Air Force web-based preventive health assessement alcohol screening effectiveness using the Alcohol Use Disorders Identification Tool (AUDIT)

Alcohol consumption has a long-standing tradition in the United States Air Force (USAF). From squadron bars to officers and enlisted clubs, alcohol has been used in social settings to increase morale and also as a way to help decrease the stress of military operations. Surveys have demonstrated that the USAF has more than double the percentage of heavy drinkers than the US population. More than one-third of the Air Force reports binge drinking in the last month while only six percent of the nation reports the same consumption pattern.^ However, alcohol has a significant harmful health effect if consumed in excess. As part of an overall prevention and treatment program aimed at curbing the harmful effects of alcohol consumption, the USAF uses the Alcohol Use Disorder Identification Test (AUDIT) to screen for high-risk alcohol consumption patterns before alcohol disorder and disability occur. All Air Force active-duty members are required to complete a yearly Preventive Health Assessment questionnaire. Various health topics are included in this questionnaire including nutrition, exercise, tobacco use, family history, mental health and alcohol use. While this questionnaire has been available in a web-based format for several years, mandatory use was not implemented until 2009.^ Although the AUDIT was selected due to its effectiveness in assessing high-risk alcohol consumption in other populations, its effectiveness in the Air Force population had not been studied previously. In order to assess the sensitivity, specificity, and positive predictive value of this screening tool, the Air Force Web-based Preventive Health Assessment alcohol screening results were compared to whether any alcohol-related diagnosis was made from January 1, 2009 to March 31, 2010.^ While the AUDIT has previously been shown to have a high sensitivity and specificity, the Air Force screening values were 27.9% and 93.0% respectively. Positive predictive value was only 4.9%. With the screening statistics found, less than one-third of those having an alcohol disorder will be found with this screening tool and only 1 out of 20 Airmen who require further evaluation actually have an alcohol-related diagnosis.^

An Analysis of U.S. Air Force Policy and Installation CO2 Emissions to Determine Best Practices for the Implementation of Executive Order 13514

United States Air Force (USAF) energy policy is a measured but aggressive response to federal energy policy guidance. Previous USAF efforts, like those of the federal government, focused primarily on energy intensity reduction, cost, and BTU savings, and in certain cases have resulted in facility greenhouse gas (GHG) emission reductions. The USAF now faces the challenge of integrating GHG reduction goals and inventory requirements set forth in Executive Order 13514. Using USAF reported energy consumption data, facility GHG emission estimates have been synthesized to identify trends and elucidate existing energy best practices to be applied as part of overarching USAF GHG mitigation efforts and to highlight areas of possible concern for the integration of EO 13514 into operational USAF policy.

Air Force officers : personnel policy development, 1944-1974 /

Mode of access: Internet.

Air leadership : proceedings of a conference at Bolling Air Force Base, April 13-14, 1984, sponsored by the Air Force Historical Foundation, the American Military Institute, and the Military Classics Seminar /

Mode of access: Internet.

Wings of hope : the U.S. Air Force and humanitarian airlift operations /

Mode of access: Internet.

Shaw Air Force Base : test excavations at 20 archeological sites on the Poinsett Electronic Combat Range, Sumter County, South Carolina.

"June 1999."

Internal security of Air Force installations.

Cover title.

The Air Force Academy : an introduction.

Cover title.

Your Air Force R.O.T.C. caget guide.

"Prepared by Department of Air Science, University of Illinois."

Development of the Air Force research grant program.

Mode of access: Internet.

11th annual Air Force Science and Engineering Symposium, 20-22 October 1964.

"AD 609 378."

Air Force surveys in geophysics.

Some numbers issued as the Laboratories' AFCRC-TR and AFCRC-TN.

US Air Force glossary of standardized terms : administrative practives.

"2 January 1976."

Proceedings of a general court martial held at the Horse-Guards, on the 24th and 27th of March 1792 : for the trial of Capt. Richard Powell, Lieut. Christopher Seton, and Lieut. John Hall, of the 54th Regiment of Foot, on several charges preferred against them respectively by William Cobbett, late Serjeant-Major of the said regiment; together with several curious letters which passed between the said William Cobbett and Sir Charles Gould, Judge-Advocate General, and various other documents connected therewith in the order of their dates.

308C636no.195 #12.

The Air Force comptroller.

No longer distributed to depository libraries,