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)


Por: Horvath, Zsolt, Nagy, Lena, Koos, Monika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyany, Dominik, Bergeron, Sophie, Billieux, Joel, Briken, Peer, Burkauskas, Julius, Cardenas-Lopez, Georgina, Carvalho, Joana, Castro-Calvo, Jesus, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita, Fernandez, David P., Fujiwara, Hironobu, Fernandez, Elaine F., Fuss, Johannes, Gabrhelik, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Gola, Mateusz, Grubbs, Joshua B., Hashim, Hashim T., Islam, Md. Saiful, Ismail, Mustafa, Jiménez-Martínez M.C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költo A., Lee S.-K., Lewczuk, Karol, Lin C.-Y., Lochner, Christine, Lopez-Alvarado, Silvia, Lukavska, Katerina, Mayta-Tristan, Percy, Miller, Dan J., Orosova, Olga, Orosz, Gabor, Ponce F.P., Quintana G.R., Quintero Garzola G.C., Ramos-Diaz J., Rigaud K., Rousseau A., Scanavino M.D.T., Schulmeyer M.K., Sharan P., Shibata M., Shoib S., Sigre-Leirós V., Sniewski L., Spasovski O., Steibliene V., Stein D.J., Strizek J., Tsai M.-C., Ünsal B.C., Vaillancourt-Morel M.-P., Van Hout M.C., Bothe B.

Publicada: 1 nov 2023 Ahead of Print: 1 sep 2023
Resumen:
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.

Filiaciones:
Horvath, Zsolt:
 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar

 Eotvos Lorand Univ, Inst Psychol, Budapest, Hungary

 Univ Gibraltar, Ctr Excellence Responsible Gaming, Gibraltar, Gibraltar

 Eotvos Lorand Univ, Inst Psychol, Izabella utca 46, H-1064 Budapest, Hungary

Nagy, Lena:
 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Eotvos Lorand Univ, Inst Psychol, Budapest, Hungary

 Eotvos Lorand Univ, Doctoral Sch Psychol, Budapest, Hungary

Koos, Monika:
 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Eotvos Lorand Univ, Inst Psychol, Budapest, Hungary

 Eotvos Lorand Univ, Doctoral Sch Psychol, Budapest, Hungary

Kraus, Shane W.:
 Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV, United States

 Univ Nevada, Dept Psychol, Las Vegas, NV USA

Demetrovics, Zsolt:
 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar

 Eotvos Lorand Univ, Inst Psychol, Budapest, Hungary

 Univ Gibraltar, Ctr Excellence Responsible Gaming, Gibraltar, Gibraltar

Potenza, Marc N.:
 Yale University School of Medicine, New Haven, CT, United States

 Connecticut Council on Problem Gambling, WethersfieldCT, United States

 Connecticut Mental Health Center, New Haven, CT, United States

 Yale Univ, Sch Med, New Haven, CT USA

 Connecticut Council Problem Gambling, Wethersfield, CT USA

 Connecticut Mental Hlth Ctr, New Haven, CT USA

Ballester-Arnal, Rafael:
 Departmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón, Spain

 Univ Jaume I Castellon, Dept Psicol Bas Clin & Psicobiol, Castellon de La Plana, Spain

Batthyany, Dominik:
 Institute for Behavioural Addictions, Sigmund Freud University Vienna, Austria

 Sigmund Freud Univ Vienna, Inst Behav Addict, Vienna, Austria

Bergeron, Sophie:
 Département de psychologie, Université de Montréal, Montréal, Canada

 Univ Montreal, Dept Psychol, Montreal, PQ, Canada

Billieux, Joel:
 Institute of Psychology, University of Lausanne, Lausanne, Switzerland

 Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland

 Univ Lausanne, Inst Psychol, Lausanne, Switzerland

 Lausanne Univ Hosp CHUV, Ctr Excess Gambling, Addict Med, Lausanne, Switzerland

Briken, Peer:
 Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany

 Inst Sex Res Sexual Med & Forens Psychiat, Hamburg, Germany

 Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany

Burkauskas, Julius:
 Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania

 Lithuanian Univ Hlth Sci, Neurosci Inst, Lab Behav Med, Palanga, Lithuania

Cardenas-Lopez, Georgina:
 Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, Mexico

 Univ Nacl Autonoma Mexico, Sch Psychol, Virtual Teaching & Cyberpsychol Lab, Mexico City, Mexico

Carvalho, Joana:
 William James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro, Aveiro, Portugal

 Univ Aveiro, William James Ctr Res, Dept Educ & Psicol, Aveiro, Portugal

Castro-Calvo, Jesus:
 Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain

 Univ Valencia, Dept Personal Assessment & Psychol Treatments, Valencia, Spain

Chen, Lijun:
 Department of Psychology, College of Humanity and Social Science, Fuzhou University, China

 Fuzhou Univ, Coll Humanity & Social Sci, Dept Psychol, Fuzhou, Peoples R China

Ciocca, Giacomo:
 Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy

 Sapienza Univ Rome, Dept Dynam & Clin Psychol & Hlth Studies, Sect Sexual Psychopathol, Rome, Italy

