Horváth, Zsolt and Nagy, Léna and Koós, Mónika and Kraus, Shane W and Demetrovics, Zsolt and Potenza, Marc N and Ballester-Arnal, Rafael and Batthyány, Dominik and Bergeron, Sophie and Billieux, Joël and Briken, Peer and Burkauskas, Julius and Cárdenas-López, Georgina and Carvalho, Joana and Castro-Calvo, Jesús and Chen, Lijun and Ciocca, Giacomo and Corazza, Ornella and Csako, Rita and Fernandez, David P and Fujiwara, Hironobu and Fernandez, Elaine F and Fuss, Johannes and Gabrhelík, Roman and Gewirtz-Meydan, Ateret and Gjoneska, Biljana and Gola, Mateusz and Grubbs, Joshua B and Hashim, Hashim T and Islam, Md Saiful and Ismail, Mustafa and Jiménez-Martínez, Martha C and Jurin, Tanja and Kalina, Ondrej and Klein, Verena and Költő, András and Lee, Sang-Kyu and Lewczuk, Karol and Lin, Chung-Ying and Lochner, Christine and López-Alvarado, Silvia and Lukavská, Kateřina and Mayta-Tristán, Percy and Miller, Dan J and Orosová, Oľga and Orosz, Gábor and Ponce, Fernando P and Quintana, Gonzalo R and Quintero Garzola, Gabriel C and Ramos-Diaz, Jano and Rigaud, Kévin and Rousseau, Ann and Scanavino, Marco De Tubino and Schulmeyer, Marion K and Sharan, Pratap and Shibata, Mami and Shoib, Sheikh and Sigre-Leirós, Vera and Sniewski, Luke and Spasovski, Ognen and Steibliene, Vesta and Stein, Dan J and Strizek, Julian and Tsai, Meng-Che and Ünsal, Berk C and Vaillancourt-Morel, Marie-Pier and Van Hout, Marie Claire and Bőthe, Beáta (2023) 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). Comprehensive Psychiatry, 127, 152427. doi: 10.1016/j.comppsych.2023.152427.
External website: https://www.sciencedirect.com/science/article/pii/...
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; M: 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.
G Health and disease > Substance use disorder > Alcohol use disorder
HA Screening, identification, and diagnostic method > Medical screening, assessment and diagnostic method
J Health care, prevention, harm reduction and treatment > Identification and screening > Identification and screening for substance use
MA-ML Social science, culture and community > Sociocultural discrimination
T Demographic characteristics > Gender identity
T Demographic characteristics > Gender differences
T Demographic characteristics > Homosexual, gay, bisexual, lesbian, transgender, LGBTQI
VA Geographic area > International
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