Recent and active problematic substance use among primary care patients: Results from the alcohol, smoking, and substance involvement screening test in a multisite study.
Recent and active problematic substance use among primary care patients: Results from the alcohol, smoking, and substance involvement screening test in a multisite study.
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DOI：
10.1080/08897077.2021.1901176
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发表时间：
2021
期刊：
影响因子：
3.5
通讯作者：
Wu, Li-Tzy
中科院分区：
文献类型：
--
作者：
John, William S.;Zhu, He;Greenblatt, Lawrence H.;Wu, Li-Tzy
初级保健机构为识别有问题的物质使用患者和解决未满足的治疗需求提供了显著的机会。本研究的目的是检查初级保健患者中物质特定风险类别的问题物质使用的程度和相关性，以告知筛查/干预工作。数据分析来自美国东部5家诊所的2000名年龄≥ 18岁的成人初级保健患者（56%为女性）。参与者完成了酒精、吸烟和物质参与筛选测试（ASSIST）。检查了吸烟、饮酒和非医疗/非法药物使用的患病率和ASSIST定义的风险水平。多项逻辑回归模型分析了物质使用风险水平的人口统计学相关性。在总样本中，过去3个月内使用任何药物的患病率为53.9%（酒精）、42.0%（烟草）、24.2%（任何非法/Rx药物）和5.3%（阿片类药物）; ASSIST定义的中度/高度风险使用的患病率为45.1%（烟草）、29.0%（任何非法/Rx药物）、14.2%（酒精）和9.1%（阿片类药物）。观察到不同性别、种族/民族和年龄组的物质使用程度和风险水平存在差异。校正后的logistic回归显示，男性、白色种族、未婚和受教育程度较低与每种物质类别的中/高风险使用评分的几率增加相关;年龄较大（与18- 25岁相比）与中/高风险阿片类药物使用的几率增加相关。在这个样本中，对有问题的物质使用的干预需求是普遍的。提供者应保持意识，并在确定的高风险人群中更一致地筛查有问题的物质使用。
Primary care settings provide salient opportunities for identifying patients with problematic substance use and addressing unmet treatment need. The aim of this study was to examine the extent and correlates of problematic substance use by substance-specific risk categories among primary care patients to inform screening/intervention efforts. Data were analyzed from 2000 adult primary care patients aged ≥18years (56% female) across 5 clinics in the eastern U.S. Participants completed the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Prevalence and ASSIST-defined risk-level of tobacco use, alcohol use, and nonmedical/illicit drug use was examined. Multinomial logistic regression models analyzed the demographic correlates of substance use risk-levels. Among the total sample, the prevalence of any past 3-month use was 53.9% for alcohol, 42.0% for tobacco, 24.2% for any illicit/Rx drug, and 5.3% for opioids; the prevalence of ASSIST-defined moderate/high-risk use was 45.1% for tobacco, 29.0% for any illicit/Rx drug, 14.2% for alcohol, and 9.1% for opioids. Differences in the extent and risk-levels of substance use by sex, race/ethnicity, and age group were observed. Adjusted logistic regression showed that male sex, white race, not being married, and having less education were associated with increased odds of moderate/high-risk use scores for each substance category; older ages (versus ages 18–25years) were associated with increased odds of moderate/high-risk opioid use. Intervention need for problematic substance use was prevalent in this sample. Providers should maintain awareness and screen for problematic substance use more consistently in identified high risk populations.
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影响因子：
4.2
作者：
Wu, Li-Tzy;Zhu, He;Ghitza, Udi E.
通讯作者：
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