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)

Sungkyunkwan University's Research Team; Zsolt Horváth; Léna Nagy; Mónika Koós; Shane W Kraus; Zsolt Demetrovics; Marc N Potenza; Rafael Ballester-Arnal; Dominik Batthyány; Sophie Bergeron; Joël Billieux; Peer Briken; Julius Burkauskas; Georgina Cárdenas-López; Joana Carvalho; Jesús Castro-Calvo; Lijun Chen; Giacomo Ciocca; Ornella Corazza; Rita Csako; David P Fernandez; Hironobu Fujiwara; Elaine F Fernandez; Johannes Fuss; Roman Gabrhelík; Ateret Gewirtz-Meydan; Biljana Gjoneska; Mateusz Gola; Joshua B Grubbs; Hashim T Hashim; Md Saiful Islam; Mustafa Ismail; Martha C Jiménez-Martínez; Tanja Jurin; Ondrej Kalina; Verena Klein; András Költő; Sang-Kyu Lee; Karol Lewczuk; Chung-Ying Lin; Christine Lochner; Silvia López-Alvarado; Kateřina Lukavská; Percy Mayta-Tristán; Dan J Miller; Oľga Orosová; Gábor Orosz; Fernando P Ponce; Gonzalo R Quintana; Gabriel C Quintero Garzola; Jano Ramos-Diaz

doi:10.1016/j.comppsych.2023.152427

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)

Sungkyunkwan University's Research Team, Zsolt Horváth, Léna Nagy, Mónika Koós, Shane W Kraus, Zsolt Demetrovics, Marc N Potenza, Rafael Ballester-Arnal, Dominik Batthyány, Sophie Bergeron, Joël Billieux, Peer Briken, Julius Burkauskas, Georgina Cárdenas-López, Joana Carvalho, Jesús Castro-Calvo, Lijun Chen, Giacomo Ciocca, Ornella Corazza, Rita CsakoDavid P Fernandez, Hironobu Fujiwara, Elaine F Fernandez, Johannes Fuss, Roman Gabrhelík, Ateret Gewirtz-Meydan, Biljana Gjoneska, Mateusz Gola, Joshua B Grubbs, Hashim T Hashim, Md Saiful Islam, Mustafa Ismail, Martha C Jiménez-Martínez, Tanja Jurin, Ondrej Kalina, Verena Klein, András Költő, Sang-Kyu Lee, Karol Lewczuk, Chung-Ying Lin, Christine Lochner, Silvia López-Alvarado, Kateřina Lukavská, Percy Mayta-Tristán, Dan J Miller, Oľga Orosová, Gábor Orosz, Fernando P Ponce, Gonzalo R Quintana, Gabriel C Quintero Garzola, Jano Ramos-Diaz

Research output: Contribution to journal › Article › peer-review

22 Downloads (Pure)

Abstract

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 age: 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.

Original language	English
Article number	152427
Pages (from-to)	1-23
Number of pages	23
Journal	Comprehensive Psychiatry
Volume	127
Early online date	23 Sept 2023
DOIs	https://doi.org/10.1016/j.comppsych.2023.152427
Publication status	Published - 30 Nov 2023

Keywords

Addictive behaviors
Alcohol Use Disorders Identification Test (AUDIT)
Cross-cultural comparison
Gender
LGBTQ
Measurement invariance
Sexual orientation
Reproducibility of Results
Sexual Behavior
Cross-Sectional Studies
Humans
Male
Psychometrics
Factor Analysis, Statistical
Cross-Cultural Comparison
Alcoholism/diagnosis
Female
Surveys and Questionnaires

Access to Document

10.1016/j.comppsych.2023.152427Licence: CC BY-NC-ND

Final_Version
© 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license http://creativecommons.org/licenses/bync-nd/4.0/).
Final published version, 728 KBLicence: CC BY-NC-ND

Cite this

Sungkyunkwan University's Research Team, Horváth, Z., Nagy, L., Koós, M., Kraus, S. W., Demetrovics, Z., Potenza, M. N., Ballester-Arnal, R., Batthyány, D., Bergeron, S., Billieux, J., Briken, P., Burkauskas, J., Cárdenas-López, G., Carvalho, J., Castro-Calvo, J., Chen, L., Ciocca, G., Corazza, O., ... Ramos-Diaz, J. (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, 1-23. Article 152427. https://doi.org/10.1016/j.comppsych.2023.152427

@article{4202004dcdba4c9ab9b96399039d601a,

title = "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)",

abstract = "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 age: 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.",

keywords = "Addictive behaviors, Alcohol Use Disorders Identification Test (AUDIT), Cross-cultural comparison, Gender, LGBTQ, Measurement invariance, Sexual orientation, Reproducibility of Results, Sexual Behavior, Cross-Sectional Studies, Humans, Male, Psychometrics, Factor Analysis, Statistical, Cross-Cultural Comparison, Alcoholism/diagnosis, Female, Surveys and Questionnaires",

