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    Screening for Parental Substance Abuse in Pediatric Primary Care

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    Author
    Lane, W.G.
    Dubowitz, H.
    Feigelman, S.
    Kim, J.
    Prescott, L.
    Meyer, W.
    Tracy, J.K.
    Date
    2007
    Journal
    Ambulatory Pediatrics
    Publisher
    Elsevier
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.ambp.2007.07.007
    Abstract
    Objective: Parental alcohol and drug abuse may have significant deleterious effects on children. Although screening in the pediatric office is recommended, few screening measures have been evaluated for use in this setting. We sought to validate a 2-question screening tool for parental substance abuse. Methods: A total of 216 caregivers bringing children to a primary care clinic completed a brief screening for psychosocial problems that contained 2 substance abuse questions. To assess reliability and validity of the questionnaire, recruited caregivers returned within 2 months to complete a computerized study protocol that contained the brief screening questions and the substance abuse sections of the Composite International Diagnostic Inventory (CIDI). Results: Sixteen percent of caregivers acknowledged a problem with drugs or alcohol on the CIDI. A "yes" response to either screening question had a sensitivity of 29%, specificity of 95%, positive predictive value of 17%, and negative predictive value of 98% for drug abuse. Values were 13%, 96%, 33%, and 87%, respectively for predicting alcohol abuse. Conclusions: Brief screening in pediatric primary care can identify many, but not all, parents who may need intervention for problems with drugs and/or alcohol. Children should benefit from such screening if it enables parents to acknowledge and receive treatment for substance abuse. Further research is needed to assess whether sensitivity of screening can be improved without sacrificing brevity. Copyright 2007 Ambulatory Pediatric Association.
    Sponsors
    This research was supported by a grant from the Office on Child Abuse and Neglect, Administration for Children, Youth and Families (90-CA-1695).
    Keyword
    child maltreatment
    prevention
    primary care
    risk factors
    screening
    substance abuse
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-35948957760&doi=10.1016%2fj.ambp.2007.07.007&partnerID=40&md5=319d6f192502e7c940cdfc99d5295a35; http://hdl.handle.net/10713/11878
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ambp.2007.07.007
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