TY - JOUR
PY - 2021//
TI - Validation of a screening test for alcohol use, the Russian Federation
JO - Bulletin of The World Health Organization
A1 - Neufeld, Maria
A1 - Rehm, Jürgen
A1 - Bunova, Anna
A1 - Gil, Artyom
A1 - Gornyi, Boris
A1 - Rovira, Pol
A1 - Manthey, Jakob
A1 - Yurasova, Elena
A1 - Dolgova, Svetlana
A1 - Idrisov, Bulat
A1 - Moskvicheva, Marina
A1 - Nabiullina, Galina
A1 - Shegaym, Olga
A1 - Zhidkova, Irina
A1 - Ziganshina, Zukhra
A1 - Ferreira-Borges, Carina
SP - 496
EP - 505
VL - 99
IS - 7
N2 - OBJECTIVE: To validate a Russian-language version of the World Health Organization's Alcohol Use Disorders Identification Test (AUDIT).
METHODS: We invited 2173 patients from 21 rural and urban primary health-care centres in nine Russian regions to participate in the study (143 declined and eight were excluded). In a standardized interview, patients who had consumed alcohol in the past 12 months provided information on their sociodemographic characteristics and completed the Russian AUDIT, the Kessler Psychological Distress Scale and the Composite International Diagnostic Interview to identify problem drinking and alcohol use disorders. We assessed the feasibility of administering the test, its internal consistency and its ability to predict hazardous drinking and alcohol use disorders in primary health care in the Russian Federation.
FINDINGS: Of the 2022 patients included in the study, 1497 were current drinkers with Russian AUDIT scores. The test was internally consistent with good psychometric properties (Cronbach's α : 0.842) and accurately predicted alcohol use disorders and other outcomes (area under the curve > 75%). A three-item short form of the test correlated well with the full instrument and had similar predictive power (area under the curve > 80%). We determined sex-specific thresholds for all outcomes, as non-specific thresholds resulted in few women being identified.
CONCLUSION: With the validated Russian AUDIT, there is no longer a barrier to introducing screening and brief interventions into primary health care in the Russian Federation to supplement successful alcohol control policies.
Language: en
LA - en SN - 0042-9686 UR - http://dx.doi.org/10.2471/BLT.20.273227 ID - ref1 ER -