Illicit Substance Use Among a Sample of Subsidized Housing Residents: Concordance, Longitudinal Trends, and Quality of Life
dc.contributor.advisor | Walters, Scott T. | |
dc.contributor.committeeMember | Spence-Almaguer, Emily | |
dc.contributor.committeeMember | Mun, Eun-Young | |
dc.contributor.committeeMember | Livingston, Melvin D. | |
dc.contributor.committeeMember | Suzuki, Sumihiro | |
dc.creator | Rendon, Alexis | |
dc.date.accessioned | 2020-09-02T20:02:07Z | |
dc.date.available | 2020-09-02T20:02:07Z | |
dc.date.issued | 2019-05 | |
dc.description.abstract | This three-paper model dissertation investigates issues related to self-reported substance use. Self-report is a less invasive and expensive method of collecting substance use behavior when compared to a toxicological test, but the self-report method has been shown to be unreliable in some populations. We found that self-report missed some use captured by a saliva toxicological test administered to a subsidized housing population enrolled in a technology-assisted health coaching program. Concordance was highest among marijuana users and increased over time. Higher rates of concordance were found when the recall window was expanded from a restricted biological recall window to match the toxicological test to the full 90 day window of the Timeline Follow-Back. Participants who reported using substances more frequently reported having more problems related to their substance use. We also found that both substance use problems and the frequency of consumption of a combined Other category of substances, including cocaine, amphetamine, methamphetamine, opiates, prescription pills, or phencyclidine were predictive of lower quality of life. This dissertation validates previous literature indicating that self-report is a fair to moderately good measure of actual substance use behavior in vulnerable populations that may intentionally or unintentionally misreport their substance use. Programs limited to self-reported measures may consider widening their recall windows to increase accuracy of self-report. | |
dc.format.mimetype | application/pdf | |
dc.identifier.uri | https://hdl.handle.net/20.500.12503/29855 | |
dc.language.iso | en | |
dc.subject | substance use | |
dc.subject | Timeline Follow-back | |
dc.subject | self-report | |
dc.subject | subsidized housing | |
dc.subject.mesh | Substance-Related Disorders | |
dc.subject.mesh | Vulnerable Populations | |
dc.subject.mesh | Health Promotion | |
dc.title | Illicit Substance Use Among a Sample of Subsidized Housing Residents: Concordance, Longitudinal Trends, and Quality of Life | |
dc.type | Thesis | |
dc.type.material | text | |
thesis.degree.department | School of Public Health | |
thesis.degree.grantor | University of North Texas Health Science Center at Fort Worth | |
thesis.degree.name | Doctor of Philosophy |
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