Evaluación de la adaptación de los ítems de consumo del AUDIT para mejor el cribado de Binge Drinking en universitarios
ISSN: 0214-4840
Año de publicación: 2020
Volumen: 32
Número: 4
Páginas: 255-264
Tipo: Artículo
Otras publicaciones en: Adicciones: Revista de socidrogalcohol
Resumen
The strong presence of Binge Drinking (BD) amongst university students, as well as the consequences associated with the same and the changes taking place over recent years regarding its conceptualization make it necessary to examine the usefulness of screening instruments used to detect this drinking pattern. This study examines the usefulness of a briefer adaptation of the AUDIT proposed by Cortés, Giménez, Motos, and Sancerni (2017a). College students self-administered the AUDIT, the revised items 2 and 3 (A2r and A3r), and completed a weekly self-report of their alcohol intake. BD was classified according to the amount consumed and the frequency of that consumption over the past six months. The AUDIT, AUDIT-C and items A2r+A3r (AR2I) were examined. The results obtained from a sample of 605 college students (18– 21 years old/55.2% female) indicate that 449 meet the BD criteria. Items A2r and A3r, adapted to the most consensual definition of BD, were found to identify 98% of BD college students when using a cutoff point of ≥ 3 in females and ≥ 4 in males with optimum levels of sensitivity and specificity. The new adaptation, which includes fewer items, identifies BD college students more accurately. This confirms the need to adjust both consumption items from the model according to the pattern of consumption in college students to detect BD more precisely and as soon as possible.
Referencias bibliográficas
- Anderson, P. (1996). Alcohol and primary health care. WHO regional publications, European Series, Nº 64. Copenhagen, Denmark: Word Health Organization Regional Office for Europe.
- Arnaud, N., Baldus, C., Elgán, T. H., De Paepe, N., Tønnesen, H., Csémy, L. y Thomasius, R. (2016). Effectiveness of a web-based screening and fully automated brief motivational intervention for adolescent substance use: a randomized controlled trial. Journal of Medical Internet Research, 18, e103. doi:10.2196/jmir.4643.
- Babor, T. F., Higgins-Biddle, J. C. y Robaina, K. (2017). USAUDIT, the Alcohol Use Disorders Identification Test, adapted for use in the United States: A guide for primary care practitioners. Rockville, MD: Substance Abuse and Mental Health Services Administration. Recuperado de http://www.ct.gov/dmhas/lib/dmhas/publications/USAUDITGuide_2016.pdf.
- Barnett, N. P., Clerkin, E. M., Wood, M., Monti, P. M., Tevyaw, T. O. L., Corriveau, D. y Kahler, C.W. (2014). Description and predictors of positive and negative alcohol-related consequences in the first year of college. Journal of Studies on Alcohol and Drugs, 75, 103–114.
- Barry, A. E., Chaney, B. H., Stellefson, M. L. y Dodd, V. (2015). Evaluating the psychometric properties of the AUDIT-C among college students. Journal of Substance Use, 20, 1-5. doi:10.3109/14659891.2013.856479.
- Blank, M. L., Connor, J., Gray, A. y Tustin, K. (2015). Screening for hazardous alcohol use among university students using individual questions from the Alcohol Use Disorders Identification Test-Consumption. Drug and Alcohol Review, 34, 540-548. doi:10.1111/dar.12272.
- Bowring, A. L., Gouillou, M., Hellard, M. y Dietze, P. (2013). Comparing short versions of the AUDIT in a community-based survey of young people. BMC Public Health, 13, 1. doi:10.1186/1471-2458-13-301.
- Brewer, R. D. y Swahn, M. H. (2005). Binge drinking and violence. JAMA, 294, 616-618. doi:10.1001/jama.294.5.616.
- Chung, T., Colby, S. M., Barnett, N. P. y Monti, P. M. (2002). Alcohol use disorders identification test: factor structure in an adolescent emergency department sample. Alcoholism: Clinical and Experimental Research, 26, 223-231. doi:10.1111/j.1530-0277.2002.tb02528.x.
- Clark, D. B., Gordon, A. J., Ettaro, L. R., Owens, J. M. y Moss, H. B. (2010). Screening and brief intervention for underage drinkers. Mayo Clinic Proceedings, 85, 380-391. doi:10.4065/mcp.2008.0638.
