原创力文档screening for adolescent alcohol and drug use in pediatric health-care settings predictors and implications for practice and policy筛查青少年酗酒和吸毒在儿科医疗环境预测和对实践和政策.pdfVIP
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screening for adolescent alcohol and drug use in pediatric health-care settings predictors and implications for practice and policy筛查青少年酗酒和吸毒在儿科医疗环境预测和对实践和政策
Sterling et al. Addiction Science Clinical Practice 2012, 7:13
/content/7/1/13
RESEARCH Open Access
Screening for adolescent alcohol and drug use in
pediatric health-care settings: predictors and
implications for practice and policy
1* 1 2 3 1,4
Stacy Sterling , Andrea H Kline-Simon , Charles Wibbelsman , Anna Wong and Constance Weisner
Abstract
Objective: This paper used data from a study of pediatric primary care provider (PCP) screening practices to
examine barriers to and facilitators of adolescent alcohol and other drug (AOD) screening in pediatric primary care.
Methods: A web-based survey (N = 437) was used to examine the influence of PCP factors (attitudes and
knowledge, training, self-efficacy, comfort with alcohol and drug issues); patient characteristics (age, gender,
ethnicity, comorbidities and risk factors); and organizational factors (screening barriers, staffing resources,
confidentiality issues) on AOD screening practices. Self-reported and electronic medical record (EMR)-recorded
screening rates were also assessed.
Results: More PCPs felt unprepared to diagnose alcohol abuse (42%) and other drug abuse (56%) than depression
(29%) (p 0.001). Overall, PCPs were more likely to screen boys than girls, and male PCPs were even more likely
than female PCPs to screen boys (23% versus 6%, p 0.0001). Having more time and having other staff screen and
review results were identified as potential screening facilitators. Self-reported screening rates were significantly
higher than actual (EMR-recorded) rates for all substances. Feeling prepared to diagnose AOD problems predicted
higher self-reported screening rates (OR = 1.02, p 0.001), and identifying time cons
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