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Alcohol and drug use disorders among adults in emergency department settings in the United States.

dc.contributor.author Wu, Li-Tzy
dc.contributor.author Blazer, Daniel
dc.contributor.author Mannelli, Paolo
dc.contributor.author Swartz, Marvin
dc.contributor.author Wu, Zunyou
dc.contributor.author Yang, Chongming
dc.date.accessioned 2020-02-03T04:38:12Z
dc.date.available 2020-02-03T04:38:12Z
dc.date.issued 2012-08
dc.identifier S0196-0644(12)00130-8
dc.identifier.issn 0196-0644
dc.identifier.issn 1097-6760
dc.identifier.uri https://hdl.handle.net/10161/19959
dc.description.abstract Improving identification and treatment for substance use disorders is a national priority, but data about various drug use disorders encountered in emergency departments (EDs) are lacking. We examine past-year substance use and substance use disorders (alcohol, 9 drug classes) among adult ED users. Prevalences of substance use and substance use disorders among ED nonusers are calculated for reference purposes.Using data from the 2007 to 2009 National Surveys on Drug Use and Health, we assessed substance use disorders among noninstitutionalized adults aged 18 years or older who responded to standardized survey questions administered by audio computer-assisted self-interviewing methods.Of all adults (N=113,672), 27.8% used the ED in the past year. ED users had higher prevalences than ED nonusers of coexisting alcohol and drug use (15.2% versus 12.1%), drug use (any drug, 16.9% versus 13.0%; marijuana, 12.1% versus 9.7%; opioids, 6.6% versus 4.1%), and alcohol or drug disorders (11.0% versus 8.5%). Among substance users, the ED group on average spent more days using drugs than the non-ED group; ED users manifested higher conditional rates of substance use disorders than ED nonusers (alcohol or drugs, 15.9% versus 11.7%; marijuana, 16.6% versus 13.2%; cocaine, 33.2% versus 22.3%; opioids, 20.6% versus 10.0%; stimulants, 18.6% versus 9.2%; sedatives, 35.0% versus 4.4%; tranquilizers, 12.4% versus 5.2%). Regardless of ED use status, substance-using young adults, men, and less-educated adults showed increased odds of having a substance use disorder.Drug use is prevalent and combined with high rates of drug use disorders among drug users treated in the ED.
dc.language eng
dc.publisher Elsevier BV
dc.relation.ispartof Annals of emergency medicine
dc.relation.isversionof 10.1016/j.annemergmed.2012.02.003
dc.subject Humans
dc.subject Substance-Related Disorders
dc.subject Alcoholism
dc.subject Prevalence
dc.subject Logistic Models
dc.subject Chi-Square Distribution
dc.subject Cross-Sectional Studies
dc.subject Age Factors
dc.subject Sex Factors
dc.subject Socioeconomic Factors
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Middle Aged
dc.subject Continental Population Groups
dc.subject Educational Status
dc.subject Emergency Service, Hospital
dc.subject United States
dc.subject Female
dc.subject Male
dc.subject Young Adult
dc.title Alcohol and drug use disorders among adults in emergency department settings in the United States.
dc.type Journal article
duke.contributor.id Wu, Li-Tzy|0380644
duke.contributor.id Blazer, Daniel|0082509
duke.contributor.id Mannelli, Paolo|0331498
duke.contributor.id Swartz, Marvin|0053343
dc.date.updated 2020-02-03T04:38:11Z
pubs.begin-page 172
pubs.end-page 80.e5
pubs.issue 2
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group University Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Psychiatry & Behavioral Sciences, Social and Community Psychiatry
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Medicine
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Family Medicine and Community Health
pubs.organisational-group Psychiatry & Behavioral Sciences, Geriatric Behavioral Health
pubs.publication-status Published
pubs.volume 60


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