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AuthorCoulton, Simon
AuthorAlam, M Fasihul
AuthorBoniface, Sadie
AuthorDeluca, Paolo
AuthorDonoghue, Kim
AuthorGilvarry, Eilish
AuthorKaner, Eileen
AuthorLynch, Ellen
AuthorMaconochie, Ian
AuthorMcArdle, Paul
AuthorMcGovern, Ruth
AuthorNewbury-Birch, Dorothy
AuthorPatton, Robert
AuthorPhillips, Ceri J
AuthorPhillips, Thomas
AuthorRose, Hannah
AuthorRussell, Ian
AuthorStrang, John
AuthorDrummond, Colin
Available date2018-04-03T09:33:30Z
Publication Date2018-03-01
Publication NameJournal of Public Health
CitationCoulton S, Alam MF, Boniface S, Deluca P, Donoghue K, Gilvarry E, Kaner E, Lynch E, Maconochie I, McArdle P, McGovern R, Newbury-Birch D, Patton R, Phillips CJ, Phillips T, Rose H, Russell I, Strang J, Drummond C. Opportunistic screening for alcohol use problems in adolescents attending emergency departments: an evaluation of screening tools. J Public Health (Oxf). 2018 Mar 26. doi: 10.1093/pubmed/fdy049.
AbstractTo estimate and compare the optimal cut-off score of Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C in identifying at-risk alcohol consumption, heavy episodic alcohol use, ICD-10 alcohol abuse and alcohol dependence in adolescents attending ED in England. Opportunistic cross-sectional survey. 10 emergency departments across England. Adolescents (n = 5377) aged between their 10th and 18th birthday who attended emergency departments between December 2012 and May 2013. Scores on the AUDIT and AUDIT-C. At-risk alcohol consumption and monthly episodic alcohol consumption in the past 3 months were derived using the time-line follow back method. Alcohol abuse and alcohol dependence was assessed in accordance with ICD-10 criteria using the MINI-KID. AUDIT-C with a score of 3 was more effective for at-risk alcohol use (AUC 0.81; sensitivity 87%, specificity 97%), heavy episodic use (0.84; 76%, 98%) and alcohol abuse (0.98; 91%, 90%). AUDIT with a score of 7 was more effective in identifying alcohol dependence (0.92; 96%, 94%). The 3-item AUDIT-C is more effective than AUDIT in screening adolescents for at-risk alcohol use, heavy episodic alcohol use and alcohol abuse. AUDIT is more effective than AUDIT-C for the identification of alcohol dependence.
PublisherOxford University Press
TitleOpportunistic screening for alcohol use problems in adolescents attending emergency departments: an evaluation of screening tools.

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