Demographic Factors, Medication Adherence, and Post-transplant Health Outcomes: A Longitudinal Multilevel Modeling Approach

Killian, Michael O.; Little, Callie W.; Howry, Savarra K.; Watkivs, Madison; Triplett, Kelli N.; Desai, Dev M.

doi:10.1007/s10880-023-09970-4

Cited by 1 publication

(1 citation statement)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Substance use may impact eligibility for adolescents awaiting transplant and can negatively impact the health of adolescent transplant recipients indirectly via behavioral pathways and directly via biological mechanisms. For instance, the transplant population is known to have higher rates of noncompliance during adolescence compared with younger children [5,6]. Substance use is one factor that may worsen compliance which can lead to graft failure.…”

Section: Introductionmentioning

confidence: 99%

Addressing Substance Use in the Adolescent Transplant Population

Williams,

Kaye

2024

Pediatric Transplantation

View full text Add to dashboard Cite

Adolescence is a unique period of physical and psychosocial changes as youth transition, over many years, to adulthood. The psychosocial changes that accompany adolescence include emotional separation from parents, greater influence of peer groups, an interest in self‐identification and autonomy, and increased risk‐taking behaviors. Substance use is a common form of risk‐taking behavior in the adolescent developmental stage. Alcohol, nicotine, and cannabis are the most common types of substances used in the United States. In the adolescent transplant population, rates of substance use appear to be at, or slightly below, their peer counterparts. Substance use can lead to deleterious health outcomes for adolescent transplant patients as a result of impaired decision‐making, reduction in medication and clinic visit compliance, increases in mental health disorders, and risk for developing dependence and a substance use disorder. Given the close relationship that many pediatric transplant providers have with their patients and families, transplant care teams are in an excellent position to help their patients by addressing adolescent substance use. This narrative review describes how providers can use proactive standardized approaches to identify and intervene with substance use behavior.

show abstract

Section: Introductionmentioning

confidence: 99%