کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
5037819 1472501 2017 7 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
What's the agreement between self-reported and biochemical verification of drug use? A look at permanent supportive housing residents
ترجمه فارسی عنوان
توافق بین تاییدیه های خود گزارش شده و بیوشیمیایی استفاده از مواد مخدر چیست؟ نگاهی به ساکنان مسکن حمایتی دائمی
کلمات کلیدی
سوء مصرف مواد، خود گزارش، گام به گام بازگشت، بی خانمانی مزمن، مسکن حمایتی،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
چکیده انگلیسی


- Timeline Follow-back self-reported drug use is compared to an oral fluid test.
- Self-report may not adequately capture recent drug use in similar populations.
- Older, non-White, and uninsured participants were more likely to misreport use.
- With marijuana, relying on an oral fluid test may underestimate actual drug use.

Self-reported substance use is commonly used as an outcome measure in treatment research. We evaluated the validity of self-reported drug use in a sample of 334 adults with mental health problems who were residing in supportive housing programs. The primary analysis was the calculation of the positive predictive values (PPVs) of self-report compared to an oral fluid test taken at the same time. A sensitivity analysis compared the positive predictive values of two self-reported drug use histories: biological testing window (ranging between the past 96 h to 30 days depending on drug type) or the full past 90-day comparison window (maximum length recorded during interview). A multivariable logistic regression was used to predict discordance between self-report and the drug test for users. Self-reported drug use and oral fluid drug tests were compared to determine the positive predictive value for amphetamines/methamphetamines/PCP (47.1% agreement), cocaine (43.8% agreement), and marijuana (69.7% agreement) drug tests. Participants who misreported their drug use were more likely to be older, non-White, have no medical insurance, and not report any alcohol use. In general, amphetamine/methamphetamine/PCP and cocaine use was adequately captured by the biological test, while marijuana use was best captured by a combination of self-report and biological data. Using the full past 90 day comparison window resulted in higher concordance with the oral fluid drug test, indicating that self-reported drug use in the past 90 days may be a proxy for drug use within the biological testing window. Self-report has some disadvantages when used as the sole measure of drug use in this population.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Addictive Behaviors - Volume 70, July 2017, Pages 90-96
نویسندگان
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