酒精使用障碍筛查量表中文版在我国应用状况的系统回顾

Application of the Chinese Version of Alcohol Use Disorder Identification Test in China: A Systematic Review

目的通过系统回顾10年来酒精使用障碍筛查量表（AUDIT）中文版在我国的应用研究,探讨该工具在我国文化背景下的适用性及存在的问题。方法以＂Chinese＂＂AUDIT＂为关键词检索Pub Med、EBSCO、Springer、Psyc Info、First Search等数据库;以＂中国＂＂酒精使用障碍筛查量表＂为关键词检索中国知网（CNKI）、万方数据库、VIP;时间限定为2005年1月—2014年12月。结果共检索到有关AUDIT中文版的翻译、效度或应用研究的文献共32篇,其中AUDIT中文版筛查酒精使用障碍界限值与信效度研究的文献共4篇,界限值为7~13分,筛查酒精使用障碍的灵敏度为85.7%~97.0%,特异度为63.0%~93.4%。AUDIT中文版用于筛查酒精使用障碍的相关文献中,调查对象包括病人、医护人员、居民、学生、特殊工作场所的工作人员。多数文献调查对象均同时纳入男性和女性。从年龄上看,调查对象多为15~65岁青中年。多数文献探讨了影响饮酒行为的人文社会因素,结果表明酒精使用障碍与心理状况、精神问题、生活事件、学历、经济状况、对酒精相关问题的认知程度等因素有关。结论 AUDIT中文版筛查酒精使用障碍者有效性较高,但其界限值尚未统一,且现有研究纳入的调查对象过于集中,尚缺乏对女性和老年人等人群及国际认可的本土化研究。

Objective To investigate the adaptability and current problems of the Alcohol Use Disorder Identification Test（ AUDIT） in the cultural background of China through a systemic review of the research on the application of the Chinese version of AUDIT in the past decade. Methods With ＂ Chinese＂ and ＂ AUDIT＂ as the key words,we made a retrieval in the databases of Pub Med,EBSCO,Springer,Psyc Info and First Search; with ＂ China＂ and ＂ Alcohol Use Disordesr Identification Test＂ as key words,we made a retrieval in CNKI,Wanfang data and VIP; and a search time from January 2005 to December2014. Results A total of 32 pieces of literature relevant with the translation,validity or application of the Chinese version of AUDIT were retrieved,and 4 pieces of literature were about the threshold value and reliability and validity of the Chinese version of AUDIT in alcohol use disorder identification,which showed that the threshold value was 7-13 and sensitivity and specificity were 85. 7%-97. 0% and 63. 0%-93. 4% respectively. In the literature about the application of the Chinese version of AUDIT in alcohol use disorder identification,the respondents included patients,medical workers,residents,students and workers in special working places. Most studies of the literatures included both male and female subjects with an age range of 15-65. Most literatures explored the human and social factors influencing alcoholic behavior. The results showed that the alcohol use disorder has correlation with psychological status,mental problems,life events degree of education,economic condition and the cognition toward relevant issues of alcohol. Conclusion The Chinese version of AUDIT has high effectiveness in alcohol use disorder identification,while its threshold value has not been identified. Current research focuses on a certain group of subjects,while there is a lack of research on females and elders and of indigenous research with international recognition.