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Ethnic differences in the effect of drug use and drug dependence on brief motivational interventions targeting alcohol use.

Abstract：

BACKGROUND:We examined the effects of baseline drug use and dependence on alcohol use outcomes following brief motivational intervention for at-risk drinking (BMI-ETOH). METHODS:HLM models were developed to test the interaction of drug use and dependence with BMI-ETOH for alcohol use among Hispanic (n=539), Caucasian (n=667), and black (n=287) patients admitted to a Level-1 trauma center who screened positive for alcohol misuse. RESULTS:Analyses of an interaction of drug dependence and BMI-ETOH at baseline showed significant positive effects among Hispanics but not Caucasians or Blacks at six- and 12-months for percent days abstinent (6-month: B=0.27, SE=0.10, p=0.006; 12-month: B=0.41, SE=0.11, p<0.001), volume per week (6-month: B=-1.91, SE=0.77, p=0.01; 12-month: B = -2.71, SE=0.86, p=0.002), and maximum amount consumed (6-month: B = -1.08, SE=0.46, p=0.02; 12-month: B = -1.62, SE=0.52, p=0.002). CONCLUSIONS:Baseline drug dependence did not negatively impact drinking outcomes. Among Hispanics, those with drug dependence at baseline who received a BMI-ETOH demonstrated consistent improvements across drinking outcomes. While the effects of drug use at baseline on drinking outcomes following BMI-ETOH varied by type of drug used and ethnicity, additional research is required.

journal_name

Drug Alcohol Depend

journal_title

Drug and alcohol dependence

authors

Field CA,Cochran G,Caetano R

doi

10.1016/j.drugalcdep.2012.04.009

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

21-6

issue

1-2

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(12)00135-4

journal_volume

126

pub_type

杂志文章,随机对照试验

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