Screening for Adolescent Alcohol Use in the Emergency Department: What Does It Tell Us About Cannabis, Tobacco, and Other Drug Use?

被引：6

作者：

Spirito, Anthony ^{[1
,2
,3
]}

Bromberg, Julie R. ^{[1
,2
,3
,4
]}

Casper, T. Charles ^{[5
]}

Chun, Thomas ^{[1
,2
,3
,4
]}

Mello, Michael J. ^{[1
,2
,3
,4
]}

Mull, Colette C. ^{[6
]}

Shenoi, Rohit P. ^{[7
,8
]}

Vance, Cheryl ^{[9
]}

Ahmad, Fahd ^{[10
]}

Bajaj, Lalit ^{[11
,12
]}

Brown, Kathleen M. ^{[13
]}

Chernick, Lauren S. ^{[14
]}

Cohen, Daniel M. ^{[15
,16
]}

Fein, Joel ^{[17
,18
]}

Horeczko, Timothy ^{[19
]}

Levas, Michael N. ^{[20
]}

McAninch, B. ^{[21
]}

Monuteaux, Michael C. ^{[22
]}

Grupp-Phelan, Jackie ^{[23
]}

Powell, Elizabeth C. ^{[24
]}

Rogers, Alexander ^{[25
]}

Suffoletto, Brian ^{[21
]}

Linakis, James G. ^{[1
,2
,3
,4
]}

机构：

[1] Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USA

[2] Brown Univ, Dept Pediat, Warren Alpert Med Sch, Providence, RI 02912 USA

[3] Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI 02912 USA

[4] Rhode Isl Hosp, Dept Emergency Med, 55 Claverick St,2nd Floor, Providence, RI 02903 USA

[5] Univ Utah, Dept Pediat, Salt Lake City, UT USA

[6] Nemours Alfred I duPont Hosp Children, Dept Pediat, Wilmington, DE USA

[7] Texas Childrens Hosp, Baylor Coll Med, Dept Emergency Med, Houston, TX 77030 USA

[8] Texas Childrens Hosp, Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA

[9] Univ Calif Davis, Dept Pediat, Davis, CA 95616 USA

[10] Washington Univ, St Louis Childrens Hosp, Dept Emergency Med, St Louis, WA USA

[11] Childrens Hosp Colorado, Dept Pediat Emergency Med, Aurora, CO USA

[12] Childrens Hosp Colorado, Dept Pediat, Aurora, CO USA

[13] Childrens Natl Med Ctr, Dept Emergency Med, Washington, DC 20010 USA

[14] Columbia Univ, Med Ctr, Dept Pediat Emergency Med, New York, NY USA

[15] Nationwide Childrens Hosp, Dept Pediat, Columbus, OH USA

[16] Nationwide Childrens Hosp, Dept Emergency Med, Columbus, OH USA

[17] Childrens Hosp Philadelphia, Dept Pediat, Philadelphia, PA 19104 USA

[18] Childrens Hosp Philadelphia, Dept Emergency Med, Philadelphia, PA 19104 USA

[19] Harbor UCLA Med Ctr, Dept Emergency & Pediat Emergency Med, Los Angeles Biomed Res Inst, Los Angeles, CA USA

[20] Med Coll Wisconsin, Dept Pediat Emergency Med, Milwaukee, WI 53226 USA

[21] Univ Pittsburgh, Childrens Hosp Pittsburgh, UPMC, Div Pediat Emergency Med, Pittsburgh, PA 15213 USA

[22] Boston Childrens Hosp, Dept Pediat, Boston, MA USA

[23] Univ Calif San Francisco, Dept Pediat Emergency Med, San Francisco, CA 94143 USA

[24] Lurie Childrens Hosp Chicago, Dept Pediat Emergency Med, Chicago, IL USA

[25] Univ Michigan, Dept Emergency Med, Ann Arbor, MI 48109 USA

来源：

SUBSTANCE USE & MISUSE | 2019年 / 54卷 / 06期

关键词：

Alcohol screening; adolescent; tobacco; marijuana; other drugs; pediatric emergency department; DIAGNOSTIC INTERVIEW SCHEDULE; PEDIATRIC EMERGENCY; USE DISORDERS; SUICIDE RISK; INTERVENTION; FEASIBILITY; CHILDREN; MISUSE; ONSET; AGE;

D O I：

10.1080/10826084.2018.1558251

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Background: The pediatric emergency department (PED) represents an opportune time for alcohol and drug screening. The National Institute of Alcohol Abuse and Alcoholism (NIAAA) recommends a two-question alcohol screen for adolescents as a predictor of alcohol and drug misuse. Objective: A multi-site PED study was conducted to determine the association between the NIAAA two-question alcohol screen and adolescent cannabis use disorders (CUD), cigarette smoking, and lifetime use of other drugs. Methods: Participants included 12-17-year olds (n=4834) treated in one of 16 participating PEDs. An assessment battery, including the NIAAA two-question screen and other measures of alcohol, tobacco and drug use, was self-administered on a tablet computer. Results: A diagnosis of CUD, lifetime tobacco use or lifetime drug use was predicted by any self-reported alcohol use in the past year, which indicates a classification of moderate risk for middle school ages and low risk for high school ages on the NIAAA two-question screen. Drinking was most strongly predictive of a CUD, somewhat weaker for lifetime tobacco use, and weakest for lifetime drug use. This same pattern held for high school and middle school students and was stronger for high school students over middle school students for all three categories. This association was also found across gender, ethnicity and race. The association was strongest for CUD for high school students, sensitivity 81.7% (95% CI, 77.0, 86.5) and specificity 70.4% (95% CI, 68.6, 72.1). Conclusions/Importance: A single question about past year alcohol use can provide valuable information about other substance use, particularly marijuana.

引用

页码：1007 / 1016

页数：10

共 46 条

[1]

[Anonymous], SBIRT SCREEN BRIEF I

[2]

[Anonymous], 2014, PRINCIPLES ADOLESCEN

[3]

[Anonymous], 91 US DEP HHS NAT IA

[4]

[Anonymous], 2011, ALC SCREEN BRIEF INT

[5]

[Anonymous], 2014, B AM COLL SURG

[6]

[Anonymous], 809935 DOT HS NAT HI

[7]

[Anonymous], 2011, ALC SCREEN EM DEP PO

[8]

[Anonymous], ALCOHOLISM CLINICAL

[9]

[Anonymous], 2016, Wide-ranging online data for epidemiologic research (wonder)

[10] Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study [J].

Bromberg, Julie R. ;

Spirito, Anthony ;

Chun, Thomas ;

Mello, Michael J. ;

Casper, T. Charles ;

Ahmad, Fahd ;

Bajaj, Lalit ;

Brown, Kathleen M. ;

Chernick, Lauren S. ;

Cohen, Daniel M. ;

Fein, Joel ;

Horeczko, Tim ;

Levas, Michael N. ;

McAninch, Brett ;

Monuteaux, Michael ;

Mull, Colette C. ;

Grupp-Phelan, Jackie ;

Powell, Elizabeth C. ;

Rogers, Alexander ;

Shenoi, Rohit P. ;

Suffoletto, Brian ;

Vance, Cheryl ;

Linakis, James G. .

PEDIATRIC EMERGENCY CARE, 2019, 35 (11) :737-744

← 1 2 3 4 5 →