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. 2019 Dec;43(12):2591-2598.
doi: 10.1111/acer.14218. Epub 2019 Nov 11.

Social Desirability Bias Impacts Self-Reported Alcohol Use Among Persons With HIV in Uganda

Julian Adong  1 , Robin Fatch  2 , Nneka I Emenyonu  2 , Debbie M Cheng  3 , Winnie R Muyindike  1   4 , Christine Ngabirano  1 , Allen Kekibiina  1 , Sarah E Woolf-King  5 , Jeffrey H Samet  3   6 , Judith A Hahn  2   7
Affiliations

Social Desirability Bias Impacts Self-Reported Alcohol Use Among Persons With HIV in Uganda

Julian Adong et al. Alcohol Clin Exp Res. 2019 Dec.

Abstract

Background: Self-report is widely used to assess alcohol use in research and clinical practice, but may be subject to social desirability bias. We aimed to determine if social desirability impacts self-reported alcohol use.

Methods: Among 751 human immunodeficiency virus (HIV)-infected patients from a clinic in southwestern Uganda, we measured social desirability using the Marlowe-Crowne Social Desirability Scale (SDS) Short Form C, self-reported alcohol use (prior 3 months) Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), and phosphatidylethanol (PEth), a biomarker of prior 3 weeks' drinking. We conducted multiple regression analyses to assess the relationship between SDS score (low, medium, and high levels) and (i) any self-reported recent alcohol use, among those who were PEth-positive (≥8 ng/ml), and (ii) continuous AUDIT-C score, among those reporting any recent alcohol use. We controlled for PEth level, age, gender, education, economic assets, marital status, religion, spirituality/religiosity, social support, and study cohort.

Results: Of 751 participants, 59% were women; the median age was 31 years (interquartile range [IQR]: 26 to 39). Median SDS score was 9 (IQR: 4 to 10). Two-thirds (62%) self-reported any recent alcohol use; median AUDIT-C was 1 (IQR: 0 to 4). Among those who were PEth-positive (57%), 13% reported no recent alcohol use. Those with the highest SDS tertile had decreased odds of reporting any recent alcohol use compared to the lowest tertile, but the association did not reach statistical significance in multivariable analyses (adjusted odds ratio 0.55 [95% confidence interval (CI): 0.25, 1.23]). Among participants self-reporting recent alcohol use, SDS level was negatively associated with AUDIT-C scores (adjusted β: -0.70 [95% CI: -1.19, -0.21] for medium vs. low SDS and -1.42 [95% CI: -2.05, -0.78] for high vs. low SDS).

Conclusions: While use of objective measures (e.g., alcohol biomarkers) is desirable for measuring alcohol use, SDS scores may be used to adjust self-reported drinking levels by participants' level of social desirability in HIV research studies.

Keywords: Alcohol Biomarker; Phosphatidylethanol; Self-Report; Social Desirability.

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Conflict of interest statement

Conflicts of interest: None declared.

References

    1. Adams J, Parkinson L, Sanson-Fisher R. and Walsh R. (2008) ‘Enhancing self-report of adolescent smoking: The effects of bogus pipeline and anonymity.’, Addictive Behaviors, 33(10), pp. 1291–1296. - PubMed
    1. Adong J, Lindan C, Fatch R, Emenyonu N, Muyindike W, Ngabirano C, Winter M, Lloyd-Travaglini C, Samet J, Cheng D. and Hahn J. (2018) ‘The Relationship Between Spirituality/Religiousness and Unhealthy Alcohol Use Among HIV-Infected Adults in Southwestern Uganda’, AIDS and Behavior. Springer US, 22(6), pp. 1802–1813. doi: 10.1007/s10461-017-1805-7. - DOI - PMC - PubMed
    1. Antelman G, Smith Fawzi M, Kaaya S, Mbwambo J, Msamanga G, Hunter D. and Fawzi W. (2001) ‘Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar es Salaam, Tanzania’, AIDS, 15(14), pp. 1865–1874. - PMC - PubMed
    1. Anton NJ (1985) ‘Methods of coping with social desirability bias: A review’, European Journal of Social Psychology., 15(3).
    1. Asiimwe SB, Fatch R, Emenyonu NI, Muyindike WR, Kekibiina A, Santos GM, Greenfield TK and Hahn JA (2015) ‘Comparison of Traditional and Novel Self-Report Measures to an Alcohol Biomarker for Quantifying Alcohol Consumption Among HIV-Infected Adults in Sub-Saharan Africa’, Alcoholism: Clinical and Experimental Research, 39(8), pp. 1518–1527. doi: 10.1111/acer.12781. - DOI - PMC - PubMed

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