self-Brown S, Kasirye R. The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda. Child Abuse Negl. 2021; 112:104904. DOI: 10.1016/j.chiabu.2020.104904
9. Saunders JB, Aasland OG, Babor TF, De la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x
10. Atkins DL, Cumbe VF, Muanido A, Manaca N, Fumo H, Chiruca P, et al. Validity and item response theory properties of the Alcohol Use Disorders Identification Test for primary care alcohol use screening in Mozambique (AUDIT-MZ). J Subst Abuse Treat. 2021; 127:108441. DOI: 10.1016/j.jsat.2021.108441
11. Källmén H, Berman AH, Jayaram-Lindström N, Hammarberg A, Elgán TH. Psychometric Properties of the AUDIT, AUDIT-C, CRAFFT and ASSIST-Y among Swedish Adolescents. Eur Addict Res. 2019; 25(2):68-77. DOI: 10.1159/000496741
12. Liskola J, Haravuori H, Lindberg N, Kiviuusu O, Niemelä S, Karlsson L, et al. The predictive capacity of AUDIT and AUDIT-C among adolescents in a one-year follow-up study. Drug Alcohol Depend. 2021; 218:108424. DOI: 10.1016/j.drugalcdep.2020.108424
13. Russell AM, Barry AE. Psychometric Properties of the AUDIT-C within an Amazon Mechanical Turk Sample. Am J Health Behav. 2021; 45(4):695-700. DOI: 10.5993/AJHB.45.4.8
14. Paulus DJ, Rogers AH, Capron DW, Zvolensky MJ. Maximizing the use of the Alcohol Use Disorders Identification Test (AUDIT) as a two-step screening tool. Addict Behav. 2023; 137:107521. DOI: 10.1016/j.addbeh.2022.107521
15. Ato M, López JJ, Benavente A. Un sistema de clasificación de los diseños de investigación en psicología. An Psicol. 2013; 29(3):1038-59. DOI: 10.6018/analesps.29.3.178511
16. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT Alcohol Consumption Questions (AUDIT-C): An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. 1998; 158(16):1789-95. DOI: 10.1001/archinte.158.16.1789
17. Colán AC, Rosario FJ. Análisis psicométrico del cuestionario para la detección del consumo de alcohol - AUDIT en universitarios peruano. Rev Verit Sci. 2022; 11(2):337-47. DOI: 10.47796/ves.v11i2.688
18. Yearwood K, Vliegen N, Chau C, Corveleyn J, Luyten P. Prevalence of Exposure to Complex Trauma and Community Violence and Their Associations With Internalizing and Externalizing Symptoms. J Interpers Violence. 2021; 36(1-2):843-61. DOI: 10.1177/0886260517731788
19. Baños-Chaparro J, Ynquillay-Lima P, Lamas Delgado F, Fuster Guillen FG. Inventario de Frecuencia de Ideación Suicida: Evidencias psicométricas en adultos peruanos. Rev Inf Cient. 2021 [acceso: 10/09/23];100(4):e3507. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3507/4801
20. Kline RB. Principles and practice of structural equation modeling (Fourth edition). Methodology in the social sciences. New York: The Guilford Press; 2016.
21. Jordan Muiños FM. Valores de corte de los índices de ajuste en el análisis factorial confirmatorio. Psocial. 2021 [acceso: 11/09/23];7(1):66-71. Disponible en: http://portal.amelica.org/ameli/jatsRepo/123/1232225009/1232225009.pdf
22. Pfdat JM, van den Bergh D, Sijtsma K, Moshagen M, Wagenmakers EJ. Bayesian Estimation of Single-Test Reliability Coefficients. Multivariate Behav Res. 2022; 57(4):620-41. DOI: 10.1080/00273171.2021.1891855
23. Sellbom M, Tellegen A. Factor analysis in psychological assessment research: Common pitfalls and recommendations. Psychol Assess. 2019; 31(12):1428-41. DOI: 10.1037/pas0000623
24. Stover AM, McLeod LD, Langer MM, Chen WH, Reeve BB. State of the psychometric methods: patient-reported outcome measure development and refinement using item response theory. J Patient Rep Outcomes. 2019; 3(1):50. DOI: 10.1186/s41687-019-0130-5
