Medical conditions of adolescents in alcohol and drug treatment: Comparison with matched controls
Medical conditions of adolescents in alcohol and drug treatment: Comparison with matched controls
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DOI：
10.1016/j.jadohealth.2006.09.021
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发表时间：
2007-02-01
影响因子：
7.6
通讯作者：
Weisner, Constance M.
中科院分区：
文献类型：
--
作者：
Mertens, Jennifer R.;Flisher, Alan J.;Weisner, Constance M.
目的：酒精和药物问题与成年人的医疗问题有关。关于青少年酗酒和吸毒病症与具体医疗问题之间关系的研究较少，而且侧重于急性后果。这项研究解决了文献中关于青少年酒精和药物使用disorder.Methods的医疗共病的差距：这项研究比较了417名青少年酒精和药物治疗患者与2082名来自同一管理式医疗保健计划的人口统计学匹配的对照组之间的医疗状况的患病率，并检查比较是否在物质类型亚组之间存在差异。大约四分之一的共病状况在青少年酒精和药物患者中比在匹配的对照组中更常见，并且一些是非常昂贵的状况（例如，哮喘、损伤）。我们还发现，疼痛相关的诊断，包括头痛和腹痛，更普遍的酒精和药物patients.Conclusions：我们的研究结果指出，检查共病的药物和化学品的依赖，在青少年的初级保健和专科护理的重要性。此外，许多常见医学疾病的最佳治疗可能需要识别，干预和治疗物质使用问题。(c)2007年，为青少年医学。All rights reserved.
Purpose: Alcohol and drug problems are associated with medical problems among adults. Research on the relationship of adolescent alcohol and drug use disorders to specific medical problems is less developed and focused on acute consequences. This study addresses gaps in the literature regarding medical comorbidifies in adolescents with alcohol and drug use disorders.Methods: This study compares the prevalence of medical conditions among 417 adolescent alcohol and drug treatment patients with 2082 demographically matched controls from the same managed care health plan and examines whether comparisons vary among substance-type subgroups.Results: Approximately one-fourth of the comorbid conditions examined were more common among adolescent alcohol and drug patients than among matched controls, and several were highly costly conditions (e.g., asthma, injury). We also found that pain-related diagnoses, including headache and abdominal pain, were more prevalent among alcohol and drug patients.Conclusions: Our findings point to the importance of examining comorbid medical and chemical dependency in both adolescent primary care and specialty care. Moreover, optimal treatment of many common medical disorders may require identification, intervention, and treatment of a substance use problem. (c) 2007 Society for Adolescent Medicine. All rights reserved.