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Validity of injecting drug users' self report of hepatitis A, B, and C. | LitMetric
Objective : To test the validity of drug users self-reports of diseases associated with drug use, in this case hepatitis A, B, and C.Design : Injecting drug users (n = 653) were recruited and asked whether they had been diagnosed previously with hepatitis A, B, and/or C. These self-report data were compared to total hepatitis A antibody, hepatitis B core antibody, and hepatitis C antibody seromarkers as a means of determining the validity of the self-reported information.Setting : Anchorage, Alaska.Participants : Criteria for inclusion included being at least 18-years old; testing positive on urinalysis for cocaine metabolites, amphetamine, or morphine; having visible signs of injection (track marks).Intervention : Serological testing for hepatitis A, B, and C.Main Outcome : Findings indicate high specificity, low sensitivity, and low kappa coefficients for all three self-report measures.Results : Subgroup analyses revealed significant differences in sensitivity associated with previous substance abuse treatment experience for hepatitis B self-report and with gender for hepatitis C self-report.Conclusion : Given the low sensitivity, the validity of drug users, self-reported information on hepatitis should be considered with caution.
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