Change in Alcohol Use Based on Self-Report and a Quantitative Biomarker, Phosphatidylethanol, in People With HIV

被引:0
|
作者
Kathleen A. McGinnis
Janet P. Tate
Kendall J. Bryant
Amy C. Justice
Patrick G. O’Connor
Maria C. Rodriguez-Barradas
Stephen Crystal
Christopher J. Cutter
Nathan B. Hansen
Stephen A. Maisto
Vincent C. Marconi
Emily C. Williams
Robert L. Cook
Adam J. Gordon
Kirsha S. Gordon
Oghenowede Eyawo
E. Jennifer Edelman
David A. Fiellin
机构
[1] VA Connecticut Healthcare System,Infectious Diseases Section, Michael E. DeBakey VAMC and Department of Medicine
[2] US Department of Veterans Affairs,Institute for Health, Health Care Policy and Aging Research
[3] Yale School of Medicine,College of Public Health
[4] National Institute on Alcohol Abuse and Alcoholism,Department of Psychology
[5] Baylor College of Medicine,School of Medicine and Rollins School of Public Health
[6] Rutgers University,Department of Health Systems and Population Health, University of Washington School of Public Health and Seattle
[7] University of Georgia,Denver Health Services Research & Development Center of Innovation for Veteran
[8] Syracuse University,Centered and Value
[9] Emory University,Driven Care
[10] Atlanta Veterans Affairs Medical Center,Department of Epidemiology
[11] VA Puget Sound Healthcare System,School of Global Health
[12] University of Florida,Center for Interdisciplinary Research On AIDS
[13] University of Utah and Salt Lake City VA Health Care System,undefined
[14] York University,undefined
[15] Yale School of Public Health,undefined
来源
AIDS and Behavior | 2022年 / 26卷
关键词
Alcohol consumption; Phosphatidylethanolamine; HIV infection;
D O I
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中图分类号
学科分类号
摘要
The timeline followback (TLFB) takes more resources to collect than the Alcohol Use Disorder Identification Test (AUDIT-C). We assessed agreement of TLFB and AUDIT-C with the biomarker phosphatidylethanol (PEth) and compared changes in TLFB and PEth among persons with HIV (PWH) using secondary data from randomized trials. We calculated operating characteristics and agreement between TLFB (> 1 and > 2 average drinks/day), AUDIT-C ≥ 4 and PEth ≥ 20 among 275 men with HIV. Median age was 57 years, 80% were African-American; and 17% white. Sixty-eight percent had PEth ≥ 20, 46% reported > 2 average drinks/day on TLFB, 61% reported > 1 average drinks/day on TLFB, and 72% had an AUDIT-C ≥ 4. Relative to PEth, sensitivity for AUDIT-C ≥ 4 was 84% (kappa = 0.36), and for TLFB > 1 average drink/day was 76% (kappa = 0.44). Change in alcohol use appeared greater using TLFB measures than PEth. Strategies to robustly assess alcohol use in PWH may require both self-report and biomarkers.
引用
收藏
页码:786 / 794
页数:8
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