Analysis of the AUDIT factor structure in adolescents between 18 and 19 years
DOI:
https://doi.org/10.11606/s1518-8787.2021055002777Keywords:
Validation study, Factor analysis, Statistical; underage drinking, Alcoholic beverages, TriageAbstract
OBJECTIVE: To determine the factor structure of the instrument Alcohol Use Disorders Identification Test (AUDIT) in a representative sample of adolescents aged 18 to 19 years. METHODS: Cross-sectional study performed with adolescents born in São Luís (MA). The internal consistency of the instrument was determined by the Cronbach's alpha coefficient, and the validity of the construct was assessed by Confirmatory Factor Analysis (CFA). The Kaiser-Meyer-Olkin (KMO) was estimated to analyze the adequacy of the sample. The fit quality of the factor model was analyzed according to the indexes of the Chi-square adjustment test, comparative fit index (CFI), Tucker-Lewis index (TLI) and root mean square error of approximation (RMSEA). RESULTS: The sample of the study was composed of 1,002 adolescents aged from 18 to 19 years, being 56.8% girls, 68.5% with 18 years, 63.3% brown, 48.6% belonging to class C, 15.4% did not work or did not study, and 52.1% had divorced parents. The sample was suitable for confirmatory factor analysis (KMO = 0.79); Cronbach's alpha coefficient was 0.70, demonstrating satisfactory internal consistency with factor loads above 0.5, except for item 9, “was injured or someone else was injured due to drinking.” Confirmatory factor analysis revealed the validity of the three-factor model for the studied sample based on the indices of psychometric adjustments. CONCLUSION: The three-factor AUDIT factor structure was confirmed for the population of adolescents between 18 and 19 years old living in São Luís, ratifying the original conceptual domains proposed by the World Health Organization. AUDIT proved to be a reliable instrument to identify the consumption of alcohol.
References
Malta DC, Mascarenhas MDM, Porto DL, Barreto SM, Morais Neto OL. Exposure to alcohol among adolescent students and associated factors. Rev Saude Publica. 2014;48(1):52-62. https://doi.org/10.1590/S0034-8910.2014048004563 [ Links ]
Marshall EJ. Adolescent alcohol use: risks and consequences. Alcohol Alcohol. 2014;49(2):160-4. https://doi.org/10.1093/alcalc/agt180 [ Links ]
Malta DC, Machado IE, Porto DL, Silva MMA, Freitas PC, Costa AWN, et al. Consumo de álcool entre adolescentes Brasileiros segundo a Pesquisa Nacional de Saúde Escolar (PeNSE 2012). Rev Bras Epidemiol. 2014;17 Supl 1:203-14. https://doi.org/10.1590/1809-4503201400050016 [ Links ]
Pilowsky DJ, Wu LT. Screening instruments for substance use and brief interventions targeting adolescents in primary care: a literature review. Addict Behav. 2013;38(5):2146-53. https://doi.org/10.1016/j.addbeh.2013.01.015 [ Links ]
Reinert DF, Allen JP. The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res. 2007;31(2):185-99. https://doi.org/10.1111/j.1530-0277.2006.00295.x [ Links ]
World Health Organization. Global status report on alcohol and health . Geneva: WHO; 2018. [Internet]. Available from: https://apps.who.int/iris/handle/10665/274603. [ Links ]
Chung T, Colby SM, Barnett NP, Monti PM. Alcohol use disorders identification test: factor structure in an adolescent emergency department sample. Alcohol Clin Exp Res. 2002;26(2):223-31. https://doi.org/10.1097/00000374-200202000-00010 [ Links ]
Santos WS, Fernandes DP, Grangeiro ASM, Lopes GS, Sousa EMP. Medindo consumo de álcool: análise fatorial confirmatória do Alcohol Use Disorder Identification Test (AUDIT). Psico USF. 2013;18(1):121-30. https://doi.org/10.1590/S1413-82712013000100013 [ Links ]
Jorge KO, Ferreira RC, Ferreira EF, Vale MP, Kawachi I, Zarzar PM. Binge drinking and associated factors among adolescents in a city in southeastern Brazil: a longitudinal study. Cad Saude Publica. 2017;33(2):e00183115. https://doi.org/10.1590/0102-311x00183115 [ Links ]
Cortés-Tomás MT, Giménez-Costa JA, Motos-Sellés P, Sancerni-Beitia MD. Revision of AUDIT consumption items to improve the screening of youth binge drinking. Front Psychol. 2017;8:910. https://doi.org/10.3389/fpsyg.2017.00910 [ Links ]
Formiga NS, De Souza MA, Costa DFM, Gomes MCS, Fleury LFO, Melo G. Comprovação empírica de uma medida relacionada ao excessivo consumo de álcool em brasileiros. Liberabit. 2015 [citado 23 fev 2021];21(1):91-101. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1729-48272015000100009&lng=es&nrm=iso&tlng=pt [ Links ]
Lima CT, Freire ACC, Silva APB, Teixeira RM, Farrell M, Prince M. Concurrent and construct validity of the audit in an urban brazilian sample. Alcohol Alcohol;2005;40(6):584-9. https://doi.org/10.1093/alcalc/agh202 [ Links ]
