Screening patients in busy hospital-based HIV care centers for hazardous and harmful drinking patterns

The identification of an optimal screening tool

Shiela M. Strauss, David M. Rindskopf

Research output: Contribution to journalArticle

Abstract

Because many HIV care providers fail to detect patients' hazardous drinking, we examined the potential use of the AUDIT-C, the first 3 of the 10 items comprising the Alcohol Use Disorders Identification Test (AUDIT), to efficiently screen patients for alcohol abuse. To perform this examination, we used Item Response Theory (IRT) involving individual AUDIT items and AUDIT instruments completed by patients (N = 400) at a Designated AIDS Center (DAC) in New York City. At various AUDIT-C cutoff scores, specificities and sensitivities were then examined using the AUDIT as a "gold standard." For cutoff scores on the AUDIT from 4 to 8, cutoff scores on the AUDIT-C of 3 and 4, respectively, resulted in sensitivities between.94-.98 and.81-.89, respectively, and specificities between.82-.91 and.91-1.0, respectively. In busy HIV care centers, the AUDIT-C with cutoff scores of 3 or 4 is a reasonable alternative to the full AUDIT as an alcohol screening instrument.

Original languageEnglish (US)
Pages (from-to)347-353
Number of pages7
JournalJournal of the International Association of Physicians in AIDS Care
Volume8
Issue number6
DOIs
StatePublished - Nov 2009

Fingerprint

Drinking
Alcohols
HIV
Alcoholism
Acquired Immunodeficiency Syndrome
Sensitivity and Specificity

Keywords

  • alcohol-related disorders
  • HIV
  • screening
  • sensitivity and specificity

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

Cite this

@article{936876b41e1a48eebc26883ef0a27941,
title = "Screening patients in busy hospital-based HIV care centers for hazardous and harmful drinking patterns: The identification of an optimal screening tool",
abstract = "Because many HIV care providers fail to detect patients' hazardous drinking, we examined the potential use of the AUDIT-C, the first 3 of the 10 items comprising the Alcohol Use Disorders Identification Test (AUDIT), to efficiently screen patients for alcohol abuse. To perform this examination, we used Item Response Theory (IRT) involving individual AUDIT items and AUDIT instruments completed by patients (N = 400) at a Designated AIDS Center (DAC) in New York City. At various AUDIT-C cutoff scores, specificities and sensitivities were then examined using the AUDIT as a {"}gold standard.{"} For cutoff scores on the AUDIT from 4 to 8, cutoff scores on the AUDIT-C of 3 and 4, respectively, resulted in sensitivities between.94-.98 and.81-.89, respectively, and specificities between.82-.91 and.91-1.0, respectively. In busy HIV care centers, the AUDIT-C with cutoff scores of 3 or 4 is a reasonable alternative to the full AUDIT as an alcohol screening instrument.",
keywords = "alcohol-related disorders, HIV, screening, sensitivity and specificity",
author = "Strauss, {Shiela M.} and Rindskopf, {David M.}",
year = "2009",
month = "11",
doi = "10.1177/1545109709350509",
language = "English (US)",
volume = "8",
pages = "347--353",
journal = "Journal of the International Association of Physicians in AIDS Care",
issn = "1545-1097",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Screening patients in busy hospital-based HIV care centers for hazardous and harmful drinking patterns

T2 - The identification of an optimal screening tool

AU - Strauss, Shiela M.

AU - Rindskopf, David M.

PY - 2009/11

Y1 - 2009/11

N2 - Because many HIV care providers fail to detect patients' hazardous drinking, we examined the potential use of the AUDIT-C, the first 3 of the 10 items comprising the Alcohol Use Disorders Identification Test (AUDIT), to efficiently screen patients for alcohol abuse. To perform this examination, we used Item Response Theory (IRT) involving individual AUDIT items and AUDIT instruments completed by patients (N = 400) at a Designated AIDS Center (DAC) in New York City. At various AUDIT-C cutoff scores, specificities and sensitivities were then examined using the AUDIT as a "gold standard." For cutoff scores on the AUDIT from 4 to 8, cutoff scores on the AUDIT-C of 3 and 4, respectively, resulted in sensitivities between.94-.98 and.81-.89, respectively, and specificities between.82-.91 and.91-1.0, respectively. In busy HIV care centers, the AUDIT-C with cutoff scores of 3 or 4 is a reasonable alternative to the full AUDIT as an alcohol screening instrument.

AB - Because many HIV care providers fail to detect patients' hazardous drinking, we examined the potential use of the AUDIT-C, the first 3 of the 10 items comprising the Alcohol Use Disorders Identification Test (AUDIT), to efficiently screen patients for alcohol abuse. To perform this examination, we used Item Response Theory (IRT) involving individual AUDIT items and AUDIT instruments completed by patients (N = 400) at a Designated AIDS Center (DAC) in New York City. At various AUDIT-C cutoff scores, specificities and sensitivities were then examined using the AUDIT as a "gold standard." For cutoff scores on the AUDIT from 4 to 8, cutoff scores on the AUDIT-C of 3 and 4, respectively, resulted in sensitivities between.94-.98 and.81-.89, respectively, and specificities between.82-.91 and.91-1.0, respectively. In busy HIV care centers, the AUDIT-C with cutoff scores of 3 or 4 is a reasonable alternative to the full AUDIT as an alcohol screening instrument.

KW - alcohol-related disorders

KW - HIV

KW - screening

KW - sensitivity and specificity

UR - http://www.scopus.com/inward/record.url?scp=77951241040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951241040&partnerID=8YFLogxK

U2 - 10.1177/1545109709350509

DO - 10.1177/1545109709350509

M3 - Article

VL - 8

SP - 347

EP - 353

JO - Journal of the International Association of Physicians in AIDS Care

JF - Journal of the International Association of Physicians in AIDS Care

SN - 1545-1097

IS - 6

ER -