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. 2019 Jun;64(6):804-806.
doi: 10.1016/j.jadohealth.2019.02.011.

Screening and Counseling for Alcohol Use in Adolescents With Chronic Medical Conditions in the Ambulatory Setting

Julie Lunstead  1 , Elissa R Weitzman  2 , Elizabeth Harstad  3 , Fatma Dedeoglu  4 , Jonathan M Gaffin  5 , Katharine C Garvey  6 , Andrew MacGinnitie  7 , Paul A Rufo  8 , Laurie Newman Fishman  9 , Lauren E Wisk  10 , Sharon Levy  11
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Screening and Counseling for Alcohol Use in Adolescents With Chronic Medical Conditions in the Ambulatory Setting

Julie Lunstead et al. J Adolesc Health. 2019 Jun.

Abstract

Purpose: We seek to determine how youth with chronic medical conditions experience alcohol screening and counseling.

Methods: Adolescents with type I diabetes, juvenile idiopathic arthritis, moderate persistent asthma, cystic fibrosis, attention deficit hyperactivity disorder, or inflammatory bowel disease were surveyed. Descriptive statistics and regression analysis quantified rates of asking and counseling about alcohol.

Results: Of 390 participants (75.1% white/non-Hispanic, 51.8% female, average age 16.4 years), 70% reported being asked about their alcohol use by a healthcare provider, and 76% reported receiving at least one message regarding alcohol and health. Of past year drinkers, 54% disclosed use to their provider. Only 2.0% of youth reported receiving the message "I should not drink."

Conclusions: Most youth with chronic medical conditions were asked and counseled about alcohol use although few heard unambiguous recommendations to avoid alcohol consumption.

Keywords: Alcohol; Counseling; Screening; Youth with chronic conditions.

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References

    1. Committee on Substance Abuse, Kokotailo PK. Alcohol use by youth and adolescents: a pediatric concern. Pediatrics. 2010;125(5):1078–1087. doi:10.1542/peds.2010-0438 - DOI - PubMed
    1. Schizer M, Weitzman ER, Levy S. Medical Issues in Adolescent Substance Use: Background and Role of the Primary Care Physician In: Zucker R, Brown S, eds. The Oxford Handbook of Adoelscent Substance Abuse. Oxford University Press; 2016. doi:10.1093/oxfordhb/9780199735662.013.39 - DOI
    1. Lipstein EA, Muething KA, Dodds CM, Britto MT. “I’m the One Taking It”: Adolescent Participation in Chronic Disease Treatment Decisions. J Adolesc Heal. 2013;53(2):253–259. doi:10.1016/j.jadohealth.2013.02.004 - DOI - PubMed
    1. Weitzman ER, Magane KM, Wisk LE, Allario J, Harstad E, Levy S. Alcohol Use and Alcohol-Interactive Medications Among Medically Vulnerable Youth. Pediatrics. 2018;142(4):e20174026. doi:10.1542/peds.2017-4026 - DOI - PMC - PubMed
    1. Levy S, Dedeoglu F, Gaffin J, et al. A Screening Tool for Assessing Alcohol Use Risk Among Medically Vulnerable Youth. PLoS One. 2016;in press. - PMC - PubMed

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