Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings.
Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings.
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DOI：
10.1186/s12875-017-0689-y
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发表时间：
2018-01-09
影响因子：
2.9
通讯作者：
D'Amico EJ
中科院分区：
文献类型：
--
作者：
Meredith LS;Ewing BA;Stein BD;Shadel WG;Brooks Holliday S;Parast L;D'Amico EJ
描述酒精和其他药物（AOD）使用风险和青少年报告的初级保健（PC）筛查和干预的模式，并检查AOD风险和心理健康与报告的护理之间的关联。我们分析了2013年4月3日至2015年11月24日收集的1279名12-18岁的不同青少年的横断面调查数据，这些青少年在过去一年中至少看过一次医生。关键措施是使用个人经历筛选问卷的AOD风险;使用5项心理健康量表的心理健康;二进制措施的报告筛选和干预。一半（49.2%）的青少年报告过去一年使用AOD。在769名（60.1%）报告被PC中的医疗提供者询问关于AOD使用的青少年中，只有37.2%报告接受筛查/干预。报告的筛查/干预的几率显着较高的青少年有较高的AOD风险和较低的心理健康评分。青少年在使用AOD的风险和心理健康状况差，最有可能受益于简短的干预。这些研究结果表明，需要制定策略，以促进医疗提供者确定需要咨询的AOD和精神卫生保健的风险青年。clinicaltrials.gov，标识符：NCT 01797835，2013年3月。
To describe patterns of alcohol and other drug (AOD) use risk and adolescent reported primary care (PC) screening and intervention, and examine associations of AOD risk and mental health with reported care received. We analyzed data from cross-sectional surveys collected from April 3, 2013 to November 24, 2015 from 1279 diverse adolescents ages 12–18 who reported visiting a doctor at least once in the past year. Key measures were AOD risk using the Personal Experience Screening Questionnaire; mental health using the 5-item Mental Health Inventory; binary measures of adolescent-reported screening and intervention. Half (49.2%) of the adolescents reported past year AOD use. Of the 769 (60.1%) of adolescents that reported being asked by a medical provider in PC about AOD use, only 37.2% reported receiving screening/intervention. The odds of reported screening/intervention were significantly higher for adolescents with higher AOD risk and lower mental health scores. Adolescents at risk for AOD use and poor mental health are most likely to benefit from brief intervention. These findings suggest that strategies are needed to facilitate medical providers identification of need for counseling of both AOD and mental health care for at risk youth. clinicaltrials.gov, Identifier: NCT01797835, March 2013.
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影响因子：
3
作者：
D'Amico, EJ;Paddock, SM;Kung, FY
通讯作者：
Kung, FY
影响因子：
7.6
作者：
Buckelew, Sara M.;Adams, Sally H.;Ozer, Elizabeth M.
通讯作者：
Ozer, Elizabeth M.
影响因子：
2.5
作者：
Eaton, Danice K.;Davis, Kristen S.;Noonan, Rita K.
通讯作者：
Noonan, Rita K.
影响因子：
5.5
作者：
Marcell, AV;Halpern-Felsher, B;Millstein, SG
通讯作者：
Millstein, SG
影响因子：
15.8
作者：
McCambridge J;McAlaney J;Rowe R
通讯作者：
Rowe R