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)

TY - JOUR

T1 - 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)

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, Joel

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-Martínes, Martha C.

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költo, Andreas

AU - Lee, Sang-Kyu

AU - Lewczuk, Karol

AU - Lin, Chung-Ying

AU - Lochner, Christine

AU - López-Alvarado, Silvia

AU - Lukavská, Katerina

AU - Mayta-Tristán, Percy

AU - Orosová, Ol'ga

AU - Miller, Dan J.

AU - Orosz, Gábor

AU - Sungkyunkwan University’s research teambe'1'2, null

AU - Ponce, Fernando P.

AU - Quintana, Gonzalo R.

AU - Garzola, Gabriel C. Quintero

AU - Ramos-Diaz, Jano

AU - Rigaud, Kévin

AU - Rousseau, Ann

AU - de Tubino Scanavino, Marco

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 - Böthe, Beáta

PY - 2023/9/23

Y1 - 2023/9/23

N2 - IntroductionDespite 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.AimsThe 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.MethodsResponses 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.ResultsA 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.ConclusionsIn 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 - IntroductionDespite 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.AimsThe 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.MethodsResponses 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.ResultsA 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.ConclusionsIn 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.

U2 - 10.1016/j.comppsych.2023.152427

DO - 10.1016/j.comppsych.2023.152427

M3 - SCORING: Journal article

VL - 127

JO - COMPR PSYCHIAT

JF - COMPR PSYCHIAT

SN - 0010-440X

M1 - 152427

ER -