Validating a Hazardous Drinking Index in a Sample of Sexual Minority Women: Reliability, Validity, and Predictive Accuracy

Barth B Riley, Tonda L Hughes, Sharon C Wilsnack, Timothy P Johnson, Perry Benson, Frances Aranda, Barth B Riley, Tonda L Hughes, Sharon C Wilsnack, Timothy P Johnson, Perry Benson, Frances Aranda

Abstract

Background: Although sexual minority women (SMW) are at increased risk of hazardous drinking (HD), efforts to validate HD measures have yet to focus on this population.

Objectives: Validation of a 13-item Hazardous Drinking Index (HDI) in a large sample of SMW.

Methods: Data were from 700 adult SMW (age 18-82) enrolled in the Chicago Health and Life Experiences of Women study. Criterion measures included counts of depressive symptoms and post-traumatic stress disorder (PTSD) symptoms, average daily and 30-day ethanol consumption, risky sexual behavior, and Diagnostic and Statistical Manual (DSM-IV) measures of alcohol abuse/dependence. Analyses included assessment of internal consistency, construction of receiver operating characteristic (ROC) curves to predict alcohol abuse/dependence, and correlations between HDI and criterion measures. We compared the psychometric properties (diagnostic accuracy and correlates of hazardous drinking) of the HDI to the commonly used CAGE instrument.

Results: KR-20 reliability for the HDI was 0.80, compared to 0.74 for the CAGE. Predictive accuracy, as measured by the area under the receiver operating characteristic curve for alcohol abuse/dependence, was HDI: 0.89; CAGE: 0.84. The HDI evidenced the best predictive efficacy and tradeoff between sensitivity and specificity. Results supported the concurrent validity of the HDI measure.

Conclusions: The Hazardous Drinking Index is a reliable and valid measure of hazardous drinking for sexual minority women.

Keywords: Hazardous drinking; alcohol abuse; alcohol dependence; sexual minority women.

Conflict of interest statement

Declaration of Simultaneous Submission and Interest We have not submitted this paper elsewhere for publication. The authors declare no financial interest related to the publication of this manuscript nor any other conflict of interest.

Figures

Figure 1
Figure 1
ROC curves for the HDI and CAGE in Predicting DSM-IV Alcohol Abuse or Dependence (HDI: dashed line with square markers; CAGE: dotted line with circular markers).

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