Testing the validity of national drug surveys: comparison between a general population cohort and household surveys.

Background and Aims: There are concerns that national population‐based estimates of illicit drug use are underestimated. We investigated this by comparing estimates of illicit substance use at age 24 from the Crime Survey for England and Wales (CSEW) with a birth cohort (Avon Longitudinal Study of P...

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Publicado en:Addiction Vol. 116; no. 8; pp. 2076 - 2084
Autores principales: Charles, Hannah, Heron, Jon, Hickman, Matthew, Brown, Jamie, Hines, Lindsey
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Testing the validity of national drug surveys: comparison between a general population cohort and household surveys.
      aug:
        au:
          Charles, Hannah
          Heron, Jon
          Hickman, Matthew
          Brown, Jamie
          Hines, Lindsey
        affil: National Infection Service, Public Health England,, UK
      sug:
        subj:
          Validity Evaluation
          Surveys
          Substance Use Disorders
          Street Drugs
          Human
          Cross Sectional Studies
          Smoking
          Alcohol Drinking
          Confidence Intervals
          Descriptive Statistics
          Young Adult
          Adult
          Amphetamine
          Adult: 19-44 years
      ab: Background and Aims: There are concerns that national population‐based estimates of illicit drug use are underestimated. We investigated this by comparing estimates of illicit substance use at age 24 from the Crime Survey for England and Wales (CSEW) with a birth cohort (Avon Longitudinal Study of Parents and Children, ALSPAC) and by comparing the Smoking and Alcohol Toolkit Studies (STS/ATS) to ALSPAC. Design Cross‐sectional household survey and cross‐sectional data from one wave of a longitudinal birth cohort. Setting: England and Wales. Participants: Young adults aged 23–25 reporting on substance use in 2017 to CSEW (n = 1165), ALSPAC (n = 3389) and STS/ATS (n = 950). Measurements Lifetime and past‐year illicit drug use, smoking status and hazardous drinking at age 24. Findings The 2017 CSEW estimate of lifetime illicit drug use was 40.6%, compared with 62.8% in ALSPAC (risk difference % [RD%] = 22.2%; 95% CI = 18.9–25.5%; P ≤ 0.001). The RD in lifetime use between ALSPAC and the CSEW was 23.2% (95% CI = 20.0–26.4%) for cannabis, 16.9% (95% CI = 14.4–19.4%) for powder cocaine and 24.8% (95% CI = 22.6–27.0%) for amphetamine. Past‐year drug use was 16.4% in CSEW, compared with 36.7% in ALSPAC (RD% = 20.3%; 95% CI = 17.6–23.0%; P ≤ 0.001). For past‐year substance use, the RD between ALSPAC and the CSEW was 15.4% (95% CI = 12.9–17.9%) for cannabis, 14.8% (95% CI = 13.0%–16.6%) for powder cocaine and 15.9% (95% CI = 14.5–17.4%) for amphetamine. Levels of current smoking were similar between STS (27.4%) and ALSPAC (29.4%). Hazardous drinking was substantially higher in ALSPAC (60.3%) than the ATS (32.1%; RD% = 28.2%; 95% CI = 24.8–31.6%; P ≤ 0.001). Conclusions: The Avon Longitudinal Study of Parents and Children provides one source of validation for measurements of drug use in government household surveys and indicates that illicit drug use may be underestimated in the Crime Survey for England and Wales.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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