Corazza, Ornella:
 Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, United Kingdom

 Department of Psychocology and Cognitive Science, University of Trento, Italy

 Univ Hertfordshire, Dept Clin Pharmaceut & Biol Sci, Hatfield, England

 Univ Trento, Dept Psychocol & Cognit Sci, Trento, Italy

Csako, Rita:
 Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand

 Auckland Univ Technol, Dept Psychol & Neurosci, Auckland, New Zealand

Fernandez, David P.:
 Nottingham Trent University, United Kingdom

 Nottingham Trent Univ, Nottingham, England

Fujiwara, Hironobu:
 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

 Kyoto Univ, Grad Sch Med, Dept Neuropsychiat, Kyoto, Japan

 RIKEN Ctr Adv Intelligence Project, Decentralized Big Data Team, Tokyo, Japan

 Osaka Univ, Gen Res Div, Res Ctr Eth Legal & Social Issues, Osaka, Japan

Fernandez, Elaine F.:
 HELP University, Malaysia

 HELP Univ, Kuala Lumpur, Malaysia

Fuss, Johannes:
 Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany

 Univ Duisburg Essen, Inst Forens Psychiat & Sex Res, Ctr Translat Neuro & Behav Sci, Essen, Germany

Gabrhelik, Roman:
 Charles University, First Faculty of Medicine, Department of Addictology, Prague, Czech Republic

 General University Hospital in Prague, Department of Addictology, Czech Republic

 Charles Univ Prague, Fac Med 1, Dept Addictol, Prague, Czech Republic

 Gen Univ Hosp Prague, Dept Addictol, Prague, Czech Republic

Gewirtz-Meydan, Ateret:
 School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel

 Univ Haifa, Sch Social Work, Fac Social Welf & Hlth Sci, Haifa, Israel

Gjoneska, Biljana:
 Macedonian Academy of Sciences and Arts, North Macedonia

 Macedonian Acad Sci & Arts, Skopje, North Macedonia

Gola, Mateusz:
 Institute of Psychology, Polish Academy of Sciences, Poland

 Institute for Neural Computations, University of California San Diego, United States

 Polish Acad Sci, Inst Psychol, Warsaw, Poland

 Univ Calif San Diego, Inst Neural Computat, La Jolla, CA USA

Grubbs, Joshua B.:
 University of New Mexico, Albuquerque, United States

 Center for Alcohol, Substance use, And Addiction (CASAA), University of New Mexico, Albuquerque, United States

 Univ New Mexico, Albuquerque, NM USA

 Univ New Mexico, Ctr Alcohol Subst Use & Addict CASAA, Albuquerque, NM USA

Hashim, Hashim T.:
 University of Baghdad, College of Medicine, Iraq

 Univ Baghdad, Coll Med, Baghdad, Iraq

Islam, Md. Saiful:
 Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh

 Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342, Bangladesh

 Jahangirnagar Univ, Dept Publ Hlth & Informat, Dhaka 1342, Bangladesh

 Ctr Adv Res Excellence Publ Hlth, Dhaka 1342, Bangladesh

Ismail, Mustafa:
 University of Baghdad, College of Medicine, Iraq

 Univ Baghdad, Coll Med, Baghdad, Iraq

Jiménez-Martínez M.C.:
 Universidad Pedagógca y Tecnológica de Colombia, Colombia

 Grupo de Investigación Biomédica y de Patología, Colombia

Jurin, Tanja:
 Department of Psychology, Humanities and Social Sciences, University of Zagreb, Croatia

 Univ Zagreb, Dept Psychol Humanities & Social Sci, Zagreb, Croatia

Kalina, Ondrej:
 Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Slovakia

 Pavol Jozef Safarik Univ Kosice, Dept Educ Psychol & Psychol Hlth, Kosice, Slovakia

Klein, Verena:
 School of Psychology, University of Southampton, United Kingdom

 Univ Southampton, Sch Psychol, Southampton, England

Költo A.:
 Health Promotion Research Centre, University of Galway, Ireland

Lee S.-K.:
 Department of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital, South Korea

 Chuncheon Addiction Management Center, South Korea

Lewczuk, Karol:
 Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland

 Cardinal Stefan Wyszynski Univ, Inst Psychol, Warsaw, Poland

Lin C.-Y.:
 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

Lochner, Christine:
 SAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University, South Africa

 Stellenbosch Univ, SAMRC Unit Risk & Resilience Mental Disorders, Stellenbosch, South Africa

Lopez-Alvarado, Silvia:
 University of Cuenca, Ecuador

 Univ Cuenca, Cuenca, Ecuador

Lukavska, Katerina:
 Charles University, First Faculty of Medicine, Department of Addictology, Prague, Czech Republic

 Charles University, Faculty of Education, Department of Psychology, Prague, Czech Republic

 Charles Univ Prague, Fac Med 1, Dept Addictol, Prague, Czech Republic

 Charles Univ Prague, Fac Educ, Dept Psychol, Prague, Czech Republic

Mayta-Tristan, Percy:
 Facultad de Medicina, Universidad Científica del Sur, Lima, Peru

