scholarly journals Comparison of the Substance Use Brief Screen (SUBS) to the AUDIT-C and ASSIST for detecting unhealthy alcohol and drug use in a population of hospitalized smokers

2017 ◽  
Vol 79 ◽  
pp. 67-74 ◽  
Author(s):  
Benjamin H. Han ◽  
Scott E. Sherman ◽  
Alissa R. Link ◽  
Binhuan Wang ◽  
Jennifer McNeely
Author(s):  
Yeji Lee ◽  
Kang-Sook Lee

Violence victimization can adversely affect adolescents’ long-term health. Existing research has mainly focused on the link between victimization and substance use; however, the evidence obtained to date has been inconsistent. This study, using a Korean national representative sample, examined the association between violence victimization and substance-use patterns (including tobacco, alcohol, and drug use) in terms of sex and number of violence victimization experiences. We analyzed secondary data from the 2017 Korean Youth Risk Behavior Web-based Survey. Chi-squared test analyses and logistic regression analysis were used to examine substance use in terms of violence victimization; additionally, p-values for trends were calculated to reveal the dose-response relationship per number of violence victimization experiences. We consequently found that participants’ rates of tobacco, alcohol, and drug use were higher among those who experienced violence victimization than among those who did not. For each substance-use-related variable, the greater the violence victimization experience, the higher the odds of substance use (p for trend < 0.001). Early intervention may help prevent the development of substance use, especially among adolescents who have experienced violence victimization. Prevention efforts regarding substance abuse and violence prevention should be included in school curricula to effectively prevent adverse health consequences among adolescents.


2018 ◽  
Vol 23 (1) ◽  
pp. 190-200 ◽  
Author(s):  
Onyema Ogbuagu ◽  
Brandon D. L. Marshall ◽  
Perry Tiberio ◽  
Adedotun Ogunbajo ◽  
Lydia Barakat ◽  
...  

Author(s):  
Helene Raskin White ◽  
Courtney Cronley ◽  
Padmini Iyer

This chapter examines alcohol and drug use as risk factors for delinquency during adolescence. There is strong evidence for comorbidity between substance use and delinquency for individuals. Users, compared to nonusers, are more likely to be delinquent; and delinquents, compared to nondelinquents, are more likely to use substances. Conversely, substance use and delinquency follow different developmental patterns from adolescence into young adulthood, and trends in adolescent substance use and delinquency from 1980 through 2009 do not converge well. Alcohol, compared to drugs, has a stronger acute effect on adolescent aggression/violence. Developmentally, there appears to be a reciprocal association between substance use and delinquency, although findings differ across samples and time frames. There are several alternative models that explain why alcohol and drug use are risk factors for adolescent delinquency.


2015 ◽  
Vol 27 (4) ◽  
pp. 405-413 ◽  
Author(s):  
Cuneyt Evren ◽  
Bilge Evren ◽  
Muge Bozkurt ◽  
Arzu Ciftci-Demirci

Abstract Aims: The aim of this study was to determine the effects of life-time tobacco, alcohol, and substance use on psychological and behavioral variables among 10th grade students in Istanbul/Turkey. Materials and methods: This study employed a cross-sectional online self-report survey conducted in 45 schools from the 15 districts in Istanbul. The questionnaire featured a section about use of substances, including tobacco, alcohol, and drugs. The depression, anxiety, anger, assertiveness, sensation seeking and impulsiveness subscales of the Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on 4957 subjects. Results: Logistic regression analyses were conducted with each school with the related and behavioral variables as the dependent variables. Gender, tobacco, alcohol, and drug use being the independent variables. All four independent variables predicted the dependent variables. Lifetime tobacco and drug use had significant effects on all the subscale score, whereas lifetime alcohol use had significant effects on all the subscale scores other than lack of assertiveness, and male gender was a significant covariant for all the subscale scores. Drug use showed the highest effect on dependent variables. Interaction was found between effects of tobacco and alcohol on anxiety, whereas interactions were found between effects of tobacco and drugs on lack of assertiveness and impulsiveness. Conclusion: The findings suggested that male students with lifetime tobacco, alcohol or drug use have particularly high risk of psychological and behavioral problems. The unique effects of substance clusters on these problems may be useful in developing secondary preventive practices for substance use and abuse problems in Istanbul.


2016 ◽  
Vol 21 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Paul Hammerness ◽  
Carter Petty ◽  
Stephen V. Faraone ◽  
Joseph Biederman

Objective: The purpose of this study was to examine the impact of stimulant treatment on risk for alcohol and illicit drug use in adolescents with ADHD. Method: Analysis of data derived from a prospective open-label treatment study of adolescent ADHD ( n = 115, 76% male), and a historical, naturalistic sample of ADHD ( n = 44, 68% male) and non-ADHD youth ( n = 52, 73% male) of similar age and sex. Treatment consisted of extended-release methylphenidate in the clinical trial or naturalistic stimulant treatment. Self-report of alcohol and drug use was derived from a modified version of the Drug Use Screening Inventory. Results: Rates of alcohol and drug use in the past year were significantly lower in the clinical trial compared with untreated and treated naturalistic ADHD comparators, and similar to rates in non-ADHD comparators. Conclusion: Well-monitored stimulant treatment may reduce the risk for alcohol and substance use in adolescent ADHD.


