2018
DOI: 10.15288/jsad.2018.79.799
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Polysubstance Use by Stimulant Users: Health Outcomes Over Three Years

Abstract: Studies show that stimulant users have varied substance use patterns and that polysubstance use is associated with poorer past or concurrent medical, mental health, and substance use outcomes. This study examined outcomes of substance use patterns prospectively. Method: A latent class analysis was conducted to examine substance use patterns among adults using stimulants (n = 710; 38.6% women) at baseline, and the health and treatment utilization outcomes of different use patterns over the subsequent 3 years. T… Show more

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Cited by 55 publications
(30 citation statements)
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“…In this report, one third (32.6%) of overdose deaths coinvolved opioids and stimulants. Co-use of opioids and stimulants elevates fatal overdose risk and is associated with poorer medical, mental health, and substance use disorder treatment outcomes (16). Supporting increased access to medications for opioid use disorder ¶ ¶ ¶ ¶ ¶ and evidence-based treatments for stimulant use disorders (17) can help mitigate risks.…”
Section: Discussionmentioning
confidence: 99%
“…In this report, one third (32.6%) of overdose deaths coinvolved opioids and stimulants. Co-use of opioids and stimulants elevates fatal overdose risk and is associated with poorer medical, mental health, and substance use disorder treatment outcomes (16). Supporting increased access to medications for opioid use disorder ¶ ¶ ¶ ¶ ¶ and evidence-based treatments for stimulant use disorders (17) can help mitigate risks.…”
Section: Discussionmentioning
confidence: 99%
“…Substance use disorder (SUD) is a debilitating disorder, often resulting in loss of academic achievement, social isolation, and often severe effects on mental and physical health (American Psychiatric Association 2013; Martin et al 2014;Kelly, Evans-Whipp, et al 2015;Heradstveit et al 2017). While polysubstance dependence is not in the DSM-5 (Hasin et al 2013), polysubstance use is common in clinical samples (Bhalla et al 2017), and polysubstance use patterns is often seen in patients seeking treatment for mono-drug disorders (Brooner et al 1997;Staines et al 2001;Palamar et al 2018;Timko et al 2018;Choi and DiNitto 2019). Polysubstance use disorder (PSUD) in this context refers to the use of multiple substances as part of a pattern of problematic substance use, in which the patient meets criteria for substance use disorder for some, but not necessarily all substances used.…”
Section: Introductionmentioning
confidence: 99%
“…For example, compared to individuals who use no or few substances, polysubstance users are consistently shown to be at elevated risk of anxiety, depression, and psychosis (Connor et al, 2013;Hakansson et al, 2011;Jones et al, 2017;Smith et al, 2011). Polysubstance users are also more likely to have long-term poor physical health (Timko et al, 2018) and to develop sexually transmitted infections (Trenz et al, 2013).…”
Section: Discussionmentioning
confidence: 99%
“…A burgeoning literature has also demonstrated that youth who experience CM are at greater risk of engaging in polysubstance use (polySU; Alvarez-Alonso et al, 2016;Rivera, Bray, Guastaferro, Kugler, & Noll, 2018;Snyder & Smith, 2015), a SU pattern that is itself associated with amplified risk of experiencing an SUD (Moss, Chen, & Yi, 2014). Moreover, polySU also represents a significant risk factor for a number of mental and physical health issues (Hakansson, Schlyter, Berglund, 2011;Jones et al, 2017;Smith et al, 2011;Timko, Han, Woodhead, Shelley, & Cucciare, 2018), making it a pertinent SU pattern to investigate in a population already at elevated risk for poor health outcomes.…”
Section: Introductionmentioning
confidence: 99%