TY - JOUR
KW - Adult
KW - China/epidemiology
KW - Depression/epidemiology/psychology
KW - Female
KW - Heroin Dependence/epidemiology/psychology/urine
KW - Humans
KW - Male
KW - Methadone/therapeutic use
KW - Middle Aged
KW - Morphine/urine
KW - Opiate Substitution Treatment/statistics & numerical data
KW - Reproducibility of Results
KW - Self Efficacy
KW - Self Report
KW - Substance Abuse Detection
KW - Young Adult
KW - heroin use
KW - Methadone maintenance therapy
KW - Self-Report
KW - Urinalysis
AU - L. Li
AU - L. J. Liang
AU - C. Lin
AU - N. Feng
AU - Z. Wu
A1 - 
AB - 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.
AD - a Semel Institute for Neuroscience and Human Behavior , University of California at Los Angeles , Los Angeles , California , USA.; a Semel Institute for Neuroscience and Human Behavior , University of California at Los Angeles , Los Angeles , California , USA.; a Semel Institute for Neuroscience and Human Behavior , University of California at Los Angeles , Los Angeles , California , USA.; a Semel Institute for Neuroscience and Human Behavior , University of California at Los Angeles , Los Angeles , California , USA.; b National Center for AIDS/STD Control and Prevention , Chinese Centers for Disease Control and Prevention , Beijing , China.
BT - Substance use & misuse
C5 - Opioids & Substance Use
CP - 10
CY - England
DO - 10.1080/10826084.2016.1276598
IS - 10
JF - Substance use & misuse
M1 - Journal Article
N2 - 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.
PP - England
PY - 2017
SN - 1532-2491; 1082-6084
SP - 1307
EP - 1314
EP - 
T1 - Comparison Between Urinalysis Results and Self-Reported Heroin Use Among Patients Undergoing Methadone Maintenance Treatment in China
T2 - Substance use & misuse
TI - Comparison Between Urinalysis Results and Self-Reported Heroin Use Among Patients Undergoing Methadone Maintenance Treatment in China
U1 - Opioids & Substance Use
U2 - 28346039
U3 - 10.1080/10826084.2016.1276598
VL - 52
VO - 1532-2491; 1082-6084
Y1 - 2017
Y2 - Aug 24
ER -