ArticleAlcoholism, clinical and experimental research2003
The reliability and validity of the self-reported drinking measures in the Army's Health Risk Appraisal survey.
Article in Alcoholism, clinical and experimental research, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 29 citations in OpenAlex.
- Article
- Psychometric properties of alcohol screening tests in the emergency department in Argentina, Mexico and the United States.Addictive behaviors · 2010Article
- Reducing drinking among junior enlisted Air Force members in five communities: early findings of the EUDL program's influence on self-reported drinking behaviors.Journal of studies on alcohol and drugs · 2010Article
- Test-retest characteristics of the Balloon Analogue Risk Task (BART).Experimental and clinical psychopharmacology · 2008Article
- Article
- Spouse abuse and alcohol problems among white, African American, and Hispanic U.S. Army soldiers.Alcoholism, clinical and experimental research · 2006Article
- Drinking and spouse abuse among U.S. Army soldiers.Alcoholism, clinical and experimental research · 2004Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe reliability and validity of self-reported drinking behaviors from the Army Health Risk Appraisal (HRA) survey are unknown.
methodsWe compared demographics and health experiences of those who completed the HRA with those who did not (1991-1998). We also evaluated the reliability and validity of eight HRA alcohol-related items, including the CAGE, weekly drinking quantity, and drinking and driving measures. We used Cohen's kappa and Pearson's r to assess reliability and convergent validity. To assess criterion (predictive) validity, we used proportional hazards and logistical regression models predicting alcohol-related hospitalizations and alcohol-related separations from the Army, respectively.
resultsA total of 404,966 soldiers completed an HRA. No particular demographic group seems to be over- or underrepresented. Although few respondents skipped alcohol items, those who did tended to be older and of minority race. The alcohol items demonstrate a reasonable degree of reliability, with Cronbach's alpha = 0.69 and test-retest reliability associations in the 0.75-0.80 range for most items over 2- to 30-day interims between surveys. The alcohol measures showed good criterion-related validity: those consuming more than 21 drinks per week were at 6 times the risk for subsequent alcohol-related hospitalization versus those who abstained from drinking (hazard ratio, 6.36; 95% confidence interval=5.79, 6.99). Those who said their friends worried about their drinking were almost 5 times more likely to be discharged due to alcoholism (risk ratio, 4.9; 95% confidence interval=4.00, 6.04) and 6 times more likely to experience an alcohol-related hospitalization (hazard ratio, 6.24; 95% confidence interval=5.74, 6.77).
conclusionsThe Army's HRA alcohol items seem to elicit reliable and valid responses. Because HRAs contain identifiers, alcohol use can be linked with subsequent health and occupational outcomes, making the HRA a useful epidemiological research tool. Associations between perceived peer opinions of drinking and subsequent problems deserve further exploration.
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