SA工地建筑工人酒精使用障碍鉴定测试(AUDIT)的心理测量特性和酒精使用流行率

P. Bowen
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引用次数: 0

摘要

南澳的建筑工人被认为是感染艾滋病毒/艾滋病的高危群体。过度饮酒与危险的生活方式和不使用避孕套、艾滋病毒检测减少以及抗逆转录病毒治疗依从性差有关。过度饮酒也与抑郁和非法药物使用有关。筛查广泛用于检测有问题的酒精消费;酒精使用障碍鉴定测试(审计)被广泛用于这一目的。本研究考察了审计的心理测量特性(一、二、三因素模型)和建筑工人饮酒的流行程度。采用实地调查的方法,对7家建筑公司18个建筑工地的496名男性工人进行了调查。使用描述性统计、内部一致性和验证性因子分析来分析酒精使用的患病率,以及审计的维度、信度和结构效度。近50%的参与者报告从不饮酒。包括不饮酒者在内,四分之三的参与者被归为低风险(得分<8)。高危工人分为:17.3%为中等风险(8-15分);高危人群(16-19分)占3.6%;3.8%的人有很高的风险(20分以上)。值得注意的是,在报告饮酒的250名工人中,14.8%的人可能被归类为高风险至极高风险。实质上,24.8%的建筑参与者被归类为从事危险或有害饮酒。审计的内部一致性非常好。建立了单因素测量模型,输出指标与数据拟合较好。所有因子负荷均显著。验证了并发效度。由于审计项目9和10的表现不如其他项目好,因此需要进一步开展工作。这两个项目的贡献需要用项目反应理论(IRT)来检验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychometric Properties of the Alcohol Use Disorders Identification Test (AUDIT) and Prevalence of Alcohol use Among SA Site-based Construction Workers
Construction workers in SA are regarded a high-risk group in the context of HIV/AIDS. Excessive alcohol use is associated with risky lifestyles and lack of condom use, decreased uptake of HIV testing, and poor adherence to ARV treatment. Excessive alcohol consumption is also associated with depression and illicit drug use. Screening is widely employed in the detection of problematic alcohol consumption; the Alcohol Use Disorders Identification Test (AUDIT) being extensively used for this purpose. This study examines both the psychometric properties of the AUDIT (one-, two-, and three-factor models) and the prevalence of alcohol use among construction workers. A field-administered survey was used to gather data from 496 male workers drawn from 18 construction sites of 7 construction firms. Descriptive statistics, internal consistency, and confirmatory factor analyses were used to analyze the prevalence of alcohol use, as well as the dimensionality, reliability, and construct validity of the AUDIT. Nearly 50% of participants reported never consuming alcohol. Including abstainers, three quarters of participants were classed as low risk (score <8). The at-risk workers were categorized as follows: 17.3% at medium risk (score 8-15); 3.6% at high risk (score 16-19); and 3.8% at very high risk (score 20+). Notably, of the 250 workers who reported using alcohol, 14.8% may be categorized as being at high-to-very high risk. In essence, 24.8% of construction participants were classed as engaging in hazardous or harmful drinking. Internal consistency of the AUDIT was very good. A 1-factor measurement model was indicated, the output indices presenting satisfactory model fit to the data. All factor loadings were significant. Concurrent validity was demonstrated. Further work is indicated in relation to items 9 and 10 of the AUDIT, as these particular items do not perform as well as the remaining items. The contribution of these two items needs to be examined using item response theory (IRT).
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