- Clark, D. B. y Moss, H.B. (2010). Providing alcohol-related screening and brief interventions to adolescents through health care systems: obstacles and solutions. PLoS Medicine, 7, e1000214. doi:10.1371/journal.pmed.1000214.
- Contel Guillamón, M., Gual Solé, A. y Colom Farran, J. (1999). Test para la identificación de trastornos por uso de alcohol (AUDIT): traducción y validación del AUDIT al catalán y castellano. Adicciones, 11, 337-347. doi:10.20882/adicciones.613.
- Cortés, M. T., Giménez, J. A., Motos, P. y Sancerni, M. D. (2016). Different versions of the Alcohol Use Disorders Identification Test (AUDIT) as screening instruments for underage binge drinking. Drug and Alcohol Dependence, 158, 52-59. doi:10.1016/j.drugalcdep.2015.10.033.
- Cortés, M. T., Giménez, J. A., Motos, P. y Sancerni, M. D. (2017a). Revision of AUDIT consumption items to improve the screening of youth Binge Drinking. Frontiers in Psychology, 8, 910. doi:10.1016/j.drugalcdep.2015.10.033.
- Cortés, M. T., Giménez, J. A., Motos, P., Sancerni, M. D. y Cadaveira, F. (2017b). The utility of the Alcohol Use Disorders Identification Test (AUDIT) for the analysis of binge drinking in university students. Psicothema, 29, 2. doi:10.7334/psicothema2016.271.
- Cortés, M. T. y Motos, P. (2015). Cómo definir y medir el consumo intensivo de alcohol. In M. T. Cortés (Ed.). Guía Clínica. Consumo intensivo de alcohol en jóvenes (pp. 25-46). Barcelona, España: Socidrogalcohol.
- Cortés, M. T., Motos, P. y Giménez, J. A. (2015). Consecuencias bio-psico-sociales derivadas del consumo intensivo de alcohol: aspectos psicosociales. En: M. T. Cortés (Ed.). Guía Clínica. Consumo intensivo de alcohol en jóvenes. (pp. 95-120). Barcelona, España: Socidrogalcohol.
- Courtney, K. E. y Polich, J. (2009). Binge drinking in young adults: data, definitions, and determinants. Psychological Bulletin, 135, 142–156. doi:10.1037/ a0014414.
- de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R. y Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology & Neurosciences, 2, 83. doi:10.3922/j.psns.2009.1.12.
- Degenhardt, L., O’Loughlin, C., Swift, W., Romaniuk, J. C., Coffey, C., Hall, W. y Patton, G. (2013). The persistence of adolescent binge drinking into adulthood: findings from a 15-year prospective cohort study. BMJ Open, 3, 1–11. doi:10.1136/bmjopen-2013-003015.
- DeMartini, K. S. y Carey, K. B. (2012). Optimizing the use of the AUDIT for alcohol screening in college students. Psychological Assessment, 24, 954-963. doi:10.1037/a0028519.
- Díaz Martínez, L. R., Díaz Martínez, A., Hernández-Ávila, C. A., Fernández Varela, H., Solís Torres, C. y Narro Robles, J. (2009). El consumo riesgoso y dañino de alcohol y sus factores predictivos en adolescentes estudiantes del bachillerato. Salud Mental, 32, 447-458.
- ESPAD Group (2016). ESPAD Report 2015: Results from the European School Survey Project on Alcohol and Other Drugs. Luxembourg, Luxembourg: Publications Office of the European Union.
- Fernández, M. A., Dema, S. y Fontanil, Y. (2019). The influence of gender roles in alcohol consumption: a qualitative study of adolescents and young adults in Asturias. Adicciones, 31, 260-273. doi:10.20882/adicciones.1003.
- García, C. M., Novalbos, R. J., Martínez, D. J. y O’Ferrall, G. C. (2016). Validation of the Alcohol Use Disorders Identification Test in university students: AUDIT and AUDIT-C. Adicciones, 28, 194-204. doi:10.20882/adicciones.775.
- Gmel, G., Heeb, J. L. y Rehm, J. (2001). Is frequency of drinking an indicator of problem drinking? A psychometric analysis of a modified version of the alcohol use disorders identification test in Switzerland. Drug and Alcohol Dependence, 64, 151-163. doi:10.1016/S0376-8716(01)00117-X.
