Do Subjective Alcohol Screening Tools Correlate with Biomarkers Among High-Risk Transgender Women and Men Who Have Sex with Men in Lima, Peru?

Klausner, J. D.; Deiss, R.; Calvo, G. M.; Brown, B.; Konda, K. A.; Salvatierra, H. J.; Caceres Palacios, Carlos Fernando; Herrera, M. C.; León Sandoval, Segundo Ramos

dc.contributor.author	Herrera, M. C.
dc.contributor.author	Konda, K. A.
dc.contributor.author	León Sandoval, Segundo Ramos
dc.contributor.author	Brown, B.
dc.contributor.author	Calvo, G. M.
dc.contributor.author	Salvatierra, H. J.
dc.contributor.author	Caceres Palacios, Carlos Fernando
dc.contributor.author	Klausner, J. D.
dc.contributor.author	Deiss, R.
dc.date.accessioned	2019-01-25T15:18:33Z
dc.date.available	2019-01-25T15:18:33Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4639
dc.description.abstract	Alcohol abuse can influence sexual risk behavior; however, its measurement is not straightforward. This study compared self-reported alcohol use, via the AUDIT and CAGE, with levels of phosphatidylethanol (Peth), a phospholipid biomarker that forms with chronic, heavy drinking, among high-risk MSM and TW in Lima, Peru. Chi square, Fisher's exact, Wilcoxon ranksum tests compared the instruments. Receiver operating curves determined sensitivity and specificity of the self-reported measures. Among 69 MSM and 17 TW, PEth was positive for 86% (95% CI 77-93%) of participants, while 67% reported binge-drinking in the last 2 weeks. The AUDIT classified 25% as hazardous drinkers while CAGE identified 6% as problem drinkers. Self-reported binge drinking was more sensitive than the AUDIT for PEth positivity (71% vs. 27%, p = 0.022). Among high-risk MSM and TW in Lima, validated, self-report measures of alcohol abuse underestimated biological measures. Further research correlating bio-markers and self-reported alcohol abuse measures is needed.	en_US
dc.language.iso	eng
dc.publisher	Springer
dc.relation.ispartofseries	AIDS and Behavior
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Risk-Taking	en_US
dc.subject	Sexual Behavior	en_US
dc.subject	Transgender Persons	en_US
dc.subject	Adolescent	en_US
dc.subject	Adult	en_US
dc.subject	Alcohol Drinking/blood/epidemiology	en_US
dc.subject	Alcohol use	en_US
dc.subject	Alcoholism/blood/epidemiology/psychology	en_US
dc.subject	Biomarkers/blood	en_US
dc.subject	Female	en_US
dc.subject	Glycerophospholipids/blood	en_US
dc.subject	HIV	en_US
dc.subject	HIV Infections/diagnosis/epidemiology/transmission	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	Men who have sex with men	en_US
dc.subject	Peru	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Phosphatidylethanol	en_US
dc.subject	Self Report	en_US
dc.subject	Sexual Partners	en_US
dc.title	Do Subjective Alcohol Screening Tools Correlate with Biomarkers Among High-Risk Transgender Women and Men Who Have Sex with Men in Lima, Peru?	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1007/s10461-017-1933-0
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn	1573-3254