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).
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Horváth Zsolt, Nagy Léna, Koós Mónika, Kraus Shane W, Demetrovics Zsolt, Potenza Marc N, Ballester-Arnal Rafael, Batthyány Dominik, Bergeron Sophie, Billieux Joël, Briken Peer, Burkauskas Julius, Cárdenas-López Georgina, Carvalho Joana, Castro-Calvo Jesús, Chen Lijun, Ciocca Giacomo, Corazza Ornella, Csako Rita, Fernandez David P, Fujiwara Hironobu, Fernandez Elaine F, Fuss Johannes, Gabrhelík Roman, Gewirtz-Meydan Ateret, Gjoneska Biljana, Gola Mateusz, Grubbs Joshua B, Hashim Hashim T, Islam Md Saiful, Ismail Mustafa, Jiménez-Martínez Martha C, Jurin Tanja, Kalina Ondrej, Klein Verena, Költő András, Lee Sang-Kyu, Lewczuk Karol, Lin Chung-Ying, Lochner Christine, López-Alvarado Silvia, Lukavská Kateřina, Mayta-Tristán Percy, Miller Dan J, Orosová Oľga, Orosz Gábor, Sungkyunkwan University’s research team, Ponce Fernando P, Quintana Gonzalo R, Quintero Garzola Gabriel C, Ramos-Diaz Jano, Rigaud Kévin, Rousseau Ann, Scanavino Marco De Tubino, Schulmeyer Marion K, Sharan Pratap, Shibata Mami, Shoib Sheikh, Sigre-Leirós Vera, Sniewski Luke, Spasovski Ognen, Steibliene Vesta, Stein Dan J, Strizek Julian, Tsai Meng-Che, Ünsal Berk C, Vaillancourt-Morel Marie-Pier, Van Hout Marie Claire, Bőthe Beáta
Аннотация
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, 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.
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 among genders and sexual orientations.