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ALCOHOL USE AMONG SWEDES AND A PSYCHOMETRIC EVALUATION OF THE ALCOHOL USE DISORDERS IDENTIFICATION TEST
Abstract
The Alcohol Use Disorders Identification Test (AUDIT) was completed by 997 persons randomly selected from the general Swedish population (80% response rate). Eighteen per cent of the men and 5% of the women had hazardous or harmful alcohol use according to the > or =8 score criterion. AUDIT scores decreased with increasing age in both genders. Women are more sensitive to alcohol than men and when the cut-off score was set to > or =6, the female prevalence of hazardous or harmful alcohol use increased to nearly 11%. The 'binge drinking' question explained half of the total AUDIT variance and is thus the best item indicator of hazardous or harmful alcohol use in the test. Confirmatory and exploratory factor analyses revealed two AUDIT basic factors, the first three items defining a 'hazardous consumption' factor and the other seven items an 'alcohol-related problems' factor. Both the internal and test- retest reliability of the Swedish version of AUDIT were satisfactory. A table for converting raw scores to non-normalized T-scores for each combination of gender and three age intervals is presented.
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“This is about twice the limit of “binging” according to the AUDIT Manual (Bergman & Källmén, 2002).”
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“Other exclusion criteria were MRI incompatibility (metal in the body, claustrophobia); pregnancy; difficulty understanding Swedish; metabolic disease, including unregulated thyroid disease; severe psychiatric condition; malignancy; cardiovascular disease; lung disease; and hazardous or harmful alcohol use (≥6 Alcohol…”
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“The Alcohol Use Disorders Identification Test (AUDIT) is a 10-item questionnaire used to identify harmful use of ethanol alchohol (ETOH) with a score range of 0–40 (Bergman & Kallmen, 2002).”
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Violence in adulthood amplifies the health correlates of childhood maltreatment
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Breath Alcohol Estimation Training: Behavioral Effects and Predictors of Success
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“A score above 15 (Bergman and Källmén, 2002) on the Alcohol Use Disorders Identification Test (AUDIT; Babor et al., 2001) resulted in exclusion from participation.”
Vasiljevic, Z., Öjehagen, A., & Andersson, C. R. (2017) · Journal of Scandinavian Studies in Criminology and Crime Prevention · doi:10.1080/14043858.2017.1386441 · Cited by 7
“The Alcohol Use Disorders Identification Test (AUDIT) was used to measure hazardous alcohol use and probable alcohol dependency (Bergman & Källmén, 2002).”
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“The Swedish version has been found to have good test–retest reliability (Bergman & Källmén, 2002).”
BackgroundRisky consumption of alcohol and drugs among employees at ski resorts
Warne, M. C., Sinadinovic, K., Berman, A. H., Källmén, H., & Vinberg, S. (2017) · Nordic Studies on Alcohol and Drugs · doi:10.1177/1455072517707879 · Cited by 8
“The 2014 sample size was equivalent to the number of participants in previous AUDIT investigations (Bergman & Källmén, 2002; Källmén, Wennberg, Berman, & Bergman, 2007; Källmén, Wennberg, Leifman, Bergman, & Berman, 2011; Källmén et al., 2015).”
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“Swedish women in the general population scored significantly higher on AUDIT in 2001 than just a few years earlier and probably appear increasingly in the Swedish DUI population (Bergman and Källmén, 2002).”
BackgroundMethodInfluentialSelf-citationGaya, C. D. M. (2011) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.17.2011.tde-26092011-144558 · Cited by 7
Andersson, C. R., Gajecki, M., Öjehagen, A., & Berman, A. H. (2017) · BMC Research Notes · doi:10.1186/s13104-017-2955-4 · Cited by 6
“The cut-off used for hazardous drinking was ≥ 6 for women and ≥ 8 for men [38].”