author = "{Sungkyunkwan University's Research Team} and Zsolt Horv{\'a}th and L{\'e}na Nagy and M{\'o}nika Ko{\'o}s and Kraus, {Shane W} and Zsolt Demetrovics and Potenza, {Marc N} and Rafael Ballester-Arnal and Dominik Batthy{\'a}ny and Sophie Bergeron and Jo{\"e}l Billieux and Peer Briken and Julius Burkauskas and Georgina C{\'a}rdenas-L{\'o}pez and Joana Carvalho and Jes{\'u}s Castro-Calvo and Lijun Chen and Giacomo Ciocca and Ornella Corazza and Rita Csako and Fernandez, {David P} and Hironobu Fujiwara and Fernandez, {Elaine F} and Johannes Fuss and Roman Gabrhel{\'i}k and Ateret Gewirtz-Meydan and Biljana Gjoneska and Mateusz Gola and Grubbs, {Joshua B} and Hashim, {Hashim T} and Islam, {Md Saiful} and Mustafa Ismail and Jim{\'e}nez-Mart{\'i}nez, {Martha C} and Tanja Jurin and Ondrej Kalina and Verena Klein and Andr{\'a}s K{\"o}lt{\H o} and Sang-Kyu Lee and Karol Lewczuk and Chung-Ying Lin and Christine Lochner and Silvia L{\'o}pez-Alvarado and Kate{\v r}ina Lukavsk{\'a} and Percy Mayta-Trist{\'a}n and Miller, {Dan J} and O{\v I}ga Orosov{\'a} and G{\'a}bor Orosz and Ponce, {Fernando P} and Quintana, {Gonzalo R} and {Quintero Garzola}, {Gabriel C} and Jano Ramos-Diaz",

note = "{\textcopyright} 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).",

year = "2023",

month = nov,

day = "30",

doi = "10.1016/j.comppsych.2023.152427",

language = "English",

volume = "127",

pages = "1--23",

journal = "Comprehensive Psychiatry",

issn = "0010-440X",

publisher = "Elsevier",

}

Sungkyunkwan University's Research Team, Horváth, Z, Nagy, L, Koós, M, Kraus, SW, Demetrovics, Z, Potenza, MN, Ballester-Arnal, R, Batthyány, D, Bergeron, S, Billieux, J, Briken, P, Burkauskas, J, Cárdenas-López, G, Carvalho, J, Castro-Calvo, J, Chen, L, Ciocca, G, Corazza, O, Csako, R, Fernandez, DP, Fujiwara, H, Fernandez, EF, Fuss, J, Gabrhelík, R, Gewirtz-Meydan, A, Gjoneska, B, Gola, M, Grubbs, JB, Hashim, HT, Islam, MS, Ismail, M, Jiménez-Martínez, MC, Jurin, T, Kalina, O, Klein, V, Költő, A, Lee, S-K, Lewczuk, K, Lin, C-Y, Lochner, C, López-Alvarado, S, Lukavská, K, Mayta-Tristán, P, Miller, DJ, Orosová, O, Orosz, G, Ponce, FP, Quintana, GR, Quintero Garzola, GC & Ramos-Diaz, J 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, vol. 127, 152427, pp. 1-23. https://doi.org/10.1016/j.comppsych.2023.152427

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). / Sungkyunkwan University's Research Team; Horváth, Zsolt; Nagy, Léna et al.
In: Comprehensive Psychiatry, Vol. 127, 152427, 30.11.2023, p. 1-23.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - 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)

AU - Sungkyunkwan University's Research Team

AU - Horváth, Zsolt

AU - Nagy, Léna

AU - Koós, Mónika

AU - Kraus, Shane W

AU - Demetrovics, Zsolt

AU - Potenza, Marc N

AU - Ballester-Arnal, Rafael

AU - Batthyány, Dominik

AU - Bergeron, Sophie

AU - Billieux, Joël

AU - Briken, Peer

AU - Burkauskas, Julius

AU - Cárdenas-López, Georgina

AU - Carvalho, Joana

AU - Castro-Calvo, Jesús

AU - Chen, Lijun

AU - Ciocca, Giacomo

AU - Corazza, Ornella

AU - Csako, Rita

AU - Fernandez, David P

AU - Fujiwara, Hironobu

AU - Fernandez, Elaine F

AU - Fuss, Johannes

AU - Gabrhelík, Roman

AU - Gewirtz-Meydan, Ateret

AU - Gjoneska, Biljana

AU - Gola, Mateusz

AU - Grubbs, Joshua B

AU - Hashim, Hashim T

AU - Islam, Md Saiful

AU - Ismail, Mustafa

AU - Jiménez-Martínez, Martha C

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költő, András

AU - Lee, Sang-Kyu

AU - Lewczuk, Karol

AU - Lin, Chung-Ying

AU - Lochner, Christine

AU - López-Alvarado, Silvia

AU - Lukavská, Kateřina

AU - Mayta-Tristán, Percy

AU - Miller, Dan J

AU - Orosová, Oľga

AU - Orosz, Gábor

AU - Ponce, Fernando P

AU - Quintana, Gonzalo R

AU - Quintero Garzola, Gabriel C

AU - Ramos-Diaz, Jano

PY - 2023/11/30

Y1 - 2023/11/30

N2 - 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 age: 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.

AB - 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 age: 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.

KW - Addictive behaviors

KW - Alcohol Use Disorders Identification Test (AUDIT)

KW - Cross-cultural comparison

KW - Gender

KW - LGBTQ

KW - Measurement invariance

KW - Sexual orientation

KW - Reproducibility of Results

KW - Sexual Behavior

KW - Cross-Sectional Studies

KW - Humans

KW - Male

KW - Psychometrics

KW - Factor Analysis, Statistical

KW - Cross-Cultural Comparison

KW - Alcoholism/diagnosis

KW - Female

KW - Surveys and Questionnaires

UR - http://www.scopus.com/inward/record.url?scp=85173926884&partnerID=8YFLogxK

U2 - 10.1016/j.comppsych.2023.152427

DO - 10.1016/j.comppsych.2023.152427

M3 - Article

C2 - 37782987

SN - 0010-440X

VL - 127

SP - 1

EP - 23

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

M1 - 152427

ER -

Sungkyunkwan University's Research Team, Horváth Z, Nagy L, Koós M, Kraus SW, Demetrovics Z et al. 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. 2023 Nov 30;127:1-23. 152427. Epub 2023 Sept 23. doi: 10.1016/j.comppsych.2023.152427

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)

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this