Willingness to provide a hair sample for drug testing among electronic dance music party attendees.
Willingness to provide a hair sample for drug testing among electronic dance music party attendees.
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DOI：
10.1080/08897077.2018.1469106
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发表时间：
2019
期刊：
影响因子：
3.5
通讯作者：
Sherman S
中科院分区：
文献类型：
--
作者：
Palamar JJ;Salomone A;Cleland CM;Sherman S
在调查中不披露药物使用情况的情况很常见，许多药物使用者在不知情的情况下摄入了掺假药物或替代药物，这导致对这些药物使用情况的报告不足。生物测试可以补充调查研究，毛发测试是一种有吸引力的方法，因为许多药物在使用后几个月内都可以检测到。我们研究了愿意捐赠头发样本进行测试的人群中，在消费掺假药物的高风险，电子舞曲（EDM）党的与会者接受调查。我们调查了2017年在纽约市参加EDM派对的933名成年人。头发捐赠的响应率和拒绝的原因进行了检查，从这个横断面研究。三分之一（n=312; 33.4%）提供了头发样本。据报道，拒绝的主要原因是缺乏兴趣（21.0%）、没有时间（19.8%）、不想剪头发（17.7%）和不想在公共场合剪头发（13.8%）。4.7%的人拒绝，因为他们无法收到结果。上年吸毒者比非吸毒者更可能害怕被认出（p<0.001）。亚洲参与者提供头发样本的几率较低（aOR=0.53，95%CI =0.32-0.87），以及报告去年使用LSD的患者（aOR=1.62，95% CI=1.11-2.35），阿片类药物（非医学; aOR=1.93，95%CI =1.25-2.99）和/或甲基苯丙胺（aOR=3.43，95%CI =1.36-8.62）的患者提供样本的几率高于非这些药物使用者。只有三分之一的参与者提供了头发样本，我们发现提供样本的意愿存在个体差异。应考虑导致拒绝的因素，以提高答复率和结果的普遍性。
Non-disclosure of drug use on surveys is common and many drug users unknowingly ingest adulterant or replacement drugs, which leads to underreporting of use of these drugs. Biological testing can complement survey research, and hair-testing is an appealing method as many drugs are detectable for months post-use. We examined willingness to donate a hair sample to be tested among those surveyed in a population at high risk for consuming adulterated drugs—electronic dance music (EDM) party attendees. We surveyed 933 adults entering EDM parties in New York City in 2017. Hair donation response rates and reasons for refusal were examined from this cross-sectional study. A third (n=312; 33.4%) provided a hair sample. Lack of interest (21.0%), lack of time (19.8%), not wanting a lock of hair cut (17.7%), and disinterest in having hair cut in public (13.8%) were the main reported reasons for refusal. 4.7% refused because they could not receive results. Past-year drug users were more likely to fear identification than non-users (p<.001). Asian participants were at lower odds of providing a hair sample (aOR=0.53, 95% CI=0.32–0.87), and those reporting past-year use of LSD (aOR=1.62, 95% CI=1.11–2.35), opioids (nonmedical; aOR=1.93, 95% CI=1.25–2.99), and/or methamphetamine (aOR=3.43, 95% CI=1.36–8.62) were at higher odds of providing a sample than non-users of these drugs. Only a third of participants provided a hair sample and we found individual-level differences regarding willingness to provide a sample. Factors contributing to refusal should be considered to increase response rates and generalizability of results.
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