DSM-5 substance use disorders among adult primary care patients: Results from a multisite study.

Wu, Li-Tzy

McNeely, Jennifer

Subramaniam, Geetha A

Brady, Kathleen T

Sharma, Gaurav

VanVeldhuisen, Paul

Zhu, He

Schwartz, Robert P

2020-02-03T04:06:55Z

2020-02-03T04:06:55Z

2017-10

2020-02-03T04:06:54Z

BACKGROUND:There are limited data about the extent of DSM-5 substance use disorders (SUDs) among primary care patients. METHODS:This study analyzed data from a multisite validation study of a substance use screening instrument conducted in a diverse sample of 2000 adults aged ≥18 years recruited from five primary care practices in four states. Prevalence and correlates of 12-month DSM-5 SUDs were examined. RESULTS:Overall, 75.5% of the sample used any substance, including alcohol (62.0%), tobacco (44.1%), or illicit drugs/nonmedical medications (27.9%) in the past 12 months (marijuana 20.8%, cocaine 7.3%, opioids 4.8%, sedatives 4.1%, heroin 3.9%). The prevalence of any 12-month SUD was 36.0% (mild disorder 14.2%, moderate/severe disorder 21.8%): tobacco 25.3% (mild 11.5%, moderate/severe 13.8%); alcohol 13.9% (mild 6.9%, moderate/severe 7.0%); and any illicit/nonmedical drug 14.0% (mild 4.0%, moderate/severe 10.0%). Among past 12-month users, a high proportion of tobacco or drug users met criteria for a disorder: tobacco use disorder 57.4% (26.1% mild, 31.3% moderate/severe) and any drug use disorder 50.2% (14.3% mild, 35.8% moderate/severe); a lower proportion of alcohol users (22.4%) met criteria for alcohol use disorder (11.1% mild, 11.3% moderate/severe). Over 80% of adults with opioid/heroin use disorder met criteria for a moderate/severe disorder. Younger ages, male sex, and low education were associated with increased odds of having SUD. CONCLUSION:These findings reveal the high prevalence of SUDs in primary care and underscore the need to identify and address them.

S0376-8716(17)30327-7

0376-8716

1879-0046

https://hdl.handle.net/10161/19935

eng

Elsevier BV

Drug and alcohol dependence

10.1016/j.drugalcdep.2017.05.048

Humans

Cannabis

Substance-Related Disorders

Alcoholism

Opioid-Related Disorders

Tobacco Use Disorder

Heroin

Hypnotics and Sedatives

Street Drugs

Prevalence

Diagnostic and Statistical Manual of Mental Disorders

Adult

Primary Health Care

DSM-5 substance use disorders among adult primary care patients: Results from a multisite study.

Journal article

Wu, Li-Tzy|0000-0002-5909-2259

42

46

School of Medicine

Duke

Center for Child and Family Policy

Sanford School of Public Policy

Duke Clinical Research Institute

Institutes and Centers

Duke Institute for Brain Sciences

University Institutes and Centers

Institutes and Provost's Academic Units

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

Psychiatry & Behavioral Sciences

Clinical Science Departments

Medicine, General Internal Medicine

Medicine

Published

179