Horváth, Z, Nagy, L, Koós, M, Kraus, Sw, Demetrovics, Z, Potenza, MN, Ballester-Arnal, R, Batthyány, D, Bergeron, S, Billieux, J, Briken, P, Burkauskas, J, Cárdenas-López, G, Carvalho, J, Castro-Calvo, J, Chen, L, Ciocca, G, Corazza, O, Csako, R, Fernandez, DP et al, Fujiwara, H, Fernandez, EF, Fuss, J, Gabrhelík, R, Gewirtz-Meydan, A, Gjoneska, B, Gola, M, Grubbs, JB, Hashim, HT, Islam, S, Ismail, M, Jiménez-Martínez, MC, Jurin, T, Kalina, O, Klein, V, Költő, A, Lee, S-K, Lewczuk, K, Lin, C-Y, Lochner, C, López-Alvarado, S, Lukavská, K, Mayta-Tristán, P, Miller, DJ, Orosová, O, Orosz, G, Sungkyunkwan University’s research team, , Ponce, FD, Quintana, GR, Garzola, GCQ, Ramos-Diaz, J, Rigaud, K, Rousseau, A, Scanavino, MDT, Schulmeyer, MK, Sharan, P, Shibata, M, Shoib, S, Sigre-Leirós, V, Sniewski, L, Spasovski, O, Steibliene, V, Stein, DJ, Strizek, J, Tsai, MC, Ünsal, BC, Vaillancourt-Morel, M-P, Van Hout, MC and Bőthe, B (2023) 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). Comprehensive Psychiatry, 127. ISSN 0010-440X

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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; 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 a variance and covariance level of invariance, while 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 amongst genders and sexual orientations.

Item Type:	Article
Uncontrolled Keywords:	1103 Clinical Sciences; Psychiatry
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Public and Allied Health
Publisher:	Elsevier
SWORD Depositor:	A Symplectic
Date Deposited:	25 Sep 2023 14:37
Last Modified:	26 Nov 2024 12:00
DOI or ID number:	10.1016/j.comppsych.2023.152427
URI:	https://researchonline.ljmu.ac.uk/id/eprint/21575

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