InfluentialDental hygienists and dentists as providers of brush biopsies for oral mucosa screening
Edman, K., Stark, C. R., Basic, V., Lindblad, J., & Hirsch, J. (2023) · International Journal of Dental Hygiene · doi:10.1111/idh.12713 · Cited by 6
The national alcohol helpline in Sweden: an evaluation of its first year
Ahačić, K., Nederfeldt, L., & Helgason, Á. R. (2014) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/1747-597x-9-28 · Cited by 7
“Customary cut-offs for hazardous use in Sweden are 8 points for men, and 6 for women [50], but alternative cut-offs have been recommended to differentiate between individuals in populations with a high use of alcohol [33,47].”
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“The cut-off for hazardous level is widely applied by the Swedish National Institute of Public Health (Bergman & Källmén, 2002).”
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Suicidality and Alcohol Use as Predictors of Future Suicidal Behavior in College Students
Coryell, W. H., Horwitz, A. G., Albucher, R. C., Zheng, K., Pistorello, J., Eisenberg, D., Favorite, T., & King, C. A. (2022) · Alcohol and Alcoholism · doi:10.1093/alcalc/agac037 · Cited by 5
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Hazardous, harmful and dependent alcohol users according to audit in an urban slum, Meerut
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“Secondary outcome measures included past-week binge-drinking (the original count response format was dichotomized in this study due to severe overdispersion: φ = 2.367), the Swedish 10-item version of the Alcohol Use Disorder Identification Test (43), past-week consumption of cannabis in gram, and the Swedish 12-item…”
MethodInfluentialRisky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population
Eberhard, S., Rask, O., Höglund, P., Råstam, M., & Johansson, B. A. (2021) · Journal of Addiction · doi:10.1155/2021/5514144 · Cited by 4
“AUDIT has been translated into Swedish and validated with satisfactory internal and test-retest reliability [21].”
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“It is designed to measure three domains of alcohol use: alcohol consumption, alcohol dependence and alcohol-related harm, but data from several populations, including Russia [14, 15], supports in reality a two-factor structure: alcohol consumption and alcohol-related problems [16–18].”
BackgroundÖzel, F., Indremo, M., Karamanis, G., Elofsson, U. O. E., Beckman, U., Fazekas, A., Frisén, L., Isaksson, M., Sandström, L., Thelin, N., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066571 · Cited by 5
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The Prevalence of Alcohol Prevention Efforts in Swedish Workplaces
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“Screening is carried out with the use of the AUDIT form (Alcohol Use Disorders Identification Test; Bergman & Källmen, 2002) and when appropriate, a carbohydrate deficient transferrin (CDT) blood test (Helander, 2003).”
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“A score of 8 or above was used as a cut-off for men, while a score of 6 or above was used as exclusion criteria for women ( Bergman & K ä llm é n, 2002).”
Silva, C. F., de Oliveira, A. P., Mundim, F. L., Alves, T. A., Silva, A. N., Silva, L. L. D. C., da Silva, J., de Melo, E. Q., Caixeta, E. S., Faria, M. K., et al. (2016) · Hygeia - Revista Brasileira de Geografia Médica e da Saúde · doi:10.14393/hygeia1235792 · Cited by 3
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“The AUDIT has shown satisfactory internal consistency and test–retest reliability (Bergman & Källmén, 2002).”
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“The Alcohol Use Disorders Identification Test is a screening tool for alcohol related problems and identifies individuals with harmful use of alcohol [49].”
ALCOHOL PROBLEMS AMONG SWEDISH DRIVERS SUSPECTED OF DUI
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Self-citationBäckman, L., Weineland, S., Vernmark, K., Radvogin, E., Bjälkebring, P., Enbuske, E., Hermansson, I., Johansson, N., Petersen, N., & Hursti, T. (2026) · Scandinavian Journal of Psychology · doi:10.1111/sjop.70045 · Cited by 2
“The online screening instrument included PDSS-SR, the Alcohol Use Disorders Identification Test (AUDIT; Bergman and Källmén 2002) to assess hazardous or harmful alcohol consumption with a cutoff score of 19 and the Patient Health Questionnaire-9 (PHQ-9; Titov et al. 2011) to identify suicidal…”
Psychometric Properties and Factor Structure of the Swedish Version of the Self-Compassion Scale
Bratt, A. S., Marcusson‐Clavertz, D., Ozolins, A., & Carlsson, R. (2024) · Mindfulness · doi:10.1007/s12671-024-02487-3 · Cited by 3
“Alcohol consumption (AUDIT) were relatively low with a mean score of 5.80, where the cutoff for hazardous drinking is a score of eight or higher (Bergman & Källmén, 2002).”
