@article{ref1,
title="Screening caregivers of children for risky drinking in KwaZulu-Natal, South Africa",
journal="Maternal and child health journal",
year="2016",
author="Taylor, Myra and Knox, Justin and Chhagan, Meera K. and Kauchali, Shuaib and Kvalsvig, Jane and Mellins, Claude Ann and Arpadi, Stephen M. and Craib, Murray H. and Davidson, Leslie L.",
volume="20",
number="11",
pages="2392-2401",
abstract="Background and Objectives Alcohol abuse, a significant health problem in South Africa, affects the ability of adults to care for children. Little is known regarding risky alcohol use among child caregivers there. A large population-based study examined the prevalence of, and factors associated with, risky drinking among caregivers of young children in KwaZulu-Natal, South Africa comparing the use of the Alcohol Use Disorders Identification Test (AUDIT) and the AUDIT-C screens for hazardous or harmful drinking (referred to here as risky drinking). <br><br>METHODS 83 % of child caregivers from five tribal areas were interviewed using the 10-question AUDIT to screen for risky drinking. The AUDIT-C screen, a subset of AUDIT questions, targets alcohol consumption and binge drinking. Factors associated with risky drinking were investigated using logistic regression. <br><br>RESULTS 1434 caregivers participated, 98 % female. Sixteen percent reported ever drinking alcohol. Based on AUDIT criteria for risky drinking, 13 % of the sample scored as moderate drinkers, 2 % as hazardous users, and 1 % as harmful or dependent users (identifying 3 % as risky drinkers). Using AUDIT-C criteria to identify risky drinking significantly increased the proportion of caregivers identified as risky drinkers to 9 %. In multivariate analyses, factors associated with risky drinking were similar in both screens: partner violence, smoking, HIV-infection, caring for a child with disabilities. <br><br>CONCLUSIONS for Practice Since the AUDIT-C identified risky alcohol use not otherwise detected with the full AUDIT, and since resources for screening in health care settings is limited, the AUDIT-C may be a more appropriate screen in populations where binge drinking is common.<p /> <p>Language: en</p>",
language="en",
issn="1092-7875",
doi="10.1007/s10995-016-2066-1",
url="http://dx.doi.org/10.1007/s10995-016-2066-1"
}