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The Reliability and Validity of the Self‐Reported Drinking Measures in the Army's Health Risk Appraisal Survey
Author(s) -
Bell Nicole S.,
Williams Jeffrey O.,
Senier Laura,
Strowman Shelley R.,
Amoroso Paul J.
Publication year - 2003
Publication title -
alcoholism: clinical and experimental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.267
H-Index - 153
eISSN - 1530-0277
pISSN - 0145-6008
DOI - 10.1097/01.alc.0000067978.27660.73
Subject(s) - cronbach's alpha , confidence interval , reliability (semiconductor) , psychology , predictive validity , hazard ratio , demography , poison control , convergent validity , medicine , occupational safety and health , clinical psychology , gerontology , environmental health , psychometrics , power (physics) , physics , pathology , quantum mechanics , sociology , internal consistency
Background: The reliability and validity of self‐reported drinking behaviors from the Army Health Risk Appraisal (HRA) survey are unknown. Methods: We compared demographics and health experiences of those who completed the HRA with those who did not (1991–1998). We also evaluated the reliability and validity of eight HRA alcohol‐related items, including the CAGE, weekly drinking quantity, and drinking and driving measures. We used Cohen's κ and Pearson's r to assess reliability and convergent validity. To assess criterion (predictive) validity, we used proportional hazards and logistical regression models predicting alcohol‐related hospitalizations and alcohol‐related separations from the Army, respectively. Results: A total of 404,966 soldiers completed an HRA. No particular demographic group seems to be over‐ or underrepresented. Although few respondents skipped alcohol items, those who did tended to be older and of minority race. The alcohol items demonstrate a reasonable degree of reliability, with Cronbach's α= 0.69 and test‐retest reliability associations in the 0.75–0.80 range for most items over 2‐ to 30‐day interims between surveys. The alcohol measures showed good criterion‐related validity: those consuming more than 21 drinks per week were at 6 times the risk for subsequent alcohol‐related hospitalization versus those who abstained from drinking (hazard ratio, 6.36; 95% confidence interval=5.79, 6.99). Those who said their friends worried about their drinking were almost 5 times more likely to be discharged due to alcoholism (risk ratio, 4.9; 95% confidence interval=4.00, 6.04) and 6 times more likely to experience an alcohol‐related hospitalization (hazard ratio, 6.24; 95% confidence interval=5.74, 6.77). Conclusions: The Army's HRA alcohol items seem to elicit reliable and valid responses. Because HRAs contain identifiers, alcohol use can be linked with subsequent health and occupational outcomes, making the HRA a useful epidemiological research tool. Associations between perceived peer opinions of drinking and subsequent problems deserve further exploration.