InfluentialLalwani, K., Sewell, C. A., Frazier, G., & Abel, W. D. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073529 · Cited by 2
Sennerstam, V., Hedman‐Lagerlöf, E., Nilsonne, G., Lekander, M., Rück, C., Wallert, J., Axelsson, E., & Lindsäter, E. (2024) · Scandinavian Journal of Psychology · doi:10.1111/sjop.13087 · Cited by 2
“A cutoff score of 8 and above on the total AUDIT index indicates hazardous alcohol use among men, while a cutoff score of 6 and above indicates hazardous drinking among women (Bergman and Källmén 2002; Bergman et al. 1998).”
Dissociating social reward learning and behavior in alcohol use disorder
Jangard, S., Lindström, B., Khemiri, L., Jayaram‐Lindström, N., & Olsson, A. (2025) · Translational Psychiatry · doi:10.1038/s41398-025-03236-3 · Cited by 2
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“Another limitation of our study is that, because of limited published AUDIT-C statistics (e.g. cross-item correlations) for simulation, we combined statistics from two distinct samples to form one simulation parameter set [52, 65], whereas the other set was derived from a single cohort [ 32, 33].”
Violence in Acute Psychiatric Patients: A Cumulative Increased Risk with Polysubstance Abuse?
Fosse, R., Olsen, B., & Bjørkly, S. K. (2013) · International Journal of Forensic Mental Health · doi:10.1080/14999013.2013.819395 · Cited by 2
“…instruments have satisfactory psychometric properties in clinical and non-clinical samples, with overall reliability above .80 and convergent validity, sensitivity, and specificity above 85% (Bergman & Kallmen, 2002; Nesvåg, Lange, Faerden et al., 2010; Reinert & Allen, 2002; Voluse et al., 2012).”
BackgroundFemale Drinking From Young Adolescence to Middle Age: A Prospective Longitudinal Study
Wennberg, P., & Andersson, T. (2013) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2012.747879 · Cited by 2
“At age 43, information about alcohol-related symptoms was collected by 3 questions from the Swedish version (see Bergman & Källmén, 2002) of the Alcohol Use Disorders Identifi cation Test – AUDIT (questions about blackouts, eye openers, and inability to stop drinking).”
MethodAlcohol use in young indigenous Sami in Sweden
Omma, L., & Sandlund, M. (2015) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2015.1028437 · Cited by 2
Harris, M. A., Jones, C., & Brown, D. H. K. (2018) · Evolutionary Behavioral Sciences · doi:10.1037/ebs0000153 · Cited by 2
“…AUDIT has been found to demonstrate a high degree of internal consistency (median reliability coefficient of 0.83, with a range of 0.75 to 0.97) (Reinert & Allen, 2007), construct validity (Cronbach's α reliability coefficient of 0.69) and test–retest reliability (0.98) (Bergman and Kallmen, 2002).”
BackgroundInfluentialBowen, P. A. (2021) · Civil Engineering Research Journal · doi:10.19080/cerj.2021.12.555837 · Cited by 2
“For example, Bergman & Källmén [18], employing CFA to compare one-, two-, and threefactor solutions for a Swedish general population, reported the superiority of multiple factor models over a single-factor model.”
