Substance use disorders among youth with chronic physical illness

Luther, Alexander W.M.; Reaume, Shannon V.; Qadeer, Rana A.; Thompson, Kara; Ferro, Mark A.

doi:10.1016/j.addbeh.2020.106517

Cited by 9 publications

(7 citation statements)

References 63 publications

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“…Although Asians had the highest education levels and lowest rates of COVID-19 health risk, they were more likely to have an annual income less than $20,000. Consistent with past research, health and socioeconomic disadvantages were both associated with higher SUD risk, with the exception that higher education levels were associated with higher risk for alcohol use disorder ( Luther et al, 2020 ; Wu et al, 2018 ; Rodriguez et al, 2020 ). Our results expanded the prior research by identifying significant associations between employment and housing disruptions related distress with higher SUD risk across different racial/ethnic groups.…”

Section: Discussionsupporting

confidence: 84%

COVID-related social determinants of substance use disorder among diverse U.S. racial ethnic groups

Tao

Liu

Fisher

et al. 2023

Social Science & Medicine

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Section: Discussionsupporting

confidence: 84%

COVID-related social determinants of substance use disorder among diverse U.S. racial ethnic groups

Tao

Liu

Fisher

et al. 2023

Social Science & Medicine

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“…For example, discrimination may lead to economic insecurity among transgender people, 7 which may contribute to likelihood of drug use disorders through stress-related pathways 20,35 . Experiencing gender minority stress may also lead to the development of chronic health conditions, 6,36 which may impact likelihood of drug use disorders 37 …”

Section: Methodsmentioning

confidence: 99%

“…20,35 Experiencing gender minority stress may also lead to the development of chronic health conditions, 6,36 which may impact likelihood of drug use disorders. 37…”

Section: Covariatesmentioning

confidence: 99%

Disparities in Documented Drug Use Disorders Between Transgender and Cisgender U.S. Veterans Health Administration Patients

Frost¹,

Blosnich

Lehavot

et al. 2020

Journal of Addiction Medicine

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Objectives: Transgender people—those whose gender identity differs from their sex assigned at birth—are at risk for health disparities resulting from stressors such as discrimination and violence. Transgender people report more drug use than cisgender people; however, it is unclear whether they have higher likelihood of drug use disorders. We examined whether transgender patients have increased likelihood of documented drug use disorders relative to cisgender patients in the national Veterans Health Administration (VA). Methods: Electronic health record data were extracted for VA outpatients from 10/1/09 to 7/31/17. Transgender status and past-year documentation of drug use disorders (any, opioid, amphetamine, cocaine, cannabis, sedative, hallucinogen) were measured using diagnostic codes. Logistic regression models estimated odds ratios for drug use disorders among transgender compared to cisgender patients, adjusted for age, race/ethnicity and year. Effect modification by presence of ≥1 mental health condition was tested using multiplicative interaction. Results: Among 8,872,793 patients, 8619 (0.1%) were transgender. Transgender patients were more likely than cisgender patients to have any drug use disorder (Adjusted Odds Ratio [aOR] 1.67, 95% confidence interval [CI] 1.53–1.83), amphetamine (aOR 2.22, 95% CI 1.82–2.70), cocaine (aOR 1.59, 95% CI 1.29–1.95), and cannabis (aOR 1.82, 95% CI 1.62–2.05) use disorders. There was no significant interaction by presence of ≥1 mental health condition. Conclusions: Transgender VA patients may have higher likelihood of certain drug use disorders than cisgender VA patients, particularly amphetamine use disorder. Future research should explore mechanisms underlying disparities and potential barriers to accessing treatment and harm reduction services faced by transgender people.

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“…An estimated 15% of all children will experience the co-occurrence of at least one physical illness and at least one mental disorder—defined as physical-mental multimorbidity . 19 Physical-mental multimorbidity is often chronic and has been shown to be associated with significant negative impacts on daily functioning, 20 21 increases in mental health service use 22 and greater likelihood of suicidality 23 and risky substance use 24 25 among youth. However, despite increased interest in child mental health in recent decades as well as modern advancements in healthcare for children with physical illnesses, research on child physical-mental multimorbidity remains limited.…”

Section: Introductionmentioning

confidence: 99%

Physical-mental multimorbidity in children and youth: a scoping review

et al. 2021

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ObjectiveEfforts to describe the current state of research are needed to advance the field of physical-mental multimorbidity (ie, the co-occurrence of at least one physical illness and at least one mental disorder) among children and youth. Our objective was to systematically explore the breadth of physical-mental multimorbidity research in children and youth and to provide an overview of existing literature topics.DesignScoping review.MethodsWe conducted a systematic search of four key databases: PubMed, EMBASE, PsycINFO and Scopus as well as a thorough scan of relevant grey literature. We included studies of any research design, published in English, referring to physical-mental multimorbidity among children and youth aged ≤18 years. Studies were screened for eligibility and data were extracted, charted and summarised narratively by research focus. Critical appraisal was employed using the modified Quality Index (QI).ResultsWe included 431 studies and 2 sources of grey literature. Existing research emphasises the co-occurrence of anxiety, mood and attention disorders among children with epilepsy, asthma and allergy. Evidence consists of mostly small, observational studies that use cross-sectional data. The average QI score across applicable studies was 9.1 (SD=1.8).ConclusionsThere is a pressing need for more robust research within the field of child physical-mental multimorbidity.

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Substance use disorders among youth with chronic physical illness

Cited by 9 publications

References 63 publications

COVID-related social determinants of substance use disorder among diverse U.S. racial ethnic groups

COVID-related social determinants of substance use disorder among diverse U.S. racial ethnic groups

Disparities in Documented Drug Use Disorders Between Transgender and Cisgender U.S. Veterans Health Administration Patients

Physical-mental multimorbidity in children and youth: a scoping review

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