Sociodemographic and substance use correlates of tobacco use in a large, multi-ethnic sample of emergency department patients

McCabe, Cameron T.; Woodruff, Susan I.; Zúñiga, María Luisa

doi:10.1016/j.addbeh.2011.04.002

Cited by 9 publications

(22 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because these conditions worsen prognosis, lead to high morbidity, 21,22,24 and can contribute to inappropriate service use, 9,10 it is not surprising we found that patients with these disorders consistently had greater likelihood of ED use relative to controls. ED visits were the highest among patients with opioid use disorder, followed by those with marijuana and alcohol use disorders, which is contrary to prior work that has documented most SUD-related ED visits are associated with alcohol use disorder.…”

Section: Discussionmentioning

confidence: 70%

“…9,13,14,24 Since our medical comorbidity measure combined acute and chronic conditions, it will be important for future work to identify which individual medical conditions (e.g., overdose, injury, respiratory infections, etc.) contribute most strongly to ED admission.…”

Section: Discussionmentioning

confidence: 99%

“…7 In addition, persons with alcohol, marijuana, or opioid use disorder are more likely to have comorbid conditions, which worsen prognosis, contribute to poor health, 8 and can lead to inappropriate health service use. 9,10 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Alcohol, Marijuana, and Opioid use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

et al. 2018

View full text Add to dashboard Cite

Background Changes in substance use patterns stemming from opioid misuse, ongoing drinking problems, and marijuana legalization may result in new populations of patients with substance use disorders (SUDs) using emergency department (ED) resources. This study examined ED admission trends in a large sample of patients with alcohol, marijuana, and opioid use disorders in an integrated health system. Methods In a retrospective design, electronic health record (EHR) data identified patients with ≥1 of 3 common SUDs in 2010 (n = 17,574; alcohol, marijuana, or opioid use disorder) and patients without SUD (n = 17,574). Logistic regressions determined odds of ED use between patients with SUD versus controls (2010–2014); mixed-effect models examined 5-year differences in utilization; moderator models identified subsamples for which patients with SUD may have a greater impact on ED resources. Results Odds of ED use were higher at each time point (2010–2014) for patients with alcohol (odds ratio [OR] range: 5.31–2.13, Ps < .001), marijuana (OR range: 5.45–1.97, Ps < .001), and opioid (OR range: 7.63–4.19, Ps < .001) use disorders compared with controls; odds decreased over time (Ps < .001). Patients with opioid use disorder were at risk of high ED utilization; patients were 7.63 times more likely to have an ED visit in 2010 compared with controls and remained 5.00 (average) times more likely to use ED services. ED use increased at greater rates for patients with alcohol and opioid use disorders with medical comorbidities relative to controls (Ps < .045). Conclusions ED use is frequent in patients with SUDs who have access to private insurance coverage and integrated medical services. ED settings provide important opportunities in health systems to identify patients with SUDs, particularly patients with opioid use disorder, to initiate treatment and facilitate ongoing care, which may be effective for reducing excess medical emergencies and ED encounters.

show abstract

Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Alcohol, Marijuana, and Opioid use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The prevalence of ATOD use problems among ED patients is 50 to 100% higher than U.S. averages (Center for Disease Control, 2012a, 2011; Cherpitel and Ye, 2008; McCabe et al, 2011; Substance Abuse and Mental Health Services Administration, 2012a). A large percentage of ED patients have unrecognized ATOD treatment needs and are more likely to be admitted to the hospital and to repeatedly utilize EDs (Hankin et al, 2013; Rockett et al, 2005, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…A large percentage of ED patients have unrecognized ATOD treatment needs and are more likely to be admitted to the hospital and to repeatedly utilize EDs (Hankin et al, 2013; Rockett et al, 2005, 2003). Alcohol and tobacco are the most prevalent substances used by ED patients (McCabe et al, 2011; Rockett et al, 2006), with marijuana and cocaine being the most common illicit drugs (Vitale and van de Mheen, 2006). Similar to the general population (Substance Abuse and Mental Health Services Administration, 2012a), ED patients with at-risk drinking levels are more likely to use tobacco and illicit drugs than other ED patients (Fleming et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Alcohol, tobacco, and drug use among emergency department patients

Sanjuán

Rice

Witkiewitz

et al. 2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background The prevalence of alcohol, tobacco, and other drug (ATOD) use among emergency department (ED) patients is high and many of these patients have unrecognized and unmet substance use treatment needs. Identification of patients in the ED with problem substance use is not routine at this time. Methods We examined screening data, including standardized measures of ATOD use (HSI, AUDIT-C, DAST-10), from 14,866 ED patients in six hospitals across the United States. We expected younger age, male gender, higher triage acuity, and other substance use severity (ATOD) to be associated both with use versus abstinence and with severity of each substance use type. We used negative binomial hurdle models to examine the association between covariates and (1) substance use versus abstinence (logistic submodel) and with (2) severity among those who used substances (count submodel). Results Rates of use and problem use in our sample were similar to or higher than other ED samples. Younger patients and males were more likely to use ATOD, but the association of age and gender with severity varied across substances. Triage level was a poor predictor of substance use severity. Alcohol, tobacco, and drug use were significantly associated with using other substances and severity of other substance use. Conclusion Better understanding of the demographic correlates of ATOD use and severity and the patterns of comorbidity among classes of substance can inform the design of optimal screening and brief intervention procedures addressing ATOD use among ED patients. Tobacco may be an especially useful predictor.

show abstract

Tobacco Use in South African Emergency Centre Patients: Opportunities for Intervention

Westhuizen

Malan

Naledi

et al. 2018

Int J Ment Health Addiction

View full text Add to dashboard Cite

Sociodemographic and substance use correlates of tobacco use in a large, multi-ethnic sample of emergency department patients

Cited by 9 publications

References 32 publications

Alcohol, Marijuana, and Opioid use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Alcohol, Marijuana, and Opioid use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Alcohol, tobacco, and drug use among emergency department patients

Tobacco Use in South African Emergency Centre Patients: Opportunities for Intervention

Contact Info

Product

Resources

About