ArticleBMJ open2023
Calibrating the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) for detecting alcohol-related problems among Canadian, UK and US soldiers: cross-sectional pre-deployment and post-deployment survey results.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Evaluating alcohol consumption in adolescents and young adults: a meta-analysis of the psychometric properties of measurement instruments.Frontiers in psychology · 2025Pooled it
- A pilot randomized controlled trial of Kisoboka, a behavioral economic and motivational interviewing intervention to reduce high-risk alcohol use and improve antiretroviral therapy adherence for men in Uganda.Addiction (Abingdon, England) · 2026Trial
- Health behaviour changes around transitions into and out of unpaid caregiving in the UK: A longitudinal study.SSM - population health · 2026Article
- Association between inpatient AUDIT-C alcohol screening scores and postoperative outcomes: a retrospective cohort study.BMJ open · 2026Article
- Discrepancy between self-reported intoxication and psychomotor vigilance task performance after alcohol intake: associations with BrAC, alcohol-metabolizing genotypes, and drinking tendency.Journal of physiological anthropology · 2026Article
- Grief, mental health, historical trauma, and alcohol use among American Indian and Alaska Native populations.Translational issues in psychological science · 2026Article
- Article
- Technology Access, Pattern of Use, Interest in Digital Health, and Barriers to Tobacco Treatment Among HIV-Infected Smokers From Under-Resourced Communities: A Cross-Sectional Study.Tobacco use insights · 2026Article
- Childhood emotional abuse and gastrointestinal symptoms among college students: a chain mediation model with physical exercise as the moderating variable and network analysis.Frontiers in psychiatry · 2026Article
- Unit-Based Correlates of Marginal Food Insecurity Among US Soldiers.Public health reports (Washington, D.C. : 1974) · 2024Article
- Psychosocial factors behind addiction-a six-wave longitudinal comparison of at-risk gambling and drinking.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Financial hardship, positive financial behaviour, and behavioural health outcomes among U.S. soldiers.Journal of military, veteran and family health · 2024Article
- How drinking motives mediate associations between sexual orientation and indicators of alcohol use - a study among young Swiss men.Frontiers in psychology · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesExcessive alcohol use can bring about adverse health and work-related consequences in civilian and military populations. Screening for excessive drinking can help identify individuals at risk for alcohol-related problems who may require clinical interventions. The brief validated measures of alcohol use such as the Alcohol Use Disorders Identification Test (AUDIT), or abbreviated AUDIT-Consumption (AUDIT-C), are often included in military deployment screening and epidemiologic surveys, but appropriate cut-points must be used to effectively identify individuals at risk. Although the conventional AUDIT-C cut-points ≥4 for men and ≥3 for women are commonly used, recent validation studies of veterans and civilians recommend higher cut-points to minimise misclassification and overestimation of alcohol-related problems. This study aims to ascertain optimal AUDIT-C cut-points for detecting alcohol-related problems among serving Canadian, UK and US soldiers.
designCross-sectional pre/post-deployment survey data were used. SETTINGS: Comprised Army locations in Canada and UK, and selected US Army units.
participantsIncluded soldiers in each of the above-mentioned settings. OUTCOME MEASURES: Soldiers' AUDIT scores for hazardous and harmful alcohol use or high levels of alcohol problems served as a benchmark against which optimal sex-specific AUDIT-C cut-points were assessed.
resultsAcross the three-nation samples, AUDIT-C cut-points of ≥6/7 for men and ≥5/6 for women performed well in detecting hazardous and harmful alcohol use and provided comparable prevalence estimates to AUDIT scores ≥8 for men and ≥7 for women. The AUDIT-C cut-point ≥8/9 for both men and women performed fair-to-good when benchmarked against AUDIT ≥16, although inflated AUDIT-C-derived prevalence estimates and low positive predictive values were observed.
conclusionThis multi-national study provides valuable information regarding appropriate AUDIT-C cut-points for detecting hazardous and harmful alcohol use, and high levels of alcohol problems among soldiers. Such information can be useful for population surveillance, pre-deployment/post-deployment screening of military personnel, and clinical practice.
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