Detecting initiation or risk for initiation of substance use before high school during pediatric well-child check-ups

Drug and Alcohol Dependence
Ty A RidenourRalph E Tarter

Abstract

Youth substance use (SU) is prevalent and costly, affecting mental and physical health. American Academy of Pediatrics and Affordable Care Act call for SU screening and prevention. The Youth Risk Index(©) (YRI) was tested as a screening tool for having initiated and propensity to initiate SU before high school (which forecasts SU disorder). YRI was hypothesized to have good to excellent psychometrics, feasibility and stakeholder acceptability for use during well-child check-ups. A high-risk longitudinal design with two cross-sectional replication samples, ages 9-13 was used. Analyses included receiver operating characteristics and regression analyses. A one-year longitudinal sample (N=640) was used for YRI derivation. Replication samples were a cross-sectional sample (N=345) and well-child check-up patients (N=105) for testing feasibility, validity and acceptability as a screening tool. YRI has excellent test-retest reliability and good sensitivity and specificity for concurrent and one-year-later SU (odds ratios=7.44, CI=4.3-13.0) and conduct problems (odds ratios=7.33, CI=3.9-13.7). Results were replicated in both cross-sectional samples. Well-child patients, parents and pediatric staff rated YRI screening as important, accep...Continue Reading

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Citations

Apr 4, 2016·American Journal of Preventive Medicine·Lauren E Wisk, Elissa R Weitzman
May 8, 2021·Pharmacology, Biochemistry, and Behavior·Barbara H Chaiyachati, Raquel E Gur
Oct 30, 2021·Prevention Science : the Official Journal of the Society for Prevention Research·Ty A RidenourTamera Coyne-Beasley
Oct 30, 2021·Prevention Science : the Official Journal of the Society for Prevention Research·Pamela A MatsonHoover Adger

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