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Race/ethnicity differences in the validity of self-reported drug use: Results from a household survey

  • Advances in Measurement and Design in Health Disparities Research
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Abstract

Data were analyzed from a multistage probability household survey of over 600 adults, ages 18–40 from the city of Chicago conducted during 2001–2002. The survey employed audio computer-assisted self-interviews to obtain information about drug use. To imvestigate racelethnicity differences in reporting validity, drug test results were compared with self-reports of past month drug use for cocaine, marijuana, and a combined indicator of both substances. The main indicators of validity were self-report sensitivity and concordance. Possible theoretical models accounting for potential cultural differences in reporting validity were discussed. Survey variables reflecting these potential explanations were examined as potential mediators of racelethnicity differences in validity and as direct correlates of validity. Socioeconomic status was identified as one potential mediator. With this exception, racelethnicity differences suggesting lower levels of marijuana and cocaine concordance for African Americans as compared with Whites were sustained after controlling for potential mediators. Methodological implications for epidemiological and health disparities research are discussed.

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References

  1. Colon HM, Robles R, Sahai H. The validity of drug use responses in a household survey in Puerto Rico: comparison of survey responses of cocaine and heroin use with hair tests. Int J Epidemiol. 2001;30:1042–1049.

    Article  CAS  PubMed  Google Scholar 

  2. Colon HM, Robles RR, Sahai H. The validity of drug use self-reports among hard core drug users in a household survey in Puerto Rico: comparison of survey responses of cocaine and heroin use with hair tests. Drug Alcohol Depend. 2002;67:269–279.

    Article  PubMed  Google Scholar 

  3. Fendrich M, Johnson TP, Sudman SS, Wislar JS, Spiehler V. The validity of drug use reports with hair tests. Am J Epidemiol. 1999;149:955–962.

    CAS  PubMed  Google Scholar 

  4. Fendrich M, Johnson TP, Wislar JS, Hubbell A, Siehler V. The utility of drug testing n epidemiological research: results from a general population survey. Addiction. 2004;99:197–208.

    Article  PubMed  Google Scholar 

  5. Harrison L, Hughes A, eds. The Validity of Self-Reported Drug Use: Improving the Accuracy of Survey Estimates. Rockville, MD: National Institute on Drug Abuse; 1997.

    Google Scholar 

  6. Johnson TP, Bowman PJ. Cross cultural sources of measurement error in substance use surveys. Subst Use Misuse. 2003;38:1447–1490.

    Article  PubMed  Google Scholar 

  7. Richardson J, Fendrich M, Johnson TP. Neighborhood effects on drug reporting. Addiction. 2003;98:1705–1711.

    Article  PubMed  Google Scholar 

  8. Fendrich M, Rosenbaum DP. Recanting of substance use reports in a longitudinal prevention study. Drug Alcohol Depend. 2003;70:241–253.

    Article  PubMed  Google Scholar 

  9. Fendrich M, Kim JYS. Multiwave analysis of retest artifact in the national longitudinal survey of youth drug use. Drug Alcohol Depend. 2001;62:239–253.

    Article  CAS  PubMed  Google Scholar 

  10. Fendrich M, Vaughn CM. Diminished lifetime substance use over time: an inquiry into differential underreporting. Public Opin Q. 1994;58:96–123.

    Article  Google Scholar 

  11. Johnston LD, O’Malley PM. The recanting of earlier reported drug use by young adults. In: Harrison L, Hughes A, eds. The Validity of Self-Reported Drug Use: Improving the Accuracy of Survey Estimates. Rockville, MD: National Institute on Drug Abuse; 1997:59–80.

    Google Scholar 

  12. Mensch BS, Kandel DB. Underreporting of substance use in a national longitudinal youth cohort: individual and intervieer effects. Public Opin Q. 1988;52:100–124.

    Article  Google Scholar 

  13. Pleck JH, Sonenstein FL, Ku L. Black-white differences in adolescent males’ substance use: are they explained by underreporting by black? J Gend Cult Health. 1996;1:247–265.

