Predictors of correspondence between self-reported substance use and urinalysis screening among a racially diverse cohort of young men who have sex with men and transgender women.
Adolescent
Adult
Black or African American
Chicago
/ epidemiology
Female
Hispanic or Latino
Humans
Male
Marijuana Use
/ epidemiology
Reproducibility of Results
Self Report
Sexual and Gender Minorities
/ statistics & numerical data
Social Desirability
Substance Abuse Detection
Substance-Related Disorders
/ epidemiology
White People
Young Adult
Drug testing
Illicit drugs
Measurement error
Men who have sex with men
Validity
Journal
Addictive behaviors
ISSN: 1873-6327
Titre abrégé: Addict Behav
Pays: England
ID NLM: 7603486
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
15
03
2018
revised:
01
08
2018
accepted:
04
08
2018
pubmed:
14
8
2018
medline:
7
3
2020
entrez:
13
8
2018
Statut:
ppublish
Résumé
It is unknown if estimates of illicit drug use among young men who have sex with men and transgender women (YMSM/TW) may be biased due to historical distrust of research or reliable due to more accepting norms for use. Research is needed to examine the validity of drug use self-reports among YMSM/TW. Data came from an ongoing longitudinal study of YMSM/TW aged 16-29 living in Chicago (analytic N = 1029). Baseline urinalysis screens for marijuana, ecstasy, amphetamine, methamphetamine, cocaine, benzodiazepine, and opiate metabolites were compared to self-reported use within different recall periods using measures of concordance. Generalized estimating equations logistic regressions were conducted on three waves of data to identify predictors of disclosing past-6-month use of marijuana and non-marijuana drugs. Past-6-month self-reported use of all non-marijuana substances was <15%. There was excellent agreement between self-reported and drug-tested marijuana use. For other substances, sensitivities within the urinalysis detection window were <0.5 but increased with longer recall periods. Black participants had lower odds of disclosing non-marijuana drug use. Gender minority participants had lower odds of disclosing marijuana use. Participants with a history of arrest had higher odds of disclosing both marijuana and non-marijuana drug use. Wave and year of first research participation were non-significant, suggesting no systematic bias or increasing honesty associated with longer research participation. Programs that rely on self-identification of non-marijuana illicit substance use may be missing a substantial portion of drug-using YMSM/TW. Future epidemiological studies should work to reduce social desirability biases and include biomarker-based drug screenings to increase validity.
Identifiants
pubmed: 30099289
pii: S0306-4603(18)30166-7
doi: 10.1016/j.addbeh.2018.08.004
pmc: PMC6291201
mid: NIHMS994240
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
6-14Subventions
Organisme : NIDA NIH HHS
ID : U01 DA036939
Pays : United States
Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.
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