NDLI: Testing for amphetamine-type stimulant (ATS) use to ascertain validity of self-reported ATS use among young female sex workers in Cambodia

Content Provider	Springer Nature : BioMed Central
Author	Kab, Vannda Evans, Jennifer Sansothy, Neth Stein, Ellen Claude-Couture, Marie Maher, Lisa Page, Kimberly
Abstract	Objective To assess concordance between self-reported amphetamine-type stimulant (ATS) use and toxicology results among young female sex workers (FSW) in Phnom Penh, Cambodia. Methods Cross-sectional data from the Young Women’s Health Study-2 (YWHS-2), a prospective study of HIV and ATS use among young (15 to 29 years) FSW in Phnom Penh, Cambodia, was analyzed. The YWHS-2 assessed sociodemographic characteristics, HIV serology, HIV risk, and ATS use by self-report and urine toxicology testing at each quarterly visit, the second of which provided data for this assessment. Outcomes include sensitivity, specificity, positive- and negative predictive values (overall and stratified by age), sex-work setting, and HIV status. Results Among 200 women, prevalence of positive toxicology screening for ATS use was 14% (95% confidence interval [CI], 9.2, 18.9%) and concurrent prevalence of self-reported ATS was 15.5% (95% CI, 10.4, 20.6%). The sensitivity and specificity of self-reported ATS use compared to positive toxicology test results was 89.3% (25/28), and 96.5% (166/172), respectively. The positive predictive value of self-reported ATS use was 80.6% (25/31); the negative predictive value was 98.2% (166/169). Some differences in concordance between self-report and urine toxicology results were noted in analyses stratified by age group and sex-work setting but not by HIV status. Conclusion Results indicate a high prevalence of ATS use among FSW in Phnom Penh, Cambodia, and high concordance between self-reported and toxicology-test confirmed ATS use.
Related Links	https://ascpjournal.biomedcentral.com/counter/pdf/10.1186/1940-0640-7-11.pdf
Ending Page	7
Page Count	7
Starting Page	1
File Format	HTM / HTML
ISSN	19400640
DOI	10.1186/1940-0640-7-11
Journal	Addiction Science & Clinical Practice
Issue Number	1
Volume Number	7
Language	English
Publisher	BioMed Central
Publisher Date	2012-06-28
Access Restriction	Open
Subject Keyword	Public Health Pharmacology Toxicology Psychopharmacology Health Psychology Social Work Methamphetamine Sexually Transmit Infection Urine Toxicology Sexually Transmit Infection Clinic Positive Urine Test Pharmacology/Toxicology
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health Clinical Psychology
Journal Impact Factor	3.7/2023
5-Year Journal Impact Factor	4.2/2023

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Testing for amphetamine-type stimulant (ATS) use to ascertain validity of self-reported ATS use among young female sex workers in Cambodia

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