SUBSTANCE USE AMONG ADOLESCENTS WITH DIABETES-MELLITUS - PRELIMINARY FINDINGS
SUBSTANCE USE AMONG ADOLESCENTS WITH DIABETES-MELLITUS - PRELIMINARY FINDINGS
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DOI：
10.1016/1054-139x(93)90089-8
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发表时间：
1993-03-01
影响因子：
7.6
通讯作者：
GLADSTEIN, J
中科院分区：
文献类型：
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作者：
GOLD, MA;GLADSTEIN, J
酒精和药物的使用频率进行了评估，通过匿名的，自填式问卷在79糖尿病青少年参加糖尿病睡眠了营地。超过一半的参与者报告至少使用过一次烟草或酒精，12%-25%的人报告一生中使用过五次以上。吸毒和酗酒的总体频率低于一般青少年人口。一项改良的密歇根酒精筛查测试（MAST）被用来评估异常饮酒模式，40%-50%的12岁和16岁的露营者得分异常，这表明近四分之一的糖尿病青少年饮酒危险。有一个高度相关的露营者谁使用药物或酒精和酒精或药物滥用的积极家族史。很少有露营者认为酒精或药物的使用会影响他们的糖尿病控制，大多数人认为他们的控制是好到优秀，从而证明了否认在糖尿病青少年物质使用的影响。青少年糖尿病评估应包括心理社会史，重点是物质使用模式，家庭物质滥用，以及使用MAST来识别高风险个体。
Alcohol and drug use frequency was assessed by means of an anonymous, self-administered questionnaire in 79 diabetic adolescents who attended a diabetic sleep away camp. More than half of the participants reported using tobacco or alcohol at least once and 12%-25% reported greater that five times use in their lifetime. The overall frequency of drug and alcohol use was less than the general adolescent population. A modified Michigan Alcohol Screening Test (MAST) was used to evaluate abnormal drinking patterns, and 40%-50% of 12- and 16-year-old campers had an abnormal score, indicating that almost one-quarter of diabetic teens drink dangerously. There was a high correlation between campers who use drugs or alcohol and a positive family history of alcohol or substance abuse. Few campers perceived alcohol or drug use to affect their diabetic control, and the majority believed their control to be good to excellent, thus demonstrating the impact of denial in diabetic adolescent substance use. Adolescent diabetic assessments should include a psychosocial history, with emphasis on patterns of substance use, family substance abuse, and use of the MAST to identify high-risk individuals.