Substance use among adolescents with juvenile rheumatoid arthritis

Aa, Nash; Mt, Britto; Lovell, DJ; Mh, Passo; Sl, Rosenthal

doi:10.1002/art.1790110510

Cited by 42 publications

(15 citation statements)

References 15 publications

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“…Our finding of increased daily smoking is in contrast with an earlier case-control on adolescents with JIA 35. Studies on serum cholesterol levels in JIA have shown conflicting results, but these studies have mainly been done in children 17 36–39.…”

Section: Discussioncontrasting

confidence: 99%

Arterial haemodynamics and coronary artery calcification in adult patients with juvenile idiopathic arthritis

et al. 2014

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Section: Discussioncontrasting

confidence: 99%

Arterial haemodynamics and coronary artery calcification in adult patients with juvenile idiopathic arthritis

et al. 2014

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“…112 Nash et al 112 surveyed 52 adolescents aged 12 to 17 years by mail and found that 15.4% of the sample reported tobacco use within the past year. A comparison group was not included in this study, although these rates are generally lower than those reported for high school-aged adolescents.…”

Section: Smoking Ratesmentioning

confidence: 98%

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Tyc

Throckmorton-Belzer

2006

Pediatrics

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Engaging in smoking is particularly risky for children and adolescents with chronic illness whose health status is already compromised because of disease- and treatment-related complications. Yet, some of these youngsters smoke at rates at least comparable to those of their healthy peers. To date, few randomized smoking-prevention and cessation trials have been conducted in children with chronic medical problems. In this review we report on the smoking rates among youngsters with chronic illness, identify specific disease- and treatment-related complications that can be exacerbated by smoking, examine risk factors associated with tobacco use among medically compromised youngsters, and review smoking interventions that have been conducted to date with pediatric populations in the health care setting. The following chronic illnesses are included in this review: asthma, cystic fibrosis, cancer, sickle cell disease, juvenile-onset diabetes, and juvenile rheumatoid arthritis. Objectives for a tobacco-control agenda and recommendations for future tobacco studies in chronically ill pediatric populations are provided. Finally, tobacco counseling strategies are suggested for clinicians who treat these youngsters in their practices.

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“…All analyses were conducted using commercially available software ( Previous research at our institution revealed that 31% of adolescents with JRA reported alcohol use in the year preceding the study, including 24% to whom methotrexate had been prescribed. 8 Only 27% of study participants reported that they were ever interviewed by the rheumatologist without their parents present. Since confidentiality is needed for high-quality screening for risk behavior, the lack of adolescent time alone with these rheumatologists suggests that few appropriate opportunities were available to undertake screening or intervention for risk behaviors.…”

Section: Statistical Approachmentioning

confidence: 99%

Improving Rheumatologists' Screening for Alcohol Use and Sexual Activity

Britto¹,

Rosenthal²,

Taylor³

et al. 2000

Arch Pediatr Adolesc Med

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107

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Objectives: To design, implement, and assess the impact of an office-based intervention designed to improve rheumatologists' identification of risk behaviors, especially alcohol use and sexual activity, among adolescents and young adults with chronic rheumatologic conditions.Design: Prospective intervention study.Setting: Midwestern academic pediatric rheumatology practice.Participants: Ten attending rheumatologists and fellows and 178 patients (mean age, 18.1 years; 67% female; 88% white; 69% with juvenile rheumatoid arthritis) seen in the practice during the baseline and intervention years. Main Outcome Measures:Change in the rate of screening for alcohol use and sexual activity from the baseline to the intervention year, and physician perceptions of the intervention.Results: Screening for alcohol use increased from 4.2% (9/208) at baseline to 31.6% (56/177) after the intervention (PϽ.001). Of those patients undergoing screening at follow-up, 20 (36%) of 56 patients reported any alcohol use and 11 (20%) reported current alcohol use. Of those reporting current use, 7 (64%) were counseled or referred. Methotrexate use increased the likelihood of alcohol screening (43% [33/76] vs 26% [23/87]; P = .02). Screening for sexual activity increased from 12.4% (27/ 218) to 36.2% (64/177) (PϽ.001) from baseline to followup. Of 52 females undergoing screening at follow-up, 31 (60%) were sexually active. Eleven (41%) of 27 sexually active females were not using contraception other than condoms (4 were not asked about contraception); 7 (82%) of these were referred for contraceptive counseling. Seven rheumatologists completed in-depth semistructured interviews after the intervention. All reported time as a main barrier to screening. Other barriers included logistical problems, discomfort with the subject area, ambivalence about whether risk behavior screening is the province of pediatric rheumatologists, and perceived lack of applicability to their patients. Conclusions:Despite knowledge and concern about the interaction of immunosuppressive therapy and risk behaviors, few rheumatologists adequately screen the behavior of their adolescent and young adult patients. Time constraints, organizational issues, and physician beliefs remain barriers to widespread screening.Arch Pediatr Adolesc Med. 2000;154:478-483

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Substance use among adolescents with juvenile rheumatoid arthritis

Cited by 42 publications

References 15 publications

Arterial haemodynamics and coronary artery calcification in adult patients with juvenile idiopathic arthritis

Arterial haemodynamics and coronary artery calcification in adult patients with juvenile idiopathic arthritis

Smoking Rates and the State of Smoking Interventions for Children and Adolescents With Chronic Illness

Improving Rheumatologists' Screening for Alcohol Use and Sexual Activity

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