Unhealthy alcohol use in primary care patients who screen positive for drug use.

Published on Jul 1, 2017in Substance Abuse2.652
· DOI :10.1080/08897077.2016.1216920
Christine Maynié-François (BU: Boston University), Debbie M. Cheng44
Estimated H-index: 44
(BU: Boston University)
+ 4 AuthorsRichard Saitz68
Estimated H-index: 68
(BU: Boston University)
ABSTRACTBackground: Unhealthy alcohol use (UAU) is common among people who use other drugs; however, little information is available about UAU among patients who screen positive for drugs in primary care, where the clinical priority might be assumed to be drug use. This study aimed at describing the occurrence of UAU and its association with substance use–related outcomes in such patients. Methods: This cohort study is a secondary analysis of data from a randomized trial of brief intervention for primary care patients screening positive for drug use. UAU was assessed at baseline; the main independent variable was any heavy drinking day in the past month. Outcomes including drug use characteristics and substance use–related consequences were assessed at baseline and 6 months later. Results: Of 589 primary care patients with drug use, 48% had at least 1 past-month heavy drinking day. The self-identified main drug was marijuana for 64%, cocaine for 18%, and an opioid for 16%. Any heavy drinking at baseline w...
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