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AUDIT-C: Alcohol Use Disorder Identification Test

for Health Care Providers

AUDIT-C: Alcohol Use Disorder Identification Test

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The AUDIT-C: Alcohol Use Disorder Identification Test - Consumption Questions

The AUDIT-C is a validated 3-question screening tool for alcohol misuse and alcohol use disorders (including alcohol abuse or dependence). It is the required screening tool for alcohol misuse in the VHA.

It can identify patients with alcohol misuse who would benefit from counseling to decrease their drinking and those who use alcohol and need referral to treatment services.

AUDIT-C
1. How often have you had a drink containing alcohol in the last year? Consider a "drink" to be a 12 oz can or bottle of beer, a glass of wine, a wine cooler, or 1 cocktail or shot of hard liquor (such as scotch, gin, or vodka).
AnswerPoints
Never0
monthly or less1
2-4 times/month2
2-3 times/week3
≥4 times/week4
2.How many drinks containing alcohol did you have on a typical day when you were drinking in the last year?
AnswerPoints
I do not drink0
1-2 drinks0
3-4 drinks1
5-6 drinks2
7-9 drinks3
≥10 drinks4
3. How often in the last year have you had 6 or more drinks on one occasion?
AnswerPoints
Never0
less than once a month1
monthly2
weekly3
daily or almost daily4
Scoring: AUDIT-C scores range from 0 (no alcohol use) to 12. Higher scores indicate higher likelihood that the patient's health and safety are at risk. AUDIT-C scores of ≥4 for men and ≥3 for women suggest alcohol misuse, whereas scores of ≥5 require brief follow-up alcohol counseling. An AUDIT-C score of ≥8 indicates a high probability of current dependence; a score of ≥5 for a patient with a history of alcohol treatment indicates high risk of current dependence.

From Alcohol Misuse
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009