Evidence map›Paper›PMID 34501856›Full record

ArticleInternational journal of environmental research and public health2021

Validation of the AUDIT and AUDIT-C for Hazardous Drinking in Community-Dwelling Older Adults.

Yannic van Gils, Erik Franck, Eva Dierckx, Sebastiaan P J van Alphen, John B Saunders, Geert Dom

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
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  8. Observational
  9. Stress Levels Among Primary Health Care Workers in Almaty, Kazakhstan: A Cross-Sectional Study.International journal of environmental research and public health · 2026
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  10. Neuropsychiatric, stress-related symptoms and essential tremor clinical variability.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  15. Observational
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  18. Preoperative evaluation of alcohol consumption in older patients.Addiction science & clinical practice · 2025
    Article
  19. Cannabis Use Among Older Adults.JAMA network open · 2025
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Yannic van GilsFaculty of Medicine and Social Science, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.ORCID 0000-0001-7917-4684
Erik FranckFaculty of Medicine and Social Science, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.
Eva DierckxFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Elsene, Belgium.
Sebastiaan P J van AlphenFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Elsene, Belgium.
John B SaundersNational Centre for Youth Substance Use Research, The University of Queensland, Brisbane, QLD 4072, Australia.
Geert DomFaculty of Medicine and Social Science, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.ORCID 0000-0001-6492-0429
Vrije Universiteit Brussel · BEUniversity of Antwerp · BEThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the best-known tools in screening for hazardous drinking is the Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated form, the AUDIT-C. The aim of the present study is to determine the cut-offs of both instruments in identifying hazardous drinking in older adults.

methodA sample of 1577 older adults completed a questionnaire regarding alcohol behavior. Hazardous drinking was defined as drinking >10 units/week. Receiver operating characteristics (ROC) curves of AUDIT and AUDIT-C were calculated and cut-off scores were derived.

resultsRespectively 27.3% and 12.3% of older men and women drank >10 units/week. For the AUDIT the best trade-off between sensitivity and specificity was using a cut-off of ≥5 for men and ≥4 for women, which yielded in men sensitivity and specificity values respectively of 80.7% and 81.3% and in women 100% and 71.7%, respectively. We found the AUDIT-C to perform well with an optimal cut-off of ≥5 for men and ≥4 for women, which generated in men sensitivity and specificity values respectively of 76.5% and 85.3% and in women 100% and 74.1%, respectively.

conclusionThe AUDIT-C is accurate and sufficient in screening for hazardous drinking in community-dwelling older adults if the cut-offs are tailored by gender.

Indexed as

AlcoholismAgedFemaleHumansIndependent LivingMaleMass ScreeningSensitivity and SpecificitySurveys and QuestionnairesAUDITAUDIT-Chazardous drinkingolder adultsvalidity

Identifiers

PMID34501856
PMCPMC8431181
OpenAlexW3196432324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.