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Table 5 Validity of self-reported substance use compared to urine test over the past three months

From: Diagnostic capabilities of self-reported psychoactive substance use among patients admitted to psychiatric consultations in Benin, West Africa

  

Urine test

  

Urine test

Alcohol

 

 + 

-

Tobacco

 

 + 

-

Self-report

Yes

14

43

Self-report

Yes

28

19

 

No

20

80

 

No

20

90

PPV

  

25%

PPV

  

60%

NPV

  

80%

NPV

  

82%

Se

  

41%

Se

  

58%

Sp

  

65%

Sp

  

95%

Kappa

  

0.05

Kappa

  

0.41

  

Urine test

  

Urine test

Cannabis

 

 + 

-

Cocaine

 

 + 

-

Self-report

Yes

13

5

Self-report

Yes

2

1

 

No

43

96

 

No

0

154

PPV

  

72.2%

PPV

  

67%

NPV

  

69%

NPV

  

100%

Se

  

23%

Se

  

100%

Sp

  

95%

Sp

  

98%

Kappa

  

0.21

Kappa

  

0.79

  

Urine test

  

Urine test

Morphine

 

 + 

-

Tramadol

 

 + 

-

Self-report

Yes

1

4

Self-report

Yes

2

3

 

No

2

154

 

No

6

146

PPV

  

33.3%

PPV

  

40%

NPV

  

99%

NPV

  

96%

Se

  

33.3%

Se

  

25%

Sp

  

97%

Sp

  

98%

Kappa

  

0.23

Kappa

  

0.28

  

Urine test

  

Urine test

Hallucinogens

 

 + 

-

Anxiolytics/Hypnotics

 

 + 

-

Self-report

Yes

0

0

Self-report

Yes

3

1

 

No

2

155

 

No

19

134

PPV

  

0

PPV

  

75%

NPV

  

99%

NPV

  

88%

Se

  

0

Se

  

14%

Sp

  

100%

Sp

  

1%

Kappa

  

0

Kappa

  

0.24

  

Urine test

    

All substances

 

 + 

-

    

Self-report

Yes

57

25

    
 

No

35

40

    

PPV

  

70%

    

NPV

  

60%

    

Se

  

66%

    

Sp

  

64%

    

Kappa

  

0.46

    
  1. PPV Positive predictive value, NPV Negative predictive value, Se Sensitivity, Sp Specificity