MethodMindfulness-Based Attention as a Moderator of the Relationship Between ADHD and Comordid Disorders
Jacobs, A. (2011) · CommonKnowledge Research Repository (Pacific University Oregon) · Cited by 2
Boettcher, J., Heinrich, M., Boettche, M., Burchert, S., Glaesmer, H., Gouzoulis‐Mayfrank, E., Heeke, C., Hernek, M., Knaevelsrud, C., Konnopka, A., et al. (2024) · Trials · doi:10.1186/s13063-023-07845-5 · Cited by 1
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“Alcohol use was assessed using the Alcohol Use Disorder Identification Test [40,41].”
Aminoff, V., Björklund, M., Ekström, E., Stenback, A., Yousafzai, U., Berg, M., Ludvigsson, M., & Andersson, G. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1504217 · Cited by 1
Rupture and repair in the working alliance among patients with substance use disorder
Gidhagen, Y., Holmqvist, R., & Falkenström, F. (2025) · Psychotherapy Research · doi:10.1080/10503307.2025.2569043 · Cited by 1
“Cutoff scores for hazardous or harmful alcohol use in the AUDIT form of 10 items are 8 for men and 6 for women (Bergman & Källmén, 2002).”
InfluentialPettersson, R., Lucas, S., & Strandh, M. (2025) · SSM - Population Health · doi:10.1016/j.ssmph.2025.101874 · Cited by 1
Lenninger, S., Isaksson, J., Ramklint, M., & Ramirez, A. (2025) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2025.2584271 · Cited by 1
“The Swedish translation of AUDIT has been validated in the Swedish general population and proven to maintain its psychometric characteristics, including internal consistency, validity, and diagnostic accuracy [25,26].”
Studies in youth alcohol consumption and prevention
Hallgren, M. Å. (2012) · Socialmedicinsk tidskrift · doi:10.62607/smt.v89i4-5.43469 · Cited by 1
Association Study ofDKK2Polymorphisms with Alcohol Dependence and Alcohol-Related Harm
Kim, Y., Bae, J. S., Park, B. L., Kim, J., Kim, L. H., Kim, J. W., Lee, B. C., Kang, T., Choi, I., & Shin, H. D. (2013) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12265 · Cited by 1
O consumo de álcool em serviços de saúde mental no Rio Grande do Sul
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Cook, S., Stavola, B. L. D., Saburova, L., Kiryanov, N. A., Vasiljev, M., McCambridge, J., McKee, M., Polikina, O., Gil, A. U., & Leon, D. A. (2011) · Cited by 1
Counselling by Health Care Professionals: Results of a Health Survey inSweden
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“Research using the AUDIT and its subscales in general populations often results in positively skewed data, as many participants report few alcohol-related problems (Bergman & Källmén, 2002).”
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“Findings from drinking cultures as different as Switzerland [20] and Sweden [17] as well as in nine European countries [38] support this conclusion.”
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“…with men, women may be more likely to suffer from alcohol-related health conditions at lower levels of alcohol consumption, to progress to AUD faster when engaging in heavy drinking (Nolen-Hoeksema & Hilt, 2006), thus, women are often recommended a lower daily intake of alcohol (Bergman, 2002).”
INDIVIDUAL NEEDS AND PSYCHOSOCIAL HEALTH AMONG VICTIMS OF INTIMATE PARTNER VIOLENCE
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Metadata
- Authors
- Bergman, H.
- Affiliations
- Karolinska University Hospital (SE)
- Corresponding author
- Bergman, H.
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-05-01
- Volume
- 37
- Issue
- 3
- Pages
- 245-251
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W1995146706
- Cited by
- 345
- References
- 34
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 10 · 2023: 15 · 2022: 17 · 2021: 14 · 2020: 13 · 2019: 15 · 2018: 12 · 2017: 16 · 2016: 23 · 2015: 23 · 2014: 20 · 2013: 17 · 2012: 19
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Karolinska Institutet
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Alcohol Use Disorders Identification Test, auditing, alcoholism, hazardous drinking, binge drinking, alcohol-related problems, psychometric validation, factor structure, test-retest reliability, gender differences, age differences, Swedish population, screening tool
- MeSH terms
- Adolescent, Adult, Aged, Alcohol Drinking, Analysis of Variance, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Sweden, Alcohol-Related Disorders
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