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Testing the validity of national drug surveys: comparison between a general population cohort and household surveys.
Charles, Hannah; Heron, Jon; Hickman, Matthew; Brown, Jamie; Hines, Lindsey.
Afiliação
  • Charles H; National Infection Service, Public Health England, UK.
  • Heron J; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
  • Hickman M; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
  • Brown J; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
  • Hines L; Department of Behavioural Science and Health, University College London, London, UK.
Addiction ; 116(8): 2076-2083, 2021 08.
Article em En | MEDLINE | ID: mdl-33455031
ABSTRACT
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Preparações Farmacêuticas / Transtornos Relacionados ao Uso de Substâncias Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Child / Humans Idioma: En Revista: Addiction Assunto da revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Preparações Farmacêuticas / Transtornos Relacionados ao Uso de Substâncias Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Child / Humans Idioma: En Revista: Addiction Assunto da revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Reino Unido