Opportunistic screening for alcohol use problems in adolescents attending emergency departments: An evaluation of screening tools.

Hdl Handle:
http://hdl.handle.net/10149/621657
Title:
Opportunistic screening for alcohol use problems in adolescents attending emergency departments: An evaluation of screening tools.
Authors:
Coulton, S. (Simon); Alam, F. (Fasihul); Boniface, S. (Sadie); Deluca, P. (Paolo); Donoghue, K. (Kim); Gilvarry, E. (Eilish); Kaner, E. (Eileen); Lynch, E. (Ellen); Maconochie, I. (Ian); McArdle, P. (Paul); McGovern, R. (Ruth); Newbury-Birch, D. (Dorothy) ( 0000-0003-0065-8649 ) ; Patton, R. (Robert); Phillips, C. (Ceri); Phillips, T. (Tom); Rose, H. (Hannah); Russell, I. (Ian); Strang, J. (John); Drummond, C. (Colin)
Affiliation:
Teesside University. Health and Social Care Institute
Citation:
Coulton, S., Alam, F., Boniface, S., Deluca, P., Donoghue, K., Gilvarry, E., Kaner, E., Lynch, E., Maconochie, I., McArdle, P., McGovern, R., Newbury-Birch, D., Patton, R., Phillips, C., Phillips, T., Rose, H., Russell, I., Strang, J., Drummond, C. (2018) 'Opportunistic screening for alcohol use problems in adolescents attending emergency departments: An evaluation of screening tools.', Journal of Public Health; Accepted for publication 19 Dec 2017
Publisher:
Oxford University Press
Journal:
Journal of Public Health
Issue Date:
2018
URI:
http://hdl.handle.net/10149/621657
Abstract:
Objective: To estimate and compare the optimal cut-off score of 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. Design: Opportunistic cross-sectional survey. Setting: 10 emergency departments across England. Participants: Adolescents (n=5377) aged between their 10th and 18th birthday who attended emergency departments between December 2012 and May 2013. Measures: 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. Findings: 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%). Conclusions: 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
Type:
Article
Language:
en
ISSN:
1741-3842
EISSN:
1741-3850
Rights:
Following a 12 month embargo author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/issn/1741-3842/ [Accessed: 13/02/2018]

Full metadata record

DC FieldValue Language
dc.contributor.authorCoulton, S. (Simon)en
dc.contributor.authorAlam, F. (Fasihul)en
dc.contributor.authorBoniface, S. (Sadie)en
dc.contributor.authorDeluca, P. (Paolo)en
dc.contributor.authorDonoghue, K. (Kim)en
dc.contributor.authorGilvarry, E. (Eilish)en
dc.contributor.authorKaner, E. (Eileen)en
dc.contributor.authorLynch, E. (Ellen)en
dc.contributor.authorMaconochie, I. (Ian)en
dc.contributor.authorMcArdle, P. (Paul)en
dc.contributor.authorMcGovern, R. (Ruth)en
dc.contributor.authorNewbury-Birch, D. (Dorothy)en
dc.contributor.authorPatton, R. (Robert)en
dc.contributor.authorPhillips, C. (Ceri)en
dc.contributor.authorPhillips, T. (Tom)en
dc.contributor.authorRose, H. (Hannah)en
dc.contributor.authorRussell, I. (Ian)en
dc.contributor.authorStrang, J. (John)en
dc.contributor.authorDrummond, C. (Colin)en
dc.date.accessioned2018-02-13T17:48:34Z-
dc.date.available2018-02-13T17:48:34Z-
dc.date.issued2018-
dc.identifier.citationJournal of Public Health; Accepted for publication 19 Dec 2017en
dc.identifier.issn1741-3842-
dc.identifier.urihttp://hdl.handle.net/10149/621657-
dc.description.abstractObjective: To estimate and compare the optimal cut-off score of 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. Design: Opportunistic cross-sectional survey. Setting: 10 emergency departments across England. Participants: Adolescents (n=5377) aged between their 10th and 18th birthday who attended emergency departments between December 2012 and May 2013. Measures: 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. Findings: 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%). Conclusions: 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 dependenceen
dc.language.isoenen
dc.publisherOxford University Pressen
dc.rightsFollowing a 12 month embargo author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/issn/1741-3842/ [Accessed: 13/02/2018]en
dc.titleOpportunistic screening for alcohol use problems in adolescents attending emergency departments: An evaluation of screening tools.en
dc.typeArticleen
dc.identifier.eissn1741-3850-
dc.contributor.departmentTeesside University. Health and Social Care Instituteen
dc.identifier.journalJournal of Public Healthen
or.citation.harvardCoulton, S., Alam, F., Boniface, S., Deluca, P., Donoghue, K., Gilvarry, E., Kaner, E., Lynch, E., Maconochie, I., McArdle, P., McGovern, R., Newbury-Birch, D., Patton, R., Phillips, C., Phillips, T., Rose, H., Russell, I., Strang, J., Drummond, C. (2018) 'Opportunistic screening for alcohol use problems in adolescents attending emergency departments: An evaluation of screening tools.', Journal of Public Health; Accepted for publication 19 Dec 2017-
dc.eprint.versionPost-printen
dc.embargo12 monthsen
dc.date.accepted2017-12-19-
All Items in TeesRep are protected by copyright, with all rights reserved, unless otherwise indicated.