AIDS and Behavior
Kathryn E. Lancaster, Melissa A. Stockton, Judith A. Hahn, Thida Chanyachukul, Ivan Marbaniang, Dhanushi Rupasinghe, Hai Thi Thanh Nguyen, Edith Kwobah, Helen Byakwaga, Aggrey Semeere, Suzanne Goodrich, Patrizia Carrieri, Gad Murenzi, Hugo Perazzo, Brenda Crabtree Ramírez, Jessica Mejía, Andreas D. Haas, Ardele Mandiriri, Albert Minga, Marie Plaisy, Antoine Jaquet, Angela M. Parcesepe, the Sentinel Research Network of the International epidemiology Databases to Evaluate AIDS, Rohidas T. Borse, Vidya Mave, Smita Nimkar, Thach Ngoc Pham, Dung Thi Hoai Nguyen, Dung Thi Nguyen, Jeremy L. Ross, Kathy Petoumenos, Rodrigo Moreira, Sandra W. Cardoso, Valdilea G. Veloso, Beatriz Grinsztejn, Paola Alarcón-Murra, Alvaro López-Iñiguez, Jessica Mejía-Castrejón, Sharon Ortiz-Valdespino, Jessica Castilho
Abstract Measuring alcohol and other drug (AOD) use remains challenging in HIV care in low- and middle-income countries, where self-report and point-of-care (POC) urine biomarkers capture different time windows. Among 2,059 people with HIV aged 40 years or older across eight IeDEA clinics (2020 to 2022), we examined what self-reported AOD use (AUDIT, ASSIST) and POC urine tests (uEtG for alcohol; 5-panel drug screen) each capture. Self-report identified more use than urine testing (unhealthy alcohol 19.7% versus uE …