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Recreational drug use among primary care patients: implications of a positive self-report
Judith Bernstein1, Debbie M Cheng2, Na Wang3
1Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts jbernste@bu.edu.
Abstract:
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.
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