Disclosure of Adolescent Substance Use in Primary Care: Comparison of Routine Clinical Screening and Anonymous Research Interviews.

Autor: Gryczynski J; Friends Research Institute, Social Research Center, Baltimore, Maryland. Electronic address: jgryczynski@friendsresearch.org., Mitchell SG; Friends Research Institute, Social Research Center, Baltimore, Maryland., Schwartz RP; Friends Research Institute, Social Research Center, Baltimore, Maryland., Kelly SM; Friends Research Institute, Social Research Center, Baltimore, Maryland., Dušek K; Friends Research Institute, Social Research Center, Baltimore, Maryland., Monico L; Friends Research Institute, Social Research Center, Baltimore, Maryland., O'Grady KE; University of Maryland, College Park, Maryland., Brown BS; University of North Carolina, Wilmington, North Carolina., Oros M; Mosaic Group, Baltimore, Maryland., Hosler C; Mosaic Group, Baltimore, Maryland.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2019 Apr; Vol. 64 (4), pp. 541-543. Date of Electronic Publication: 2018 Dec 18.
DOI: 10.1016/j.jadohealth.2018.10.009
Abstrakt: Purpose: 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.
Methods: 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.
Results: 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).
Conclusions: Routine clinical screening may underestimate substance use among adolescents.
(Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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