RT Journal Article
SR Electronic
T1 Recreational Drug Use Among Primary Care Patients: Implications of a Positive Self-Report
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 257
OP 260
DO 10.1370/afm.1750
VO 13
IS 3
A1 Judith Bernstein
A1 Debbie M. Cheng
A1 Na Wang
A1 Caitlin Trilla
A1 Jeffrey Samet
A1 Richard Saitz
YR 2015
UL http://www.annfammed.org/content/13/3/257.abstract
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.