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG; Organización Mundial de la Salud. AUDIT: cuestionario de identificación de los transtornos debidos al consumo de alcohol. Ginebra: Generalitat Valenciana; OMS; 2001 [cited 2021 Feb 23]. Available from: http://www.who.int/substance_abuse/activities/en/AUDITmanualSpanish.pdf [ Links ]
López V, Paladines B, Vaca S, Cacho R, Fernández-Montalvo J, Ruisoto P. Psychometric properties and factor structure of an Ecuadorian version of the Alcohol Use Disorders Identification Test (AUDIT) in college students. PLoS One;2019;14(7):e0219618. https://doi.org/10.1371/journal.pone.0219618 [ Links ]
Tuliao AP, Landoy BVN, McChargue DE. Factor structure and invariance test of the alcohol use disorder identification test (AUDIT): comparison and further validation in a U.S. and Philippines college student sample. J Ethn Subst Abuse. 2016;15(2):127-43. https://doi.org/10.1080/15332640.2015.1011731 [ Links ]
Santos WS, Gouveia VV, Fernandes DP, Souza SSB, Grangeiro ASM. Alcohol Use Disorder Identification Test (AUDIT): explorando seus parâmetros psicométricos, J Bras Psiquiatr. 2012;61(3):117-23. https://doi.org/10.1590/S0047-20852012000300001 [ Links ]
Rial Boubeta A, Golpe Ferreiro S, Araujo Gallego M, Braña Tobío T, Varela Mallou J. Validación del “Teste de identificación de trastornos por consumo de alcohol” (AUDIT) en población adolescente española. Psicol Conduct. 2017 [cited 2021 Feb 23];25(2):371-86. https://www.behavioralpsycho.com/wp-content/uploads/2018/10/07.Rial_25-2.pdf [ Links ]
Morales Quintero LA, Moral Jiménez MV, Rojas Solís JL, Bringas Molleda C, Soto Chilaca A, Rodríguez Díaz FJ. Psychometric properties of the Alcohol Use Disorder Identification Test (AUDIT) in adolescents and young adults from Southern Mexico. Alcohol. 2019;81:39-46. https://doi.org/10.1016/j.alcohol.2019.05.002 [ Links ]
Moretti-Pires RO, Corradi-Webster CM. Adaptação e validação do Alcohol Use Disorder Identification Test (AUDIT) para população ribeirinha do interior da Amazônia, Brasil. Cad Saude Publica. 2011;27(3):497-509. https://doi.org/10.1590/S0102-311X2011000300010 [ Links ]
Formiga N. O consumo de álcool em universitários: fidedignidade e sensibilidade de uma escala de medida. Estud Interdiscip Psicol. 2013 [cited 2021 Feb 23];4(2):130-47. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2236-64072013000200002&lng=pt&nrm=iso [ Links ]
Formiga NS, Galdino RMGM, Ribeiro KGO, Souza RC. Identificação de problemas relacionados ao uso de álcool (AUDIT): a fidedignidade de uma medida sobre o consumo exagerado de álcool. In: Psicologia.com.pt: o portal dos psicólogos. 2013 [cited 2021 Feb 23]; p.1-13. http://www.uel.br/revistas/uel/index.php/eip/article/view/17294 [ Links ]
Mattara FP, Ângelo PM, Faria JB, Campos, JADB. Confiabilidade do teste de identificação de transtornos devido ao uso de álcool (AUDIT) em adolescentes. SMAD Rev Eletron Saude Mental Álcool Drogas. 2010;6(2):296-314. https://doi.org/10.11606/issn.1806-6976.v6i2p296-314 [ Links ]
Simões VMF, Batista RFL, Alves MTSSB, Ribeiro CCC, Thomaz EBAF, Carvalho CA, et al. Saúde dos adolescentes da coorte de nascimentos de São Luís, Maranhão, Brasil, 1997/1998. Cad Saude Publica. 2020;36(7):e00164519. https://doi.org/10.1590/0102-311x00164519 [ Links ]
Associação Brasileira de Empresas de Pesquisa. Critério Brasil 2020. São Paulo: ABEP; 2020 [cited 2021 Feb 23]. Available from: http://www.abep.org/criterio-brasil [ Links ]
Hair JF, Tatham RL, Anderson RE, Black W. Análise multivariada de dados. 5.ed. Porto Alegre: Bookman; 2005. [ Links ]
Satorra A, Bentler PM. A scaled difference chi-square test statistic for moment structure analysis. Psychometrika. 2001:66:507-14. https://doi.org/10.1007/BF02296192 [ Links ]
Hora HRM, Monteiro GTR, Arica J. Confiabilidade em questionários para qualidade: um estudo com o Coeficiente Alfa de Cronbach. Produto Produção. 2010;11(2):85-103. https://doi.org/10.22456/1983-8026.9321 [ Links ]
Rosseel Y. “lavaan: an R Package for Structural Equation Modeling.” J Stat Softw. 2012;48(2):1-36. https://doi.org;10.18637/jss.v048.i02 [ Links ]
Campo-Arias A, Oviedo HC. Propiedades psicométricas de una escala: la consistencia interna. Rev Salud Publica. 2008 [cited 2021 Feb 23];10(5):831-9. Available from: https://scielosp.org/article/rsap/2008.v10n5/831-839/es/ [ Links ]
Maroco J Garcia-Marques J. Qual a fiabilidade do alfa de Cronbach? Questões antigas e soluções modernas? Lab Psicol. 2006 [citado 23 fev 2021];4(1):65-90. Disponível em: http://publicacoes.ispa.pt/index.php/lp/article/viewFile/763/706 [ Links ]
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Patrícia Maria Abreu Machado, Cleber Lopes Campelo, João Victor Pimentel de Oliveira, Rosângela Fernandes Lucena Batista, Vanda Maria Ferreira Simões, Alcione Miranda dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Funding data
-
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Grant numbers Código financiador 001
