Knowledge and practice of harm-reduction behaviours for alcohol and other illicit substance use in adolescents with type 1 diabetes
| Autor: | Josephine Ho, Danièle Pacaud, Kathryn Potter, Heidi Virtanen, Laura Kaminsky, Paola Luca, Alberto Nettel-Aguirre |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Harm reduction
Type 1 diabetes medicine.medical_specialty Illicit Substance biology business.industry Illicit substance use Alcohol medicine.disease biology.organism_classification 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry 030225 pediatrics Diabetes mellitus Pediatrics Perinatology and Child Health Health care medicine 030212 general & internal medicine Cannabis Online Only Original Articles Psychiatry business |
| Zdroj: | Paediatricschild health. 24(1) |
| ISSN: | 1205-7088 |
| Popis: | Objective To survey adolescents with type 1 diabetes mellitus (T1DM) about their knowledge and application of harm-reduction recommendations when they engage in alcohol and other illicit substance use. Methods Cross-sectional survey and chart review of adolescents with T1DM aged 13 to 18 years. Results One hundred and ninety patients were approached and 164 were included in the analysis. Mean age was 15.6 years (standard deviation [SD]=1.5). Fifty-one per cent were male. Of those who reported consuming alcohol, 95% knew that they should have a friend or parent check their blood glucose in the middle of the night after drinking but only 62% reported actually doing this in practice. Similarly, 98% reported knowing that they should wear a medic alert identification but only 79% reported actually doing this. Of those who reported consuming cannabis, 14% reported forgetting to check blood glucose and 14% reported forgetting insulin when using cannabis. From the chart review, a significantly lower proportion of adolescents reported substance use during their clinic visits (alcohol 26%, tobacco 19%, illicit substance 25%) compared to the self report in the survey (alcohol 55%, tobacco 30%, illicit substance 32%). Conclusions Adolescents' knowledge of harm-reduction practices for the use of alcohol and other illicit substances is not always put to practice. Motivating adolescents to use their knowledge in practice is an important area to improve in diabetes self-management. Those who reported engaging in substance use in the survey had not always reported use during interactions with health care providers. This emphasizes the need for unbiased, universal education of all adolescents in the clinic. |
| Databáze: | OpenAIRE |
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