Willingness to provide a hair sample for drug testing among electronic dance music party attendees

Joseph J. Palamar, Alberto Salomone, Charles M. Cleland, Scott Sherman

Research output: Contribution to journalArticle

Abstract

Background: Nondisclosure of drug use on surveys is common, and many drug users unknowingly ingest adulterant or replacement drugs, which leads to underreporting of use of these drugs. Biological testing can complement survey research, and hair testing is an appealing method, as many drugs are detectable for months post-use. We examined willingness to donate a hair sample to be tested among those surveyed in a population at high risk for consuming adulterated drugs—electronic dance music (EDM) party attendees. Methods: We surveyed 933 adults entering EDM parties in New York City in 2017. Hair donation response rates and reasons for refusal were examined from this cross-sectional study. Results: A third (n = 312; 33.4%) provided a hair sample. Lack of interest (21.0%), lack of time (19.8%), not wanting a lock of hair cut (17.7%), and disinterest in having hair cut in public (13.8%) were the main reported reasons for refusal; 4.7% refused because they could not receive results. Past-year drug users were more likely to fear identification than nonusers (P <.001). Asian participants were at lower odds of providing a hair sample (adjusted odds ratio [aOR] = 0.53, 95% confidence interval [CI] = 0.32–0.87), and those reporting past-year use of LSD (aOR = 1.62, 95% CI = 1.11–2.35), opioids (nonmedical; aOR = 1.93, 95% CI = 1.25–2.99), and/or methamphetamine (aOR = 3.43, 95% CI = 1.36–8.62) were at higher odds of providing a sample than nonusers of these drugs. Conclusions: Only a third of participants provided a hair sample, and we found individual-level differences regarding willingness to provide a sample. Factors contributing to refusal should be considered to increase response rates and generalizability of results.

Original languageEnglish (US)
JournalSubstance Abuse
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Dancing
Music
Hair
Pharmaceutical Preparations
Odds Ratio
Confidence Intervals
Drug Users
Lysergic Acid Diethylamide
Methamphetamine
Individuality
Opioid Analgesics
Fear
Cross-Sectional Studies

Keywords

  • Data collection methods
  • drug screening tests
  • epidemiology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Willingness to provide a hair sample for drug testing among electronic dance music party attendees. / Palamar, Joseph J.; Salomone, Alberto; Cleland, Charles M.; Sherman, Scott.

In: Substance Abuse, 01.01.2018.

Research output: Contribution to journalArticle

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abstract = "Background: Nondisclosure of drug use on surveys is common, and many drug users unknowingly ingest adulterant or replacement drugs, which leads to underreporting of use of these drugs. Biological testing can complement survey research, and hair testing is an appealing method, as many drugs are detectable for months post-use. We examined willingness to donate a hair sample to be tested among those surveyed in a population at high risk for consuming adulterated drugs—electronic dance music (EDM) party attendees. Methods: We surveyed 933 adults entering EDM parties in New York City in 2017. Hair donation response rates and reasons for refusal were examined from this cross-sectional study. Results: A third (n = 312; 33.4{\%}) provided a hair sample. Lack of interest (21.0{\%}), lack of time (19.8{\%}), not wanting a lock of hair cut (17.7{\%}), and disinterest in having hair cut in public (13.8{\%}) were the main reported reasons for refusal; 4.7{\%} refused because they could not receive results. Past-year drug users were more likely to fear identification than nonusers (P <.001). Asian participants were at lower odds of providing a hair sample (adjusted odds ratio [aOR] = 0.53, 95{\%} confidence interval [CI] = 0.32–0.87), and those reporting past-year use of LSD (aOR = 1.62, 95{\%} CI = 1.11–2.35), opioids (nonmedical; aOR = 1.93, 95{\%} CI = 1.25–2.99), and/or methamphetamine (aOR = 3.43, 95{\%} CI = 1.36–8.62) were at higher odds of providing a sample than nonusers of these drugs. Conclusions: Only a third of participants provided a hair sample, and we found individual-level differences regarding willingness to provide a sample. Factors contributing to refusal should be considered to increase response rates and generalizability of results.",
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