Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS)

. 2023 Nov ; 127 () : 152427. [epub] 20230923

Jazyk angličtina Země Spojené státy americké Médium print-electronic

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid37782987

INTRODUCTION: Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, genders, and sexual orientations. AIMS: The present study aimed to examine the fit of different measurement models for the AUDIT and its measurement invariance across a wide range of subgroups by country, language, gender, and sexual orientation. METHODS: Responses concerning past-year alcohol use from the participants of the cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD = 12.59). Confirmatory factor analysis, as well as measurement invariance tests were performed for 21 countries, 14 languages, three genders, and four sexual-orientation subgroups that met the minimum sample size requirement for inclusion in these analyses. RESULTS: A two-factor model with factors describing 'alcohol use' (items 1-3) and 'alcohol problems' (items 4-10) showed the best model fit across countries, languages, genders, and sexual orientations. For the former two, scalar and latent mean levels of invariance were reached considering different criteria. For gender and sexual orientation, a latent mean level of invariance was reached. CONCLUSIONS: In line with the two-factor model, the calculation of separate alcohol-use and alcohol-problem scores is recommended when using the AUDIT. The high levels of measurement invariance achieved for the AUDIT support its use in cross-cultural research, capable also of meaningful comparisons among genders and sexual orientations.

Artois University France

Auckland University of Technology New Zealand

Austrian Public Health Institute Austria

Charles University 1st Faculty of Medicine Department of Addictology Prague Czech Republic; Charles University Faculty of Education Department of Psychology Prague Czech Republic

Charles University 1st Faculty of Medicine Department of Addictology Prague Czech Republic; General University Hospital Prague Department of Addictology Czech Republic

College of Healthcare Sciences James Cook University Australia

Departamento de Psicología y Filosofía Facultad de Ciencias Sociales Universidad de Tarapacá Arica Arica y Parinacota Chile

Département de psychologie Université de Montréal Montréal Canada

Département de Psychologie Université du Québec à Trois Rivières Trois Rivières Canada

Department of Clinical Pharmaceutical and Biological Sciences University of Hertfordshire United Kingdom; Department of Psychocology and Cognitive Science University of Trento Italy

Department of Educational Psychology and Psychology of Health Pavol Jozef Safarik University in Kosice Slovakia

Department of Health Services Srinagar 190001 India; Sharda University Greater Noida India; Psychosis Research Centre University of Social Welfare and Rehabilitation Sciences Tehran Iran

Department of Neuropsychiatry Graduate School of Medicine Kyoto University Kyoto Japan

Department of Neuropsychiatry Graduate School of Medicine Kyoto University Kyoto Japan; Decentralized Big Data Team RIKEN Center for Advanced Intelligence Project Tokyo Japan; The General Research Division Osaka University Research Center on Ethical Legal and Social Issues Osaka Japan

Department of Pediatrics National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan

Department of Personality Assessment and Psychological Treatments University of Valencia Spain

Department of Psychiatry All India Institute of Medical Sciences New Delhi 110029 India

Department of Psychiatry Hallym University Chuncheon Sacred Heart Hospital South Korea; Chuncheon Addiction Management Center South Korea

Department of Psychiatry Schulich School of Medicine and Dentistry Western University St Joseph's Health Care London and London Health Sciences Centre London Canada; Lawson Health Research Institute London Canada; Departmento e Instituto de Psiquiatria Hospital das Clinicas; and Experimental Pathophysiology Post Graduation Program Faculdade de Medicina Universidade de São Paulo Brazil

Department of Psychology and Neuroscience Auckland University of Technology Auckland New Zealand

Department of Psychology College of Humanity and Social Science Fuzhou University China

Department of Psychology Humanities and Social Sciences University of Zagreb Croatia

Department of Psychology University of Nevada Las Vegas Las Vegas NV USA

Department of Public Health and Informatics Jahangirnagar University Savar Dhaka 1342 Bangladesh; Centre for Advanced Research Excellence in Public Health Savar Dhaka 1342 Bangladesh

Departmento de Psicología Básica Clínica y Psicobiología University Jaume 1 of Castellón Spain

Facultad de Ciencias de la Salud Universidad Privada del Norte Lima Peru

Facultad de Medicina Universidad Científica del Sur Lima Peru

Facultad de Psicología Universidad de Talca Chile

Faculty of Philosophy Ss Cyril and Methodius University in Skopje North Macedonia; Faculty of Philosophy University of Ss Cyril and Methodius in Trnava Slovakia

Florida State University Republic of Panama; Sistema Nacional de Investigación SENACYT Panama

Health Promotion Research Centre University of Galway Ireland

HELP University Malaysia

Institute for Behavioural Addictions Sigmund Freud University Vienna Austria

Institute for Sex Research Sexual Medicine and Forensic Psychiatry; University Medical Centre Hamburg Eppendorf; Hamburg Germany

Institute of Allied Health Sciences College of Medicine National Cheng Kung University Tainan Taiwan; Biostatistics Consulting Center National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan

Institute of Forensic Psychiatry and Sex Research Center for Translational Neuro and Behavioral Sciences University of Duisburg Essen Essen Germany

Institute of Psychology Cardinal Stefan Wyszynski University Warsaw Poland

Institute of Psychology ELTE Eötvös Loránd University Budapest Hungary; Centre of Excellence in Responsible Gaming University of Gibraltar Gibraltar Gibraltar

Institute of Psychology ELTE Eötvös Loránd University Budapest Hungary; Doctoral School of Psychology ELTE Eötvös Loránd University Budapest Hungary

Institute of Psychology Polish Academy of Sciences Poland; Institute for Neural Computations University of California San Diego USA

Institute of Psychology University of Lausanne Lausanne Switzerland

Institute of Psychology University of Lausanne Lausanne Switzerland; Center for Excessive Gambling Addiction Medicine Lausanne University Hospitals Lausanne Switzerland

Laboratory of Behavioral Medicine Neuroscience Institute Lithuanian University of Health Sciences Palanga Lithuania

Leuven School For Mass Communication KU Leuven Leuven Belgium

Macedonian Academy of Sciences and Arts North Macedonia

Nottingham Trent University United Kingdom

Public Health Institute Faculty of Health Liverpool John Moores University United Kingdom

SAMRC Unit on Risk and Resilience in Mental Disorders Dept of Psychiatry and Neuroscience Institute University of Cape Town

SAMRC Unit on Risk and Resilience in Mental Disorders Stellenbosch University South Africa

School of Psychology University of Southampton United Kingdom

School of Social Work Faculty of Social Welfare and Health Sciences University of Haifa Israel

Section of Sexual Psychopathology Department of Dynamic and Clinical Psychology and Health Studies Sapienza University of Rome Rome Italy

Universidad Pedagógca y Tecnológica de Colombia Colombia; Grupo de Investigación Biomédica y de Patología Colombia

Universidad Privada de Santa Cruz de la Sierra Bolivia

University of Baghdad College of Medicine Iraq

University of Cuenca Ecuador

University of New Mexico Albuquerque United States; Center for Alcohol Substance use And Addiction University of New Mexico Albuquerque United States

Virtual Teaching and Cyberpsychology Laboratory School of Psychology National Autonomous University of Mexico Mexico

William James Center for Research Departamento de Educação e Psicologia Universidade de Aveiro Aveiro Portugal

Yale University School of Medicine New Haven CT USA; Connecticut Council on Problem Gambling Wethersfield CT USA; Connecticut Mental Health Center New Haven CT USA

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