OBJECTIVE: Surveys assessing alcohol use among physicians have most commonly employed the Alcohol Use Disorders Identification Test (AUDIT) or the AUDIT-C, the most common short version of the AUDIT. As with other screeners, prevalence estimation is dependent on the accuracy of the test as well as choice of the cutoff value. The aim of the current study is to derive more precise prevalence estimates of alcohol problems in physicians by correcting for false-positive and false-negative results. METHOD: In the context of a survey, the AUDIT was sent out via email or standard postal service to all 2484 physicians in Salzburg, Austria. A total of 456 physicians participated. A published correction formula was used to estimate the real prevalence of alcohol use problems. RESULTS: Applying a cutoff of 5 points for the AUDIT-C, 15.7% of female and 37.7% of male physicians screened positive. Use of a correction based on general population data and the sensitivity and specificity of the AUDIT-C resulted in much lower prevalence rates: 4.0% for female and 9.5% for male physicians. Using the full AUDIT, 19.6% of the female physicians and 48% of the male physicians were screened positive. Using the correction, the estimated prevalence rates for females and males were 6.3% and 15.5%, respectively. CONCLUSIONS: Our findings demonstrate that uncorrected screening results may markedly overestimate the prevalence of physicians drinking problems.
OBJECTIVE: Surveys assessing alcohol use among physicians have most commonly employed the Alcohol Use Disorders Identification Test (AUDIT) or the AUDIT-C, the most common short version of the AUDIT. As with other screeners, prevalence estimation is dependent on the accuracy of the test as well as choice of the cutoff value. The aim of the current study is to derive more precise prevalence estimates of alcohol problems in physicians by correcting for false-positive and false-negative results. METHOD: In the context of a survey, the AUDIT was sent out via email or standard postal service to all 2484 physicians in Salzburg, Austria. A total of 456 physicians participated. A published correction formula was used to estimate the real prevalence of alcohol use problems. RESULTS: Applying a cutoff of 5 points for the AUDIT-C, 15.7% of female and 37.7% of male physicians screened positive. Use of a correction based on general population data and the sensitivity and specificity of the AUDIT-C resulted in much lower prevalence rates: 4.0% for female and 9.5% for male physicians. Using the full AUDIT, 19.6% of the female physicians and 48% of the male physicians were screened positive. Using the correction, the estimated prevalence rates for females and males were 6.3% and 15.5%, respectively. CONCLUSIONS: Our findings demonstrate that uncorrected screening results may markedly overestimate the prevalence of physicians drinking problems.
Authors: Barbara Nacke; Ina Beintner; Dennis Görlich; Bianka Vollert; Juliane Schmidt-Hantke; Kristian Hütter; C Barr Taylor; Corinna Jacobi Journal: Internet Interv Date: 2018-02-26
Authors: Maksymilian Gajda; Katarzyna Sedlaczek; Szymon Szemik; Małgorzata Kowalska Journal: Int J Environ Res Public Health Date: 2021-05-30 Impact factor: 3.390
Authors: Monica Lamberti; Francesco Napolitano; Paola Napolitano; Antonio Arnese; Vincenzo Crispino; Gianclaudio Panariello; Gabriella Di Giuseppe Journal: PLoS One Date: 2017-04-24 Impact factor: 3.240