Evidence map›Paper›PMID 27426424›Full record

Trial reportAlcoholism, clinical and experimental research2016

Associations Between the Phosphatidylethanol Alcohol Biomarker and Self-Reported Alcohol Use in a Sample of HIV-Infected Outpatient Drinkers in Western Kenya.

Rebecca K Papas, Benson N Gakinya, Michael M Mwaniki, Alfred K Keter, Hana Lee, Michelle P Loxley, Debra A Klein, John E Sidle, Steve Martino, Joyce B Baliddawa and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Rebecca K PapasAlpert Medical School of Brown University, Providence, Rhode Island.
Benson N GakinyaSchool of Medicine, Moi University College of Health Sciences, Eldoret, Kenya.
Michael M MwanikiAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Alfred K KeterAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Hana LeeBrown University School of Public Health, Providence, Rhode Island.
Michelle P LoxleyAlpert Medical School of Brown University, Providence, Rhode Island.
Debra A KleinEdify Youth, Minneapolis, Minnesota.
John E SidleIndiana University School of Medicine, Indianapolis, Indiana.
Steve MartinoYale University School of Medicine, New Haven, Connecticut.
Joyce B BaliddawaSchool of Medicine, Moi University College of Health Sciences, Eldoret, Kenya.
Kathryn L SchlaudtLutheran World Foundation, Goré, Chad.
Stephen A MaistoSyracuse University, Syracuse, New York.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI BECKER, SARA · 2010 to 2024
$19.7M
A Stage 2 cognitive-behavioral trial: Reduce Alcohol First in Kenya InterventionR01AA020805 · NIAAA · BROWN UNIVERSITY · PI PAPAS, REBECCA K · 2011 to 2015
$2.6M
Research and Mentoring on Alcohol Clinical and Human Laboratory ResearchK05AA016928 · NIAAA · SYRACUSE UNIVERSITY · PI MAISTO, STEPHEN A · 2008 to 2017
$2.1M
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K05 AA016928NIAAA NIH HHS P01 AA019072NIAAA NIH HHS R01 AA020805NIAID NIH HHS P30 AI042853PEPFAR
6 · The paper itself

Abstract

backgroundTo counteract the syndemics of HIV and alcohol in Sub-Saharan Africa, international collaborations have developed interventions to reduce alcohol consumption. Reliable and accurate methods are needed to estimate alcohol use outcomes. A direct alcohol biomarker called phosphatidylethanol (PEth) has been shown to validate heavy, daily drinking, but the literature indicates mixed results for moderate and nondaily drinkers, including among HIV-infected populations. This study examined the associations of the PEth biomarker with self-report alcohol use at 2 time points in 127 HIV-infected outpatient drinkers in western Kenya.

methodsParticipants were consecutively enrolled in a randomized clinical trial to test the efficacy of a behavioral intervention to reduce alcohol use in Eldoret, Kenya. They endorsed current alcohol use, and a minimum score of 3 on the Alcohol Use Disorders Identification Test-Consumption or consuming ≥6 drinks per occasion at least monthly in the past year. Study interviews and blood draws were conducted at baseline and at 3 months post treatment from July 2012 through September 2013. Alcohol use was assessed using the Timeline Followback questionnaire. Blood samples were analyzed for the presence of the PEth biomarker and were compared to self-reported alcohol use. We also conducted semistructured interviews with 14 study completers in February through March 2014.

resultsBaseline data indicated an average of moderate-heavy alcohol use: 50% drinking days and a median of 4.5 drinks per drinking day. At baseline, 46% of women (31 of 67) and 8% of men (5 of 60) tested negative for PEth (p < 0.001). At the 3-month follow-up, 93% of women (25 of 27) and 97% of men (30 of 31) who reported drinking tested positive, while 70% of women (28 of 40) and 35% of men (10 of 29) who denied drinking tested negative for PEth. Interviews were consistent with self-reported alcohol use among 13 individuals with negative baseline results.

conclusionsThese results add to the growing literature showing lack of agreement between self-report and PEth results among unhealthy and nondaily drinkers, particularly women. More research is needed to determine at what level of consumption over what period of time PEth becomes a reliable and accurate indicator of alcohol use.

Indexed as

Ambulatory Care FacilitiesSelf ReportAdultAlcohol DrinkingBiomarkersCognitive Behavioral TherapyFemaleFollow-Up StudiesGlycerophospholipidsHIV InfectionsHumansKenyaMaleBiomarkersGlycerophospholipidsphosphatidylethanolAlcoholBiomarkerHIVKenyaPEthPhosphatidylethanol

Identifiers

PMID27426424
PMCPMC4961598

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.