What happens to agreement over time? A longitudinal study of self-reported substance use compared to saliva toxicological testing among subsidized housing residents

被引:1
作者
Rendon, Alexis [1 ]
Mun, Eun-Young [1 ]
Spence-Almaguer, Emily [1 ]
Walters, Scott T. [1 ]
机构
[1] Univ North Texas, Hlth Sci Ctr, Sch Publ Hlth, Dept Hlth Behav & Hlth Syst, Ft Worth, TX USA
关键词
Substance use; Oral fluid drug test; Self-report; Timeline follow-back; Agreement; Subsidized housing; DETECTING DRUG-USE; METHADONE-MAINTENANCE; COOCCURRING COCAINE; HOMELESS PERSONS; ABUSE; VALIDITY; CONCORDANCE; ALCOHOL; TRIALS; DISULFIRAM;
D O I
10.1016/j.jsat.2019.03.002
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The agreement between self-reported and toxicologically verified substance use provides important information about the validity of self-reported use. While some studies report aggregate agreement across follow-up points, only a few have examined the agreement at each time point separately. An overall rate of agreement across time may miss changes that occur as people progress through a research study. In this study, a sample of 644 adults(43.8% male, 32.6% White, 57.0% Black, 90.2% ages 36 +) residing in subsidized housing was used to determine the agreement between self -reported use and saliva toxicological testing for marijuana, cocaine, PCP, amphetamine, and methamphetamine at three different time points. Agreement between saliva toxicological testing and self-report ranged between 84.2% and 94.3% for different substances over time. Higher rates of agreement were found for cocaine than had been reported by previous studies. Statistically significant differences in the odds ratios of concordance over time (baseline, 6-month, and 12-month follow-up) were found for marijuana and the combined category for PCP, amphetamine, and methamphetamine. Our findings suggest that oral fluid drug tests generally withstand community field assessments and result in relatively high levels of agreement for marijuana, cocaine, PCP, amphetamine, and methamphetamine use, when compared to self-report. Because of the ease of sample collection and low chance of adulteration, we conclude that saliva testing is a viable method for toxicological confirmation of substance use behavior in this setting.
引用
收藏
页码:12 / 17
页数:6
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