Substance use prevalence and screening instrument comparisons in urban primary care

Joshua D. Lee; Benjamin Delbanco; Edward Wu; Marc N. Gourevitch

doi:10.1080/08897077.2011.562732

Substance use prevalence and screening instrument comparisons in urban primary care

Joshua D. Lee, Benjamin Delbanco, Edward Wu, Marc N. Gourevitch

Urban Initiative

Research output: Contribution to journal › Article › peer-review

Abstract

Substance use screening in a primary care setting compared the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST version 3.0), Two-Item Conjoint Screen (TICS), National Institute on Alcohol Abuse and Alcoholism (NIAAA) daily limit single item, and electronic medical record (EMR). Among 236 consecutive adults, ASSIST moderate- to high-risk substance use prevalence was tobacco, 15.3%; alcohol, 8.5%; cannabis, 5.1%; cocaine, 2.5%; and opioids, 2.5%. Compared to ASSIST, a positive TICS was 45% (95% confidence interval [CI], 27-64%) sensitive, 99% (95-100%) specific; the NIAAA single-item screen was 80% (56-94%) sensitive, 87% (82-91%) specific. The NIAAA single item correlated closely with alcohol ASSIST. TICS and EMR were less sensitive for any nontobacco substance use.

Original language	English (US)
Pages (from-to)	128-134
Number of pages	7
Journal	Substance Abuse
Volume	32
Issue number	3
DOIs	https://doi.org/10.1080/08897077.2011.562732
State	Published - Jul 2011

Keywords

Addiction screening
prevalence
primary care
substance use disorders

ASJC Scopus subject areas

Medicine (miscellaneous)
Psychiatry and Mental health

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10.1080/08897077.2011.562732

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title = "Substance use prevalence and screening instrument comparisons in urban primary care",

abstract = "Substance use screening in a primary care setting compared the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST version 3.0), Two-Item Conjoint Screen (TICS), National Institute on Alcohol Abuse and Alcoholism (NIAAA) daily limit single item, and electronic medical record (EMR). Among 236 consecutive adults, ASSIST moderate- to high-risk substance use prevalence was tobacco, 15.3%; alcohol, 8.5%; cannabis, 5.1%; cocaine, 2.5%; and opioids, 2.5%. Compared to ASSIST, a positive TICS was 45% (95% confidence interval [CI], 27-64%) sensitive, 99% (95-100%) specific; the NIAAA single-item screen was 80% (56-94%) sensitive, 87% (82-91%) specific. The NIAAA single item correlated closely with alcohol ASSIST. TICS and EMR were less sensitive for any nontobacco substance use.",

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Substance use prevalence and screening instrument comparisons in urban primary care

Abstract

Keywords

ASJC Scopus subject areas

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