The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds
Article first published online: 24 JAN 2006
Volume 92, Issue 2, pages 197–206, February 1997
How to Cite
VOLK, R. J., STEINBAUER, J. R., CANTOR, S. B. and HOLZER, C. E. (1997), The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. Addiction, 92: 197–206. doi: 10.1111/j.1360-0443.1997.tb03652.x
- Issue published online: 24 JAN 2006
- Article first published online: 24 JAN 2006
- Submitted 12th February 1996; initial review completed 9di May 1996; final version accepted 1st July 1996.
This study examined the operating characteristics of the Alcohol Use Disorders Identification Test (AUDIT) as a screen for “at-risk” drinking in a multi-ethnic sample of primary care patients, from a family practice center located in the southwestern United States. A probability sample of 1333 family medicine patients, stratified by gender and racial/ethnic background (white, African-American and Mexican-American) completed the AUDIT, followed by the Alcohol Use Disorders and Associated Disabilities Interview Schedule (AUDADIS) to determine ICD-10 diagnoses. Indicators of hazardous alcohol use and alcohol-related problems were included as measures of “at-risk” drinking. Despite differences in the spectrum of alcohol problems across patient subgroups, there was no evidence of gender or racial/ethnic bias in the AUDIT as indicated by Receiver Operating Characteristic Curve analysis. Excluding abstainers from the analysis had little impact on screening efficacy. In this patient population, the A UDIT appears to be an unbiased measure of “at-risk” drinking.