ABSTRACT

Purpose: The objective of this study was to examine the incidence of false-negative screening results on a tool measuring alcohol use – the United States Alcohol Use Disorder Identification Test Consumption (US-AUDIT-C).

Method: A sample of patients (n = 4,023) in Alabama completed the US-AUDIT-C prior to a medical visit as part of a screening, brief intervention, and referral to treatment (AL-SBIRT) program. We calculated the incidence of false negative US-AUDIT-C screens based on recommendations for safe alcohol consumption.

Results: The false negative screening rate on the US-AUDIT-C was 1%. The false negative screening rate for (a) males aged > 65 years in the AL-SBIRT program was 0.64%, (b) males aged 18–65 years was 2.79%, and (c) all females was 2.29%.

Discussion & Conclusions: Increasing alcohol-consumption-related health education and reducing the stigma of discussing alcohol consumption habits is an important step toward improving patient health. Clinicians can more accurately screen and provide brief intervention services for alcohol misuse by training on US-AUDIT-C response patterns.

摘要

目的：本研究的目的是检查测量酒精使用的工具——美国酒精使用障碍识别测试消耗 (US-AUDIT-C) 的假阴性筛查结果的发生率。

方法：阿拉巴马州的患者样本 (n = 4,023) 在就诊之前完成了 US-AUDIT-C，作为筛查、简短干预和转诊治疗 (AL-SBIRT) 计划的一部分。我们根据安全饮酒的建议计算了 US-AUDIT-C 筛查假阴性的发生率。

结果： US-AUDIT-C 的假阴性筛查率为 1%。AL-SBIRT 计划中（a）年龄 > 65 岁男性的假阴性筛查率为 0.64%，（b）18-65 岁男性为 2.79%，（c）所有女性为 2.29%。

讨论与结论：增加与饮酒相关的健康教育并减少讨论饮酒习惯的耻辱感是改善患者健康的重要一步。通过 US-AUDIT-C 响应模式的培训，临床医生可以更准确地筛查酒精滥用并提供简短的干预服务。