- Hagman, B. T. (2016). Performance of the AUDIT in detecting DSM-5 alcohol use disorders in college students. Substance Use and Misuse, 51, 1521-1528. doi:10.1080/10826084.2016.1188949.
- Hanley, J. A. y McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology, 148, 839–843. doi:10.1148/radiology.148.3.6878708.
- Hingson, R., Heeren, T., Zakocs, R., Winter, M. y Wechsler. H. (2003). Age of first intoxication, heavy drinking, driving after drinking and risk of unintentional injury among U.S. college students. Journal of Studies on Alcohol, 64, 23-31.
- Hingson, R. W., Zha, W. y Weitzman, E. R. (2009). Magnitude of and trends in alcohol-related mortality and morbidity among US college students ages 18-24, 1998-2005. Journal of Studies on Alcohol and Drugs, 16, 12-20. doi:10.15288/jsads.2009.s16.12.
- Jenkins, M. B., Agrawal, A., Lynskey, M. T., Nelson, E. C., Madden, P. A., Bucholz, K. K. y Heath, A. C. (2011). Correlates of alcohol abuse/dependence in early-onset alcohol-using women. American Journal on Addiction, 20, 429-434. doi:10.1111/j.15210391.2011.00151.x.
- Kelly, T. M., Donovan, J. E., Chung, T., Bukstein, O. G. y Cornelius, J. R. (2009). Brief screens for detecting alcohol use disorder among 18-20 year old young adults in emergency departments: Comparing AUDIT-C, CRAFFT, RAPS4-QF, FAST, RUFT-Cut, and DSM-IV 2-Item Scale. Addictive Behaviours, 34, 668-674. doi:10.1016/j.addbeh.2009.03.038.
- Knight, J. R., Sherritt, L., Harris, S. K., Gates, E. C. y Chang, G. (2003). Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcoholism: Clinical and Experimental Research, 27, 67–73. doi:10.1111/j.1530-0277.2003.tb02723.x.
- Kokotailo, P. K., Egan, J., Gangnon, R., Brown, D., Mundt, M. y Fleming, M. (2004). Validity of the Alcohol Use Disorders Identification Test in college students. Alcohol Clinical and Experimental Research, 28, 914-920. doi:10.1097/01.ALC.0000128239.87611.F5.
- Kuntsche, E., Kuntsche, S., Knibbe, R., Simons-Morton, B., Farhat, T., Hublet, A., … Demetrovics, Z. (2011). Cultural and gender convergence in adolescent drunkenness: evidence from 23 European and North American countries. Archives of Pediatrics & Adolescent Medicine, 165, 152-158. doi:10.1016/j.ijpharm.2011.02.001.
- Livingston, M. (2013). To reduce alcohol related harm we need to look beyond pubs and night clubs. Drug and Alcohol Review, 32, 113-114. doi:10.1111/dar.12026.
- Mallett, K. A., Varvil-Weld, L., Turrisi, R. y Read, A. (2011). An examination of college students’ willingness to experience consequences as a unique predictor of alcohol problems. Psychology of Addictive Behaviors, 25, 41. doi:10.1037/a0021494.
- McCambridge, J. y Thomas, B. A. (2009). Short forms of the AUDIT in a Web-based study of young drinkers. Drug and Alcohol Review, 28, 18–24. doi:10.1111/j.1465-3362.2008.00010.x.
- McKetin, R., Chalmers, J., Sunderland, M. y Bright, D. A. (2014). Recreational drug use and binge drinking: stimulant but not cannabis intoxication is associated with excessive alcohol consumption. Drug and Alcohol Review, 33, 436-45. doi:10.1111/dar.12147.
- Mota, N., Álvarez-Gil, R., Corral, M., Holguín, S. R., Parada, M., Crego, A., … Cadaveira, F. (2010). Risky alcohol use and heavy episodic drinking among Spanish University students: a two-year follow-up. Gaceta Sanitaria, 24, 372-377. doi:10.1016/j.gaceta.2010.02.013.
- Ministerio de Sanidad y Consumo [MSC] (2008). Prevención de los problemas derivados del alcohol. En: Conferencia de prevención y promoción de la salud en la práctica clínica en España. Madrid, España: Ministerio de Sanidad y Consumo.
- Observatorio Español sobre Drogas y las Adicciones [OEDA] (2017). Informe 2017: EDADES, Encuesta sobre Alcohol y Drogas en España. Delegación del Gobierno para el Plan Nacional sobre Drogas. Madrid, España: Ministerio de Sanidad y Política Social.
