Open AccessScreening gender minority people for harmful alcohol use
Author(s) -
Annesa Flentje,
Branden T. Barger,
Matthew R. Capriotti,
Micah E. Lubensky,
Matthew Tierney,
Juno ObedinMaliver,
Annesa Flentje
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0231022
Subject(s) - alcohol use disorders identification test , medicine , audit , transgender , alcohol , expansive , pride , environmental health , psychology , poison control , injury prevention , economics , biochemistry , chemistry , compressive strength , materials science , management , political science , psychoanalysis , law , composite material
This study identifies how to screen for harmful alcohol use among gender minority ( e . g ., transgender and gender-expansive) people using brief screening methods and identifies which screening methods perform best among gender-expansive, transfeminine, and transmasculine subgroups, as screening recommendations are not currently available. Using 2018 Annual Questionnaire data from The PRIDE Study, area under the curve (AUC) values were compared to identify which screening methods (“4 or more” or “5 or more” drinks on one occasion in the past year, or one or more items from the Alcohol Use Disorders Identification Test [AUDIT]) best predicted (i) harmful alcohol use and (ii) one or more past year alcohol dependence symptoms or consequences. Among 1892 participants, “5 or more” drinks on one occasion (AUC ranges: 0.82–0.86) performed better than “4 or more” drinks (AUC ranges: 0.78–0.81) in predicting harmful drinking. The screening methods “4 or more” drinks, “5 or more” drinks, and the consumption items of the AUDIT (AUDIT-C) using a cutoff score of 3 all maximized sensitivity and specificity to predict alcohol dependence symptoms or consequences in gender minority people overall (AUC: 0.77–0.78). Screening for “5 or more” drinks on one occasion within the past year performed as well as or better than other screening methods to detect both harmful drinking and alcohol dependence-related symptoms or consequences. This single-item screening method can identify if more extensive alcohol use assessment is warranted with gender minority people.