Utility of Point-of-care Urine Drug Tests in the Treatment of Primary Care Patients With Drug Use Disorders.
J Addict Med
; 10(3): 196-201, 2016.
Article
en En
| MEDLINE
| ID: mdl-27159345
ABSTRACT
OBJECTIVES:
To determine if urine drug tests (UDTs) can detect under-reporting of drug use (ie, negative self-report, but positive UDT) and identify patient characteristics associated with underreporting when treating substance use disorders in primary care.METHODS:
Self-reported use (last 30 d) and UDTs were gathered at baseline, 3, 6, 9, and 12 months from 829 primary care patients participating in a drug use intervention study. Rates of under-reporting were calculated for all drugs, cannabis, stimulants, opioids, and sedatives. Logistic regressions were used to identify characteristics associated with under-reporting.RESULTS:
Among the participants, 40% (nâ=â331) denied drug use in the prior 30 days despite a corresponding positive UDT during at least 1 assessment. Levels of under-reporting during 1 or more assessments were 3% (nâ=â22) for cannabis, 20% (nâ=â167) for stimulants, 27% (nâ=â226) for opioids, and 13% (nâ=â106) for sedatives. Older (odds ratio [OR] 1.04), female (OR 1.66), or disabled (OR 1.42) individuals were more likely to under-report any drug use. Under-reporting of stimulant use was also more likely in individuals with lower levels of educational attainment, previous arrests, and family and social problems. Under-reporting of opioid use was more likely in those with other drug problems, but less likely in those with better physical health, more severe alcohol and psychiatric comorbidities, and African-Americans.CONCLUSIONS:
With the exception of cannabis, UDTs are important assessment tools when treating drug use disorders in primary care. UDTs might be particularly helpful when treating patients who are older, female, disabled, have legal and social problems, and have more severe drug problems.
Texto completo:
1
Bases de datos:
MEDLINE
Métodos Terapéuticos y Terapias MTCI:
Plantas_medicinales
Asunto principal:
Detección de Abuso de Sustancias
/
Sistemas de Atención de Punto
/
Trastornos Relacionados con Sustancias
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
J Addict Med
Año:
2016
Tipo del documento:
Article