Abstract
Drug overdose remains a leading cause of death in the US, and the majority of opioid overdose fatalities involve fentanyl. This study aims to measure the degree of concordance between self-reported and biologically tested exposure to fentanyl. We conducted a cross-sectional analysis using survey and urinalysis data collected between 2019 and 2020 from Anne Arundel County, Maryland. Among urinalysis participants (n =113), 30% reported daily fentanyl use, and among this group, only 54% had a fentanyl-positive result. Cohen Kappa between self-reported and biologically detected fentanyl use was 0.26, indicating minimal agreement between the 2 markers. Limitations to interpreting self-reported and urinalysis data are discussed in this report.
Original language | English (US) |
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Pages (from-to) | 722-724 |
Number of pages | 3 |
Journal | Journal of Addiction Medicine |
Volume | 16 |
Issue number | 6 |
DOIs | |
State | Published - Nov 1 2022 |
Keywords
- drug testing
- overdose
- substance use
ASJC Scopus subject areas
- Psychiatry and Mental health
- Pharmacology (medical)