ArticleThe American journal of drug and alcohol abuse2016
Characteristic substance misuse profiles among youth entering an urban emergency department: neighborhood correlates and behavioral comorbidities.
Article in The American journal of drug and alcohol abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- United States Emergency Department Screening for Drug Use Among Assault-Injured Individuals: A Systematic Review.The western journal of emergency medicine · 2022Pooled it
- An adapted brief negotiation interview for alcohol and cannabis use among assault-injured emerging adults: A randomized pilot trial protocol.Contemporary clinical trials · 2026Article
- Daily patterns of substance use and violence among a high-risk urban emerging adult sample: Results from the Flint Youth Injury Study.Addictive behaviors · 2020Article
- Discrepancies in Local, State, and National Alcohol Outlet Listings: Implications for Research and Interventions.Substance use & misuse · 2020Article
- Neighborhood Contexts and Marijuana Use Among Urban Dwelling Emerging Adult Men.American journal of men's health · 2018Article
- Perceived Peer Behavior and Parental Support as Correlates of Marijuana Use: The Role of Age and Gender.Substance use & misuse · 2018Article
- Chronic pain among patients with opioid use disorder: Results from electronic health records data.Journal of substance abuse treatment · 2017Article
- Marijuana use trajectories among drug-using youth presenting to an urban emergency department: Violence and social influences.Drug and alcohol dependence · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundLittle is known about characteristic profiles of substance use - and their individual- and neighborhood-level correlates - among high-risk youth.
objectivesTo identify characteristic substance misuse profiles among youth entering an urban emergency department (ED) and explore how those profiles relate to individual- and community-level factors.
methodsIndividual-level measures came from screening surveys administered to youth aged 14-24 at an ED in Flint, Michigan (n = 878); alcohol outlet and crime data came from public sources. Binary misuse indicators were generated by using previously established cut-points on scores of alcohol and drug use severity. Latent class analysis (LCA) identified classes of substance use; univariate tests and multinomial models identified correlates of class membership.
resultsExcluding non-misusers (51.5%), LCA identified three classes: marijuana-only (27.9%), alcohol/marijuana (16.1%), and multiple substances (polysubstance) (4.6%). Moving from non-misusers to polysubstance misusers, there was an increasing trend in rates of: unprotected sex, motor vehicle crash, serious violence, weapon aggression, and victimization (all p < .001). Controlling for individual-level variables, polysubstance misusers lived near more on-premises alcohol outlets than non-misusers (RRR = 1.42, p = .01) and marijuana-only misusers (RRR = 1.31, p = .03). Alcohol/marijuana misusers were more likely to live near high violent crime density areas than non-misusers (RRR = 1.83, p = .01), and were also more likely than marijuana-only misusers to live in areas of high drug crime density (RRR = 1.98, p = .03). No other relationships were significant.
conclusionSubstance-misusing youth seeking ED care have higher risk for other problem behaviors and neighborhood-level features display potential for distinguishing between use classes. Additional research to elucidate at-risk sub-populations/locales has potential to improve interventions for substance misuse by incorporating geographic information.
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