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Cited by 125Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentForensic Toxicology and Drug Analysis

The DOI matches its Crossref record.

Declared and undeclared substance use among emergency department patients: a population‐based study

Rockett, Ian R. H., Putnam, Sandra L., Jia, Haomiao, Smith, Gordon S.·2006·Addiction
DOI 10.1111/j.1360-0443.2006.01397.x
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Abstract

Aims To estimate both self-reported and corrected prevalences of substance use in a population-based study of general hospital emergency department (ED) patients and predict undeclared use. Design A state-wide cross-sectional, two-stage probability sample survey that incorporates toxicological screening. Setting Seven Tennessee EDs in acute care, adult, civilian, non-psychiatric hospitals. Participants A total of 1502 Tennessee residents, 18 years of age and older, possessing intact cognition, able to give informed consent and not in police custody. Measurements Prevalence of self-reported current substance use by age, sex and type with correction for under-reporting based on toxicological screening. Covariates in the multivariate analysis of undeclared use were socio-demographics, ED visit circumstances, health-care coverage, prior health status and treatment history and tobacco addiction. Findings Declared current use was highest for alcohol (females 26%, males 47%), marijuana (males 11%, females 6%) and benzodiazepines (females 10%, males 7%). After correction for under-reporting, overall use for any of the eight targeted substances rose from 44% to 56% for females and 61% to 69% for males. Largest absolute changes involved opioids, benzodiazepines, marijuana, amphetamines and/or methamphetamine, with little change for alcohol. Patients aged 65 years and older manifested excess undeclared use relative to patients aged 18-24 years, as did patients not reporting tobacco addi…

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Metadata

Authors
Rockett, I. R. H., Putnam, S. L., Jia, H., & Smith, G. S.
Affiliations
  • West Virginia University (US)
  • Pacific Institute For Research and Evaluation (US)
  • Mercer University (US)
  • Liberty Mutual Research Institute for Safety (US)
Corresponding author
Rockett, Ian R. H.
ORCID
Venue
Addiction
Publisher
Wiley
Published
2006-03-09
Volume
101
Issue
5
Pages
706-712
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2006.01397.x
OpenAlex
W1984475572
Cited by
125
References
0
Citations by year
2025: 1 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 6 · 2020: 36 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 10 · 2012: 7
FWCI
3.90
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r29aa007700-05)
  • Substance Abuse and Mental Health Services Administration
  • National Institute on Alcohol Abuse and Alcoholism (R29AA07700)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
Keywords
emergency department patients, toxicity screening, substance use prevalence, alcohol consumption, cannabis use, benzodiazepines, opioids, amphetamine, methamphetamine, tobacco dependence, older adults, addiction treatment, Tennessee
MeSH terms
Adolescent, Adult, Aged, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Risk Factors, Self Disclosure, Tennessee, Substance Abuse Detection, Prevalence, Multivariate Analysis, Substance-Related Disorders

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