25. Baker FB, Kim SH. The Basics of Item Response Theory Using R. Switzerland: Springer; 2017.
26. Ranger J, Brauer K. On the Generalized S-X2 Test of Item Fit: Some Variants, Residuals, and a Graphical Visualization. J Educ Behav Stat. 2021; 47(2):202-30. DOI: 10.3102/10769986211050304
2. Organización Panamericana de la Salud. 2018. La carga de los trastornos mentales en la región de las Américas. Washington: OPS; 2018. [acceso: 09/09/2023]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/49578/9789275320280_spa.pdf?sequ-ence=9&isAllowed=y
3. Caira-Chuquineyra B, Fernández-Guzmán D, Quispe-Vicuña C, Gutiérrez-Rodríguez R, Valencia PD. Factors associated with alcohol abuse in the Peruvian population: analysis of a national health survey 2019 Get access Arrow. J Public Health. 2023; 45(2): e204-e14. DOI: 10.1093/pubmed/fdac116
4. Molina-Quiñones H, Salazar-Taquiri V. Factores asociados al consumo de alcohol en adolescentes residentes en Lima, Perú. Rev haban cienc méd. 2022 [acceso: 09/09/2023]; 21(3):e4655. Disponible en: https://revhabanera.sld.cu/index.php/rhab/article/view/4655/3193
5. Nam EW. Prevalence and Associated Factors of Alcohol and Cigarette Use among Peruvian Adolescents. J Korean Soc Sch Health. 2020; 33(1):28-38. DOI: 10.15434/kssh.2020.33.1.28
6. Lees B, Meredith LR, Kirkland AE, Bryant BE, Squeglia LM. Effect of alcohol use on the adolescent brain and behavior. Pharmacol Biochem Behav. 2020; 192:172906. DOI: 10.1016/j.pbb.2020.172906
7. Yuen WS, Chan G, Bruno R, Clare P, Mattick R, Aiken A, et al. Adolescent Alcohol Use Trajectories: Risk Factors and Adult Outcomes. Pediatrics. 2020; 146(4):e20200440. DOI: 10.1542/peds.2020-0440
8. Culbreth R, Masyn KE, Swahn MH, Self-Brown S, Kasirye R. The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda. Child Abuse Negl. 2021; 112:104904. DOI: 10.1016/j.chiabu.2020.104904
9. Saunders JB, Aasland OG, Babor TF, De la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x
10. Atkins DL, Cumbe VF, Muanido A, Manaca N, Fumo H, Chiruca P, et al. Validity and item response theory properties of the Alcohol Use Disorders Identification Test for primary care alcohol use screening in Mozambique (AUDIT-MZ). J Subst Abuse Treat. 2021; 127:108441. DOI: 10.1016/j.jsat.2021.108441
11. Källmén H, Berman AH, Jayaram-Lindström N, Hammarberg A, Elgán TH. Psychometric Properties of the AUDIT, AUDIT-C, CRAFFT and ASSIST-Y among Swedish Adolescents. Eur Addict Res. 2019; 25(2):68-77. DOI: 10.1159/000496741
12. Liskola J, Haravuori H, Lindberg N, Kiviuusu O, Niemelä S, Karlsson L, et al. The predictive capacity of AUDIT and AUDIT-C among adolescents in a one-year follow-up study. Drug Alcohol Depend. 2021; 218:108424. DOI: 10.1016/j.drugalcdep.2020.108424
13. Russell AM, Barry AE. Psychometric Properties of the AUDIT-C within an Amazon Mechanical Turk Sample. Am J Health Behav. 2021; 45(4):695-700. DOI: 10.5993/AJHB.45.4.8
14. Paulus DJ, Rogers AH, Capron DW, Zvolensky MJ. Maximizing the use of the Alcohol Use Disorders Identification Test (AUDIT) as a two-step screening tool. Addict Behav. 2023; 137:107521. DOI: 10.1016/j.addbeh.2022.107521
15. Ato M, López JJ, Benavente A. Un sistema de clasificación de los diseños de investigación en psicología. An Psicol. 2013; 29(3):1038-59. DOI: 10.6018/analesps.29.3.178511
16. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT Alcohol Consumption Questions (AUDIT-C): An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. 1998; 158(16):1789-95. DOI: 10.1001/archinte.158.16.1789
17. Colán AC, Rosario FJ. Análisis psicométrico del cuestionario para la detección del consumo de alcohol - AUDIT en universitarios peruano. Rev Verit Sci. 2022; 11(2):337-47. DOI: 10.47796/ves.v11i2.688
18. Yearwood K, Vliegen N, Chau C, Corveleyn J, Luyten P. Prevalence of Exposure to Complex Trauma and Community Violence and Their Associations With Internalizing and Externalizing Symptoms. J Interpers Violence. 2021; 36(1-2):843-61. DOI: 10.1177/0886260517731788
19. Baños-Chaparro J, Ynquillay-Lima P, Lamas Delgado F, Fuster Guillen FG. Inventario de Frecuencia de Ideación Suicida: Evidencias psicométricas en adultos peruanos. Rev Inf Cient. 2021 [acceso: 10/09/23];100(4):e3507. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3507/4801
20. Kline RB. Principles and practice of structural equation modeling (Fourth edition). Methodology in the social sciences. New York: The Guilford Press; 2016.
21. Jordan Muiños FM. Valores de corte de los índices de ajuste en el análisis factorial confirmatorio. Psocial. 2021 [acceso: 11/09/23];7(1):66-71. Disponible en: http://portal.amelica.org/ameli/jatsRepo/123/1232225009/1232225009.pdf
22. Pfdat JM, van den Bergh D, Sijtsma K, Moshagen M, Wagenmakers EJ. Bayesian Estimation of Single-Test Reliability Coefficients. Multivariate Behav Res. 2022; 57(4):620-41. DOI: 10.1080/00273171.2021.1891855
23. Sellbom M, Tellegen A. Factor analysis in psychological assessment research: Common pitfalls and recommendations. Psychol Assess. 2019; 31(12):1428-41. DOI: 10.1037/pas0000623
24. Stover AM, McLeod LD, Langer MM, Chen WH, Reeve BB. State of the psychometric methods: patient-reported outcome measure development and refinement using item response theory. J Patient Rep Outcomes. 2019; 3(1):50. DOI: 10.1186/s41687-019-0130-5
25. Baker FB, Kim SH. The Basics of Item Response Theory Using R. Switzerland: Springer; 2017.
26. Ranger J, Brauer K. On the Generalized S-X2 Test of Item Fit: Some Variants, Residuals, and a Graphical Visualization. J Educ Behav Stat. 2021; 47(2):202-30. DOI: 10.3102/10769986211050304
Published
2024-02-23
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Baños-Chaparro J. Validation of the Alcohol Use Disorders Identification Test in adolescents Peruvians. Rev Cubana Med Milit [Internet]. 2024 Feb. 23 [cited 2025 Mar. 12];53(1):e024021838. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/21838
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