    Google Scholar 

  14. Shillington AM, Clapp JP. Self-report stability of adolescent substance use: are there differences for gender, ethnicity and age? Drug Alcohol Depend. 2000;60:19–27.

    Article  CAS  PubMed  Google Scholar 

  15. Murray C. Losing Ground: Amcrican Social Policy. New York, NY: Basic Books; 1984:1950–1980.

    Google Scholar 

  16. Wilson WJ. The Truly Disadvantaged. Chicago IL: University of Chicago Press; 1987.

    Google Scholar 

  17. Bowman PJ. Race and criminal justice: research, theoretical and policy issues. Contemp Psychol. 1994;39:1104–1105.

    Google Scholar 

  18. Singer E, Mathiowetz NA, Couper MP. The impact of privacy and confidentiality concerns on survey participation: the case of the 1990 census. Public Opin Q. 1993; 57:465–482.

    Article  Google Scholar 

  19. Triandis HC. Individualism-Collectivism. Boulder, CO: Westview Press; 1995.

    Google Scholar 

  20. Caldwell CH, Jackson JS, Tucker MB, Bowman PJ. Culturally competent research methods in African-American communities: an update. In: Jones RL, ed. Advances in African-American Psychology: Theory, Paradigms and Reviews. Hampton, VA: Cobb & Henry; 1999:101–127.

    Google Scholar 

  21. Jackson JS, Tucker MB, Bowman PJ. Conceptual and methodological problems in survey research on Black Americans. In: Liu WT, ed. Methodological Problems in Survey Research in Minority Research. Chicago, IL: Pacific/Asian American Mental Health Center; 1982:11–39.

    Google Scholar 

  22. Bowman PJ. Race, class and ethics in research: Belmont principles to functional relevance. In: Jones RL, ed. Black Psychology. Hampton, VA: Cobb & Henry; 1991: 747–766.

    Google Scholar 

  23. Aquilino WS. Interview mode effects in surveys of drug and alcohol use: a field experiment. Public Opin Q. 1994;58:210–240.

    Article  Google Scholar 

  24. Levy PS, Lemeshow S. Sampling of Populations: Methods and Applications. New York, NY: John Wiley; 1991.

    Google Scholar 

  25. Bryant BE. Respondent selection in a time of changing household composition. J Marketing Res. 1975;12:129–135.

    Article  Google Scholar 

  26. American Association for Public Opinion Research. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Ann Arbor, MI: AAPOR; 2000.

    Google Scholar 

  27. Fendrich M, Johnson TP, Wislar JS, Hubbell A. Drug test feasibility in a general population household survey. Drug Alcohol Depend. 2004;73:237–250.

    Article  PubMed  Google Scholar 

  28. Wolff K, Farrell M, Marsden J, et al. A review of biological indicators of illicit drug use, practical considerations and clinical usefulness. Addiction. 1999;94:1279–1298.

    Article  CAS  PubMed  Google Scholar 

  29. Strahan R, Gerbasi KC. Short, homogeneous versions of the Marlowe-Crowne social desirability scale. J Clin Psychol. 1972;28:191–193.

    Google Scholar 

  30. Kessler RC, Mickelson KD, Williams DR. The prevalence, distribution and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999;40:208–230.

    Article  CAS  PubMed  Google Scholar 

  31. Fendrich M, Mackesy-Amiti ME, Johnson TP Hubbell A, Wislar JS. Tobacco underreporting in a household substance use survey. Addict Behav. 2005;30:175–181.

    Article  PubMed  Google Scholar 

  32. Holmback GN. Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child clinical and pediatric psychology literatures. J Consult Clin Psychol. 1997;65:599–610.

    Article  Google Scholar 

  33. Bradburn NM, Sudman SS. Question threat and response bias. Public Opin Q. 1978;42:221–234.

    Article  Google Scholar 

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Correspondence to Michael Fendrich PhD.

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Fendrich, M., Johnson, T.P. Race/ethnicity differences in the validity of self-reported drug use: Results from a household survey. J Urban Health 82 (Suppl 3), iii67–iii81 (2005). https://doi.org/10.1093/jurban/jti065

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