Callinan, Sarah and Livingston, Michael and Dietze, Paul and Gmel, Gerhard and Room, Robin (2022) Age-based differences in quantity and frequency of consumption when screening for harmful alcohol use. Addiction, 117, (9), pp. 2431-2437. doi: 10.1111/add.15904.
External website: https://onlinelibrary.wiley.com/doi/10.1111/add.15...
BACKGROUND AND AIMS: Survey questions on usual quantity and frequency of alcohol consumption are regularly used in screening tools to identify drinkers requiring intervention. The aim of this study was to measure age-based differences in quantity and frequency of alcohol consumption on the Alcohol Use Disorders Identification Test (AUDIT) and how this relates to the prediction of harmful or dependent drinking.
DESIGN: Cross-sectional survey in Australia. Data were taken from 17 399 respondents who reported any alcohol consumption in the last year and were aged 18 and over from the 2016 National Drug Strategy Household Survey, a broadly representative cross-sectional survey on substance use. Respondents were asked about their frequency of consumption, usual quantity per occasion and the other items of the AUDIT.
FINDINGS: In older drinkers, quantity per occasion was a stronger predictor of dependence than frequency per occasion. In younger drinkers the reverse was true, with frequency a stronger predictor than quantity. Frequency of consumption was not a significant predictor of dependence in respondents aged 73 years and over. Similar patterns were found when predicting harmful drinking. Despite this, as frequency of consumption increased steadily with age, the question on frequency was responsible for at least 65% of AUDIT scores in drinkers aged 53 years and over.
CONCLUSIONS: In younger drinkers, frequent drinking is more strongly linked to dependence and harmful drinking subscale scores on the Alcohol Use Disorders Identification Test (AUDIT) than quantity per occasion, yet quantity per occasion has a stronger influence on the overall AUDIT score in this group. In older drinkers, frequency of consumption is not always a significant predictor of the AUDIT dependence subscale and is a weak predictor of the harmful drinking subscale.
B Substances > Alcohol
G Health and disease > Substance use disorder (addiction) > Alcohol use disorder
HA Screening, identification, and diagnostic method > Physical / medical screening, assessment and diagnostic method
J Health care, prevention, harm reduction and treatment > Identification and screening > Identification and screening for substance use
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Young adult
T Demographic characteristics > Elderly / Older person
VA Geographic area > Australia and Oceania > Australia
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