Alcohol and Marijuana Use and Treatment Nonadherence Among Medically Vulnerable Youth

Pediatrics
Elissa R WeitzmanSharon Levy

Abstract

Adolescents face peak risks for onset and intensification of alcohol and marijuana use. However, we know little about these behaviors and their associations with knowledge or treatment adherence among chronically ill youth, a medically vulnerable group. Cross-sectional assessment of consented youth ages 9 to 18 years receiving care for asthma/cystic fibrosis, type 1 diabetes, arthritis, or inflammatory bowel disease (IBD) by using a self-administered online tool. Prevalence and correlates of risk behaviors and associations with knowledge and treatment adherence were estimated using descriptive statistics and logistic regression, controlling for demographics, mental health, and the multiclinic sampling frame. Of 403 consented youth (75.8% response), 51.6% were girls, 75.1% were white, and average age was 15.6 years. Of high school youth, 36.5% and 12.7% reported past-year alcohol use and binge drinking, respectively; 20% reported past-year marijuana use. Among high school youth, 53.1% and 37.2% answered correctly that alcohol can interfere with their medications and laboratory tests; youth answering incorrectly were 8.53 and 4.46 times more likely to drink and binge drink, respectively (P values < .001). Thirty-two percent and 8...Continue Reading

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Citations

Apr 30, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Andrea H Kline-SimonStacy Sterling
Apr 4, 2016·American Journal of Preventive Medicine·Lauren E Wisk, Elissa R Weitzman
Jun 25, 2016·Child and Adolescent Psychiatric Clinics of North America·Scott E Hadland, Leslie Renee Walker
Jul 1, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Elizabeth HarstadSharon Levy
Jun 15, 2018·Pediatric Diabetes·Fergus J CameronEthel Codner
Sep 19, 2017·Clinical Reviews in Allergy & Immunology·J M ChatkinN Zamel
Apr 24, 2019·Journal of Diabetes Science and Technology·Lauren E WiskElissa R Weitzman
Apr 16, 2019·Journal of Pediatric Gastroenterology and Nutrition·Jill M PlevinskyRachel N Greenley
Mar 14, 2020·Journal of Developmental and Behavioral Pediatrics : JDBP·Elizabeth HarstadSharon Levy
Jan 28, 2020·Journal of Addiction Medicine·Lauren E WiskElissa R Weitzman
Aug 20, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Sharon LevyLydia A Shrier
Jun 3, 2020·The Journal of Pediatrics·Hilary K MichelRobert B Noll
Feb 14, 2021·Pediatric Transplantation·Kara MonninElizabeth Steinberg Christofferson
Oct 1, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sharon LevyElissa R Weitzman
Dec 19, 2018·Pediatrics·Gerri MattsonUNKNOWN COUNCIL ON CHILDREN WITH DISABILITIES
Dec 30, 2020·Pediatrics·Sujaya ParthasarathyStacy Sterling
Sep 20, 2018·Pediatrics·Elissa R WeitzmanSharon Levy

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