PT  - JOURNAL ARTICLE
AU  - Judith Bernstein
AU  - Debbie M. Cheng
AU  - Na Wang
AU  - Caitlin Trilla
AU  - Jeffrey Samet
AU  - Richard Saitz
TI  - Recreational Drug Use Among Primary Care Patients: Implications of a Positive Self-Report
AID  - 10.1370/afm.1750
DP  - 2015 May 01
TA  - The Annals of Family Medicine
PG  - 257--260
VI  - 13
IP  - 3
4099  - http://www.annfammed.org/content/13/3/257.short
4100  - http://www.annfammed.org/content/13/3/257.full
SO  - Ann Fam Med2015 May 01; 13
AB  - 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.