Recreational Drug Use Among Primary Care Patients: Implications of a Positive Self-Report

被引:3
作者
Bernstein, Judith [1 ,2 ]
Cheng, Debbie M. [3 ,4 ]
Wang, Na [5 ]
Trilla, Caitlin [4 ]
Samet, Jeffrey [4 ]
Saitz, Richard [4 ]
机构
[1] Boston Univ, Sch Publ Hlth, Dept Community Hlth Sci, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Dept Emergency Med, Boston, MA 02118 USA
[3] Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02118 USA
[4] Boston Univ, Sch Med, Boston Med Ctr, Dept Med,Gen Internal Med Sect,Clin Addict Res &, Boston, MA 02118 USA
[5] Boston Univ, Sch Publ Hlth, Data Coordinating Ctr, Boston, MA 02118 USA
关键词
recreational drug use; consequences of drug use; days of drug use; drug severity; primary care; ALCOHOL; INTERVENTION; VALIDATION; SEVERITY; VALIDITY;
D O I
10.1370/afm.1750
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Should recreational drug use raise clinical concern? We examined the association between weekend-only recreational drug use at baseline (yes vs no) and any increase in recreational drug use frequency or severity over 6 months among primary care patients who screen positive for drug use. In the weekend-only recreational drug use group (52/483 [10.8%]), 54% (28/52) started using drugs on weekdays. Compared with use not limited to weekends, weekend-only use was associated with lower odds of increasing drug use frequency (AOR 0.48, P = 0.03) and lower odds (non-significant) of increasing severity (AOR 0.56, P = 0.07). Although weekend-only recreational drug use appears prognostically less severe, the findings nonetheless suggest that continued episodic monitoring may be clinically wise.
引用
收藏
页码:257 / 260
页数:4
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