TY - JOUR PY - 2016// TI - Validating a hazardous drinking index in a sample of sexual minority women: reliability, validity, and predictive accuracy JO - Substance use and misuse A1 - Riley, Barth B. A1 - Hughes, Tonda L. A1 - Wilsnack, Sharon C. A1 - Johnson, Timothy P. A1 - Benson, Perry A1 - Aranda, Frances SP - 43 EP - 51 VL - 52 IS - 1 N2 - BACKGROUND: Although sexual minority women (SMW) are at increased risk of hazardous drinking (HD), efforts to validate HD measures have yet to focus on this population.

OBJECTIVES: Validation of a 13-item Hazardous Drinking Index (HDI) in a large sample of SMW.

METHODS: Data were from 700 adult SMW (age 18-82) enrolled in the Chicago Health and Life Experiences of Women study. Criterion measures included counts of depressive symptoms and post-traumatic stress disorder (PTSD) symptoms, average daily and 30-day ethanol consumption, risky sexual behavior, and Diagnostic and Statistical Manual (DSM-IV) measures of alcohol abuse/dependence. Analyses included assessment of internal consistency, construction of receiver operating characteristic (ROC) curves to predict alcohol abuse/dependence, and correlations between HDI and criterion measures. We compared the psychometric properties (diagnostic accuracy and correlates of hazardous drinking) of the HDI to the commonly used CAGE instrument.

RESULTS: KR-20 reliability for the HDI was 0.80, compared to 0.74 for the CAGE. Predictive accuracy, as measured by the area under the receiver operating characteristic curve for alcohol abuse/dependence, was HDI: 0.89; CAGE: 0.84. The HDI evidenced the best predictive efficacy and tradeoff between sensitivity and specificity.

RESULTS supported the concurrent validity of the HDI measure.

CONCLUSIONS: The Hazardous Drinking Index is a reliable and valid measure of hazardous drinking for sexual minority women.

Language: en

LA - en SN - 1082-6084 UR - http://dx.doi.org/10.1080/10826084.2016.1214150 ID - ref1 ER -