 Univ Cient, Fac Med, Lima, Peru

Miller, Dan J.:
 College of Healthcare Sciences, James Cook University, Australia

 James Cook Univ, Coll Healthcare Sci, Townsville, Australia

Orosova, Olga:
 Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Slovakia

 Pavol Jozef Safarik Univ Kosice, Dept Educ Psychol & Psychol Hlth, Kosice, Slovakia

Orosz, Gabor:
 Artois University, France

 Artois Univ, Arras, France

Ponce F.P.:
 Facultad de Psicología, Universidad de Talca, Chile

Quintana G.R.:
 Departamento de Psicología y Filosofía, Facultad de Ciencias Sociales, Universidad de Tarapacá, Arica, Arica y Parinacota, Chile

Quintero Garzola G.C.:
 Florida State University, Panama

 Sistema Nacional de Investigación (SNI), SENACYT, Panama

Ramos-Diaz J.:
 Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru

Rigaud K.:
 Artois University, France

Rousseau A.:
 Leuven School For Mass Communication, KU Leuven, Leuven, Belgium

Scanavino M.D.T.:
 Department of Psychiatry, Schulich School of Medicine & 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

Schulmeyer M.K.:
 Universidad Privada de Santa Cruz de la Sierra, Bolivia

Sharan P.:
 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, -110029, India

Shibata M.:
 Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan

Shoib S.:
 Department of Health Services, Srinagar, 190001, India

 Sharda University, Greater Noida, India

 Psychosis Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Sigre-Leirós V.:
 Institute of Psychology, University of Lausanne, Lausanne, Switzerland

Sniewski L.:
 Auckland University of Technology, New Zealand

Spasovski O.:
 Faculty of Philosophy, Ss. Cyril and Methodius University in Skopje, North Macedonia

 Faculty of Philosophy, University of Ss. Cyril and Methodius in Trnava, Slovakia

Steibliene V.:
 Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania

Stein D.J.:
 SAMRC Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town

Strizek J.:
 Austrian Public Health Institute, Austria

Tsai M.-C.:
 Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

Ünsal B.C.:
 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

 Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

Vaillancourt-Morel M.-P.:
 Département de Psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada

Van Hout M.C.:
 Public Health Institute, Faculty of Health, Liverpool John Moores University, United Kingdom

Bothe B.:
 Département de psychologie, Université de Montréal, Montréal, Canada

Univ Pedagogca & Tecnol Colombia, Tunja, Colombia
Grp Invest Biomed & Patol, Medellin, Colombia
Univ Galway, Hlth Promot Res Ctr, Galway, Ireland
Hallym Univ, Chuncheon Sacred Heart Hosp, Dept Psychiat, Chunchon, South Korea
Chuncheon Addict Management Ctr, Chunchon, South Korea
Natl Cheng Kung Univ, Inst Allied Hlth Sci, Coll Med, Tainan, Taiwan
Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Biostat Consulting Ctr, Tainan, Taiwan
Sungkyunkwan Univ, Dept Psychol, Seoul, South Korea
Univ Talca, Fac Psicol, Talca, Chile
Univ Tarapaca, Fac Ciencias Sociales, Dept Psicol & Filosofia, Arica, Arica & Parinac, Chile
Florida State Univ, Tallahassee, FL, Panama
SENACYT, Sistema Nacl Invest SNI, Panama City, Panama
Univ Privada Norte, Fac Ciencias Salud, Lima, Peru
Katholieke Univ Leuven, Leuven Sch Mass Commun, Leuven, Belgium
Western Univ, Schulich Sch Med & Dent, St Josephs Hlth Care London, Dept Psychiat, London, ON, Canada
London Hlth Sci Ctr, London, ON, Canada
Lawson Hlth Res Inst, London, ON, Canada
Univ Sao Paulo, Hosp Clin, Dept & Inst Psiquiatria, Sao Paulo, Brazil
Univ Sao Paulo, Fac Med, Expt Pathophysiol Postgrad Program, Sao Paulo, Brazil
Univ Privada Santa Cruz Sierra, Santa Cruz, Bolivia
All India Inst Med Sci, Dept Psychiat, New Delhi 110029, India
Dept Hlth Serv, Srinagar 190001, India
Sharda Univ, Greater Noida, India
Univ Social Welf & Rehabil Sci, Psychosis Res Ctr, Tehran, Iran
Auckland Univ Technol, Auckland, New Zealand
Ss Cyril & Methodius Univ Skopje, Fac Philosophy, Skopje, North Macedonia
Univ Ss Cyril & Methodius Trnava, Fac Philosophy, Trnava, Slovakia
Univ Cape Town, Dept Psychiat, SAMRC Unit Risk & Resilience Mental Disorders, Cape Town, South Africa
Univ Cape Town, Neurosci Inst, Cape Town, South Africa
Austrian Publ Hlth Inst, Vienna, Austria
Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Pediat, Tainan, Taiwan
Univ Quebec Trois Rivieres, Dept Psychol, Trois Rivieres, PQ, Canada
Liverpool John Moores Univ, Publ Hlth Inst, Fac Hlth, Liverpool, England
ISSN: 0010440X





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Tipo de documento: Article
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