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Adolescent substance use assessment in a primary care setting
Benjamin B Brodey1, Darcy McMullin, K C Winters
1TeleSage, Inc., Chapel Hill, North Carolina 27514, USA. bb@telesage.com
The American Journal of Drug and Alcohol Abuse
|July 7, 2007
Summary
Adolescents reported more marijuana and drug selling behaviors when completing surveys anonymously compared to confidentially in primary care settings. This highlights potential inaccuracies in confidential adolescent substance use assessments.
Area of Science:
- Public Health
- Adolescent Medicine
- Substance Use Research
Background:
- Primary care settings offer opportunities for adolescent health screenings.
- Early identification of problematic substance use behaviors in adolescents is crucial.
- Assessing adolescent substance use accurately is essential for effective intervention.
Purpose of the Study:
- To compare the accuracy of anonymous versus confidential self-reports of substance use among adolescents in primary care.
- To evaluate the impact of reporting method on adolescent disclosure of substance use behaviors.
Main Methods:
- 180 adolescents in a primary care setting provided both anonymous and confidential self-reports.
- Demographic variables were matched between reporting conditions to control for potential biases.
- Self-reported data on marijuana use and drug selling behaviors were analyzed.
Main Results:
- Adolescents were significantly more likely to report marijuana use when reporting anonymously compared to confidentially.
- Behaviors such as selling drugs were also reported more frequently under anonymous conditions.
- Findings indicate a potential underestimation of substance use when relying solely on confidential reporting.
Conclusions:
- Confidential self-reporting may inaccurately represent the prevalence of adolescent substance use in primary care.
- Anonymous reporting methods may yield more accurate data on adolescent substance use behaviors.
- Further research is warranted to optimize assessment strategies for adolescent substance use in healthcare settings.
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