The prevalence and detection of substance use disorders among inpatients ages 18 to 49: an opportunity for prevention.

Abstract:

BACKGROUND:Previous studies have found that substance use disorders are prevalent among inpatients of general medical hospitals. These studies were limited in the validity of their measures, their failure to distinguish between current and lifetime disorders, or their lack of attention to drugs other than alcohol. METHODS:The current study used validate diagnostic instruments to measure current and lifetime alcohol and other drugs abuse and dependence among patients ages 18 through 49. Additionally, this study assessed the sensitivity and specificity of four substance abuse screening questions. Patients were recruited from the general medical, general surgery, and orthopedics services of a university hospital in Madison, Wisconsin. The sample included 363 patients, or 86.4% of those recruited. RESULTS:The current and lifetime prevalence rates of substance use disorders were 21.8 and 49.6%, respectively. The prevalence rates of current problems were 16.3%, alcohol only; 2.5%, other drugs only; and 3.0%, alcohol and other drugs. Males had nearly a 30% current prevalence of current substance use disorders. The CAGE Questions Adapted to Include Drugs exhibited 70.9% sensitivity and 75.7% specificity. CONCLUSIONS:At one hospital, and perhaps at others, an alcohol and drug screening, assessment, and intervention program may have the potential to prevent future health and social problems.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Brown RL,Leonard T,Saunders LA,Papasouliotis O

doi

10.1006/pmed.1997.0250

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

101-10

issue

1

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(97)90250-4

journal_volume

27

pub_type

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