1993 ◽  
Vol 23 (3) ◽  
pp. 525-533 ◽  
Author(s):  
Donna B. Towberman ◽  
R. Michael McDonald

Self-concept has been often examined in relation to adolescent substance use and research results have shown consistently strong association between the two. Yet, the authors maintain that the global construct is amorphous and lacking in defined boundaries that allow for planning and implementation of educational and treatment interventions that effectively impact self-concept. The purpose of the study was to examine the underlying dimensions of self-concept that relate to adolescent alcohol and drug use. Four constitutive dimensions of self-concept were identified through factor analysis. These four factors are negative image, self- confidence, bonding and effectiveness. All four self-concept measures were found to significantly correlate with both drug experimentation and frequency of drug use. Three of the self- concept factors (negative image, self-confidence, and effectiveness) are considered to be internally referenced. These dimensions of self-concept may be the cumulative effect of genetic, psychological and environmental forces. The intractable nature of internal self-concept dimensions may require intensive services and ongoing support services for effective treatment of deficits. However, the fourth self-concept factor, bonding, is primarily viewed as an externally-referenced factor. Remediation of bonding deficits calls for inclusion of significant others in the overall strategy of self-concept enhancement.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Joshua W. Elder ◽  
Evan F. Wu ◽  
James A. Chenoweth ◽  
James F. Holmes ◽  
Aman K. Parikh ◽  
...  

Background. Screening for unhealthy alcohol and drug use in the emergency department (ED) can be challenging due to crowding, lack of privacy, and overburdened staff. The objectives of this study were to determine the feasibility and utility of a brief tablet-based screening method in the ED and if patients would consider a face-to-face meeting with a certified alcohol and drug counselor (CADC) for more in-depth screening, brief intervention, and referral to treatment (SBIRT) helpful via this interface. Methods. A tablet-based questionnaire was offered to 500 patients. Inclusion criteria were age ≥18, Emergency Severity Index 2–5, and English comprehension. Subjects were excluded if they had evidence of acute intoxication and/or received sedating medication. Results. A total of 283 (57%) subjects were enrolled over a 4-week period, which represented an increase of 183% over the monthly average of patients referred for SBIRT by the CADC prior to the study. There were 131 (46%) who screened positive for unhealthy alcohol and drug use, with 51 (39%) and 37 (28%) who screened positive for solely unhealthy alcohol use and drug use/drug use disorders, respectively. There were 43 (33%) who screened positive for combined unhealthy alcohol and drug use. Despite willingness to participate in the tablet-based questionnaire, only 20 (15%) with a positive screen indicated via the tablet that a face-to-face meeting with the CADC for further SBIRT would be helpful. Conclusion. Brief tablet-based screening for unhealthy alcohol and drug use in the ED was an effective method to increase the number of adult patients identified than solely by their treating clinicians. However, only a minority of subjects screening positive using this interface believed a face-to-face meeting with the CADC for further SBIRT would be helpful.


PEDIATRICS ◽  
2000 ◽  
Vol 106 (4) ◽  
pp. 792-797 ◽  
Author(s):  
J. Biederman ◽  
S. V. Faraone ◽  
M. C. Monuteaux ◽  
J. A. Feighner

2016 ◽  
Vol 43 (4) ◽  
pp. 350-368
Author(s):  
Jeanette Østergaard ◽  
Stine V. Østergaard ◽  
Adam Fletcher

Cross-national surveys of young adults’ simultaneous polydrug use (SPU) are rare, as measuring polydrug use requires multiple questions capturing the timing, sequence, and dosage of mixing drugs. This study proposes a new way of measuring SPU by examining how preferences for simultaneous polydrug use (PSPU) vary among club/bar-goers in two European countries, Denmark and England, typically cited as exemplars of the normalization of illegal drug use. The study considers the utility of the normalization thesis for understanding preferences for polydrug use in the European nighttime economy. An in situ survey of 1,298 young adults (18–35 years) conducted in 50 bars, pubs, and nightclubs in England and Denmark assessed sociodemographics, substance use patterns, and personal preference(s) for mixing alcohol and drug use. Multinomial regression analyses examined the relative risk of PSPU categories among those reporting drug use, according to sociodemographics, alcohol intake, frequency of intoxication, and smoking. Illicit drug use was more prevalent among young adults in England than Denmark. The difference was smallest for cannabis use: Lifetime cannabis use is 66% in England and 58% in Denmark. Lifetime cocaine use was 38% in England and 17% in Denmark. In England, young adults with drug experience preferred to mix alcohol with cocaine (65%). In Denmark, young adults with drug experience preferred to mix alcohol with cannabis (78%). In multinominal regression, Danish young adults’ educational level was associated with PSPU, whereas in England legal substance use was associated with PSPU. This study calls for a more differentiated understanding of normalization. Preferences for mixing alcohol and drug use varied significantly cross nationally (alcohol/cocaine, England; alcohol/cannabis, Denmark). Different factors are associated with PSPU in each country. In England, not Denmark, drinking behaviors appear to shape preferences for mixing alcohol with cocaine, suggesting caution should be taken when replicating harm reduction interventions.


Sign in / Sign up

Export Citation Format

Share Document