TY - JOUR T1 - Recreational Drug Use Among Primary Care Patients: Implications of a Positive Self-Report JF - The Annals of Family Medicine JO - Ann Fam Med SP - 257 LP - 260 DO - 10.1370/afm.1750 VL - 13 IS - 3 AU - Judith Bernstein AU - Debbie M. Cheng AU - Na Wang AU - Caitlin Trilla AU - Jeffrey Samet AU - Richard Saitz Y1 - 2015/05/01 UR - http://www.annfammed.org/content/13/3/257.abstract N2 - Should recreational drug use raise clinical concern? We examined the association between weekend-only recreational drug use at baseline (yes vs no) and any increase in recreational drug use frequency or severity over 6 months among primary care patients who screen positive for drug use. In the weekend-only recreational drug use group (52/483 [10.8%]), 54% (28/52) started using drugs on weekdays. Compared with use not limited to weekends, weekend-only use was associated with lower odds of increasing drug use frequency (AOR 0.48, P = 0.03) and lower odds (non-significant) of increasing severity (AOR 0.56, P = 0.07). Although weekend-only recreational drug use appears prognostically less severe, the findings nonetheless suggest that continued episodic monitoring may be clinically wise. ER -