- Observatorio Español sobre Drogas y las Adicciones [OEDA] (2018). ESTUDES 2016-2017 Encuesta sobre uso de drogas en enseñanzas secundarias en España (avance on-line). Delegación del Gobierno para el Plan Nacional sobre Drogas. Madrid, España: Ministerio de Sanidad y Política Social. Recuperado de http://www.pnsd.msssi.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2016_2017_ESTUDES.pdf.
- Olthuis, J. V., Zamboanga, B. L., Martens, M. P. y Ham, L. S. (2011). Social influences, alcohol expectancies, and hazardous alcohol use among college athletes. Journal of Clinical Sport Psychology, 5, 24-43. doi:10.1123/jcsp.5.1.24.
- Parada, M., Corral, M., Caamaño, F., Mota, N., Crego, A., Rodríguez, S. y Cadaveira, F. (2011). Definición del concepto de consumo intensivo de alcohol adolescente (binge drinking). Adicciones, 23, 53–63. doi:10.20882/adicciones.167.
- Patrick, M. E., Schulenberg, J. E., Martz, M. E., Maggs, J. L., O’Malley, P. M. y Johnston, L. D. (2013). Extreme binge drinking among 12th-grade students in the United States: prevalence and predictors. JAMA Pediatrics, 167, 1019-1025. doi:10.1001/jamapediatrics.2013.2392.
- Pilatti, A., Caneto, F., Garimaldi, J. A., Del Valle, B. y Pautassi, R. M. (2013). Contribution of time of drinking onset and family history of alcohol problems in alcohol and drug use behaviors in Argentinean college students. Alcohol and Alcoholism, 49, 128–137, doi:10.1093/alcalc/agt176.
- Read, J. P., Beattie, M., Chamberlain, R. y Merrill, J. E. (2008). Beyond the “binge” threshold: Heavy drinking patterns and their association with alcohol involvement indices in college students. Addictive Behaviors, 33, 225-234. doi:10.1016/j.addbeh.2007.09.001.
- Rodríguez-Martos, A., Gual Solé, A. y Llopis Llácer, J. J. (1999). The “standard drink unit” as a simplified recording system of alcohol consumption and its measurement in Spain. Medicina Clínica, 112, 446–450.
- Seguel, F., Santander, G. y Alexandre, O. (2013). Validez y confiabilidad del test de identificación de los trastornos debidos al consumo de alcohol (AUDIT) en estudiantes de una universidad chilena. Ciencia y Enfermería, 19, 23-35. doi:10.4067/S0717-95532013000100003.
- Shield, K. D., Gmel, G., Patra, J. y Rehm, J. (2012). Global burden of injuries attributable to alcohol consumption in 2004: a novel way of calculating the burden of injuries attributable to alcohol consumption. Population Health Metrics, 10, 9. doi:10.1186/1478-7954-10-9.
- Simons-Morton, B. G., Farhat, T., Ter-Bogt, T. F., Hublet, A., Kuntsche, E., Gabhainn, S. N., … Kokkevi, A. (2009). Gender specific trends in alcohol use: cross-cultural comparisons from 1998 to 2006 in 24 countries and regions. International Journal of Public Health, 54, 199-208. doi:10.1007/s00038-009-5411-y.
- Thomas, B. A. y McCambridge, J. (2008). Comparative psychometric study of a range of hazardous drinking measures administered online in a youth population. Drug and Alcohol Dependence, 96, 121-127. doi: 10.1016/j.drugalcdep.2008.02.010.
- Unión Europea (2010). Special Eurobarometer 331: EU citizens’ attitudes towards alcohol. Brussels, Belgium: European Union.
- Vargas-Martínez, A. M., Trapero-Bertran, M., Gil-García, E. y Lima-Serrano, M. (2018). Impact of the Binge Drinking (BD) in Adolescence. Are we doing it right? Adicciones, 30, 152-154. doi:10.20882/adicciones.1033.
- Walton, M. A., Chermack, S. T., Blow, F. C., Ehrlich, P. F., Barry, K. L., Booth, B. M. y Cunningham, R. M. (2015). Components of brief alcohol interventions for youth in the emergency department. Substance Abuse, 36, 339-349. doi:10.1080/08897077.2014.