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
Centre of Excellence in Responsible Gaming
University of Gibraltar
Doctoral School of Psychology
University of Nevada, Las Vegas
Yale University
Wethersfield
Departmento de Psicología Básica
Jaume I University
Institute for Behavioural Addictions
Sigmund Freud University Vienna
Département de Psychologie
University of Montreal
Institute of Psychology
University of Lausanne
Center for Excessive Gambling
Institute for Sex Research
University of Hamburg
Laboratory of Behavioral Medicine
Lithuanian University of Health Sciences
Virtual Teaching and Cyberpsychology Laboratory
Universidad Nacional Autónoma de México
William James Center for Research
University of Aveiro
Department of Personality
University of Valencia
Department of Psychology
Fuzhou University
Section of Sexual Psychopathology
University of Rome La Sapienza
Department of Clinical
University of Hertfordshire
Department of Psychocology and Cognitive Science
University of Trento
Department of Psychology and Neuroscience
Auckland University of Technology
Nottingham Trent University
Department of Neuropsychiatry
Kyoto University
RIKEN
The General Research Division
The University of Osaka
HELP University
Institute of Forensic Psychiatry and Sex Research
University of Duisburg-Essen
First Faculty of Medicine
Charles University
School of Social Work
University of Haifa
Macedonian Academy of Sciences and Arts
Institute of Psychology
Polish Academy of Sciences
University of California at San Diego
University of New Mexico
Center for Alcohol
University of Baghdad
Department of Public Health and Informatics
Jahangirnagar University
Centre for Advanced Research Excellence in Public Health
Universidad Pedagógca y Tecnológica de Colombia
Grupo de Investigación Biomédica y de Patología
Department of Psychology
University of Zagreb
Department of Educational Psychology and Psychology of Health
Pavol Jozef Šafárik University
School of Psychology
University of Southampton
Health Promotion Research Centre
University of Galway
Department of Psychiatry
Hallym University
Chuncheon Addiction Management Center
Institute of Psychology
Cardinal Stefan Wyszynski University
Institute of Allied Health Sciences
National Cheng Kung University
Biostatistics Consulting Center
Stellenbosch University
Universidad de Cuenca
Department of Psychology
Facultad de Medicina
Universidad Científica del Sur
College of Healthcare Sciences
James Cook University Queensland
Université d'Artois
Facultad de Psicología
Universidad de Talca
Departamento de Psicología y Filosofía
Universidad de Tarapacá
Florida State University
SENACYT
Facultad de Ciencias de la Salud
Universidad Privada del Norte
Leuven School for Mass Communication
KU Leuven
Department of Psychiatry
Western University
Departmento e Instituto de Psiquiatria
Universidade de São Paulo
Universidad Privada de Santa Cruz de la Sierra
Department of Psychiatry
All India Institute of Medical Sciences, New Delhi
Department of Health Services
Sharda University
Psychosis Research Centre
University of Social Welfare and Rehabilitation Sciences
Faculty of Philosophy
SS Cyril and Methodius University in Skopje
Faculty of Philosophy
University of SS Cyril and Methodius, Trnava
SAMRC Unit on Risk & Resilience in Mental Disorders
University of Cape Town
Austrian Public Health Institute
Département de Psychologie
Université du Québec à Trois-Rivières
Public Health Institute
Liverpool John Moores University

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

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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
Publication status	Published - Nov 2023
Externally published	Yes

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

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Psychometric-properties-of-the-alcohol-use-disorders-identification-test-audit-across-cross-cultural-subgroups-gender.pdfFinal published version, 676 KBLicence: CC BY

Cite this

@article{87320353ceb34a7dad672238896fa022,

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 and K{\'e}vin Rigaud and Ann Rousseau and Scanavino, \{Marco De Tubino\} and Schulmeyer, \{Marion K.\} and Pratap Sharan and Mami Shibata and Sheikh Shoib and Vera Sigre-Leir{\'o}s and Luke Sniewski and Ognen Spasovski and Vesta Steibliene and Stein, \{Dan J.\} and Julian Strizek and Tsai, \{Meng Che\} and {\"U}nsal, \{Berk C.\} and Vaillancourt-Morel, \{Marie Pier\} and \{Van Hout\}, \{Marie Claire\} and Be{\'a}ta B{\H o}the",

note = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = nov,

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

language = "English",

volume = "127",

journal = "Comprehensive psychiatry",

issn = "0010-440X",

publisher = "W.B. Saunders Ltd",

}

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.
In: Comprehensive psychiatry, Vol. 127, 152427, 11.2023.

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

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

AU - Rigaud, Kévin

AU - Rousseau, Ann

AU - Scanavino, Marco De Tubino

AU - Schulmeyer, Marion K.

AU - Sharan, Pratap

AU - Shibata, Mami

AU - Shoib, Sheikh

AU - Sigre-Leirós, Vera

AU - Sniewski, Luke

AU - Spasovski, Ognen

AU - Steibliene, Vesta

AU - Stein, Dan J.

AU - Strizek, Julian

AU - Tsai, Meng Che

AU - Ünsal, Berk C.

AU - Vaillancourt-Morel, Marie Pier

AU - Van Hout, Marie Claire

AU - Bőthe, Beáta

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 - Article

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

UN SDGs

Keywords

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