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

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

Department of Psychology
Sungkyunkwan University
Eötvös Loránd University
University of Gibraltar
University of Nevada, Las Vegas
Yale University
Wethersfield
Jaume I University
Sigmund Freud University Vienna
University of Montreal
University of Lausanne
University of Hamburg
Lithuanian University of Health Sciences
Universidad Nacional Autónoma de México
University of Aveiro
University of Valencia
Fuzhou University
University of Rome La Sapienza
University of Hertfordshire
University of Trento
Auckland University of Technology
Nottingham Trent University
Kyoto University
RIKEN
The University of Osaka
HELP University
University of Duisburg-Essen
Charles University
University of Haifa
Macedonian Academy of Sciences and Arts
Polish Academy of Sciences
University of California at San Diego
University of New Mexico
University of Baghdad
Jahangirnagar University
Centre for Advanced Research Excellence in Public Health
Universidad Pedagógca y Tecnológica de Colombia
Grupo de Investigación Biomédica y de Patología
University of Zagreb
Pavol Jozef Šafárik University
University of Southampton
University of Galway
Hallym University
Chuncheon Addiction Management Center
Cardinal Stefan Wyszynski University
National Cheng Kung University
Stellenbosch University
Universidad de Cuenca
Universidad Científica del Sur
James Cook University Queensland
Université d'Artois
Universidad de Talca
Universidad de Tarapacá
Florida State University
SENACYT
Universidad Privada del Norte
KU Leuven
Western University
Universidade de São Paulo
Universidad Privada de Santa Cruz de la Sierra
All India Institute of Medical Sciences, New Delhi
Sharda University
University of Social Welfare and Rehabilitation Sciences
SS Cyril and Methodius University in Skopje
University of SS Cyril and Methodius, Trnava
University of Cape Town
Austrian Public Health Institute
Université du Québec à Trois-Rivières
Liverpool John Moores University

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

23 Scopus citations

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
Journal	Comprehensive Psychiatry
Volume	127
DOIs	https://doi.org/10.1016/j.comppsych.2023.152427
State	Published - Nov 2023
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2023

Funding

ZH was supported by the ÚNKP-22-4 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund ( ÚNKP-22-4-II-ELTE-158 ). LN was supported by the ÚNKP-22-3 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund . MK was supported by the ÚNKP-22-3 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund . SWK was supported by the Kindbridge Research Institute . ZD was supported by the Hungarian National Research, Development, and Innovation Office (Grant numbers: KKP126835 ). SB was supported by a Tier 1 Canada Research Chair . LJC was supported by the National Social Science Foundation of China (Grant No. 19BSH117 ). RC was supported by Auckland University of technology , 2021 Faculty Research Development Fund . HF was supported by Grant-in-Aid for Transformative Research Areas (A) ( Japan Society for The Promotion of Science , JP21H05173 ), Grant-in-Aid for Scientific Research (B) ( Japan Society for The Promotion of Science , 21H02849 ), and the smoking research foundation . RG was supported by Charles University institutional support programme Cooperatio-Health Sciences. MG was supported by National Science Centre of Poland grant nb. 2021/40/Q/HS6/00219 . JBG was supported by grants from the International Center for Responsible Gaming and the Kindbridge Research Institute. KL was supported by Sonatina grant awarded by National Science Centre, Poland , grant number: 2020/36/C/HS6/00005 . C-YL was supported by the WUN Research Development Fund (RDF) 2021 and the Higher Education Sprout Project , the Ministry of Education at the Headquarters of University Advancement at the National Cheng Kung University (NCKU). CL received support from the WUN Research Development Fund (RDF) 2021. KL was supported by Charles University institutional support programme Cooperatio-Health Sciences. GO was supported by the ANR grant of the Chaire Professeur Junior of Artois University and by the Strategic Dialogue and Management Scholarship (Phase 1 and 2). SURT was supported by Brain Korea 21 (BK21) program of National Research Foundation of Korea . GQG was supported by the SNI # 073–2022 (SENACYT, Rep. of Panama). KR was supported by a funding from the Hauts-de-France region (France) called “ Dialogue Stratégique de Gestion 2 (DSG2) ”.

Funders	Funder number
Artois University
Kindbridge Research Institute.
Ministry for Culture and Innovation
SENACYT, Rep. of Panama
Tier 1 Canada Research Chair
WUN Research Development Fund	RDF) 2021
Univerzita Karlova v Praze
Auckland University of Technology, New Zealand
International Center for Responsible Gaming
Agence Nationale de la Recherche
Japan Society for the Promotion of Science	JP21H05173, 21H02849
Ministry of Education
National Research Foundation of Korea
Narodowe Centrum Nauki	2021/40/Q/HS6/00219, 2020/36/C/HS6/00005
Smoking Research Foundation
National Cheng Kung University
Région Hauts-de-France
National Office for Philosophy and Social Sciences	19BSH117
Nemzeti Kutatási, Fejlesztési és Innovaciós Alap	ÚNKP-22-4-II-ELTE-158
Sistema Nacional de Investigadores	073–2022
National Research, Development and Innovation Office	KKP126835

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Addictive behaviors
Alcohol Use Disorders Identification Test (AUDIT)
Cross-cultural comparison
Gender
LGBTQ
Measurement invariance
Sexual orientation

Access to Document

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

Cite this

@article{10db824bc3ce4657a9cba334e8e552a2,

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; 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 {\textquoteleft}alcohol use{\textquoteright} (items 1–3) and {\textquoteleft}alcohol problems{\textquoteright} (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",

author = "\{Sungkyunkwan University{\textquoteright}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 Lee, \{Sang Kyu\} and Karol Lewczuk and Lin, \{Chung Ying\} 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 = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = nov,

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

language = "אנגלית",

volume = "127",

journal = "Comprehensive Psychiatry",

issn = "0010-440X",

publisher = "W.B. Saunders",

}

TY - JOUR

T1 - Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations

T2 - 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

Y1 - 2023/11

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; 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.

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; 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.

KW - Addictive behaviors

KW - Alcohol Use Disorders Identification Test (AUDIT)

KW - Cross-cultural comparison

KW - Gender

KW - LGBTQ

KW - Measurement invariance

KW - Sexual orientation

UR - https://www.scopus.com/pages/publications/85173926884

U2 - 10.1016/j.comppsych.2023.152427

DO - 10.1016/j.comppsych.2023.152427

M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???

C2 - 37782987

AN - SCOPUS:85173926884

SN - 0010-440X

VL - 127

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

M1 - 152427

ER -

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

Bibliographical note

Funding

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

Cite this