Disclosure of Adolescent Substance Use in Primary Care: Comparison of Routine Clinical Screening and Anonymous Research Interviews.
Primary care
Screening
Substance use
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
22
06
2018
revised:
16
10
2018
accepted:
17
10
2018
pubmed:
24
12
2018
medline:
25
7
2020
entrez:
23
12
2018
Statut:
ppublish
Résumé
The American Academy of Pediatrics recommends substance use screening in adolescent primary care. Many studies of substance use prevalence and screening tool validation are conducted under research protocols that differ from routine clinical screening in context, consequences, and privacy implications. This study is a secondary analysis drawing from two projects focused on adolescent primary care patients, aged 12-17, conducted nearly contemporaneously in a Federally Qualified Health Center system. The first project conducted anonymous research interviews with patients (N = 525), while the other tracked routine clinical screening as part of a larger service implementation project (N = 5,971). Both projects assessed substance use with the CRAFFT screening tool. Rates of substance use disclosure and substance use problems were over three and four times higher, respectively, in the anonymous research interview sample compared to rates found in routine clinical screening (p values < .001). Routine clinical screening may underestimate substance use among adolescents.
Identifiants
pubmed: 30578116
pii: S1054-139X(18)30470-1
doi: 10.1016/j.jadohealth.2018.10.009
pmc: PMC6601606
mid: NIHMS1516996
pii:
doi:
Types de publication
Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
541-543Subventions
Organisme : NIDA NIH HHS
ID : R01 DA026003
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA034258
Pays : United States
Informations de copyright
Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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