Comparison Between Urinalysis Results and Self-Reported Heroin Use Among Patients Undergoing Methadone Maintenance Treatment in China. (24th August 2017)
- Record Type:
- Journal Article
- Title:
- Comparison Between Urinalysis Results and Self-Reported Heroin Use Among Patients Undergoing Methadone Maintenance Treatment in China. (24th August 2017)
- Main Title:
- Comparison Between Urinalysis Results and Self-Reported Heroin Use Among Patients Undergoing Methadone Maintenance Treatment in China
- Authors:
- Li, Li
Liang, Li-Jung
Lin, Chunqing
Feng, Nan
Wu, Zunyou - Abstract:
- ABSTRACT: Background : The validity and concordance of two main measures of drug use behavior, self-report and urinalysis, has long been discussed. More understanding is needed about the underlying factors associated with discordance between these two methods. Objectives : Describe the pattern and associated factors of discordance between self-reported heroin use and the urinalysis results of opiate use among methadone maintenance therapy (MMT) patients in China. Methods : A total of 2, 448 MMT patients from 68 clinics in five provinces of China participated in a survey, which collected information on demographics, drug use and MMT-related factors, depressive symptoms, and drug avoidance self-efficacy. The most recent urine morphine test result was obtained from medical records and compared with self-reported heroin use. Participants who had urinalysis within 14 days of the survey were included in the analysis. Results : Among the 1, 092 participants, 70 (6.4%) self-reported heroin use and 195 (17.9%) had positive urinalysis results. The over-reporters group had significantly higher education, and the under-reporters had significantly higher level of drug-avoidance self-efficacy and lower level of depressive symptoms. Among the participants who either self-reported heroin use or had positive urinalysis results, being young, having higher education, and having lower level of depressive symptoms were associated with discordance between self-reports and urinalysis results.ABSTRACT: Background : The validity and concordance of two main measures of drug use behavior, self-report and urinalysis, has long been discussed. More understanding is needed about the underlying factors associated with discordance between these two methods. Objectives : Describe the pattern and associated factors of discordance between self-reported heroin use and the urinalysis results of opiate use among methadone maintenance therapy (MMT) patients in China. Methods : A total of 2, 448 MMT patients from 68 clinics in five provinces of China participated in a survey, which collected information on demographics, drug use and MMT-related factors, depressive symptoms, and drug avoidance self-efficacy. The most recent urine morphine test result was obtained from medical records and compared with self-reported heroin use. Participants who had urinalysis within 14 days of the survey were included in the analysis. Results : Among the 1, 092 participants, 70 (6.4%) self-reported heroin use and 195 (17.9%) had positive urinalysis results. The over-reporters group had significantly higher education, and the under-reporters had significantly higher level of drug-avoidance self-efficacy and lower level of depressive symptoms. Among the participants who either self-reported heroin use or had positive urinalysis results, being young, having higher education, and having lower level of depressive symptoms were associated with discordance between self-reports and urinalysis results. Conclusion : The combination of both measures in assessing drug use behavior seems necessary. The validity of self-report should be considered differently based on demographic and psychosocial characteristics. … (more)
- Is Part Of:
- Substance use & misuse. Volume 52:Number 10(2017)
- Journal:
- Substance use & misuse
- Issue:
- Volume 52:Number 10(2017)
- Issue Display:
- Volume 52, Issue 10 (2017)
- Year:
- 2017
- Volume:
- 52
- Issue:
- 10
- Issue Sort Value:
- 2017-0052-0010-0000
- Page Start:
- 1307
- Page End:
- 1314
- Publication Date:
- 2017-08-24
- Subjects:
- Heroin use -- methadone maintenance therapy -- self-report -- urinalysis
Narcotic habit -- Periodicals
Alcoholism -- Periodicals
Substance abuse -- Periodicals
Behavior, Addictive -- Periodicals
Sustance-Related Disorders -- Periodicals
362.2905 - Journal URLs:
- http://informahealthcare.com/loi/sum ↗
http://informahealthcare.com ↗ - DOI:
- 10.1080/10826084.2016.1276598 ↗
- Languages:
- English
- ISSNs:
- 1082-6084
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8503.493000
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- 14501.xml