Evidence map›Paper›PMID 29124080›Full record

ArticleHealth services research and managerial epidemiology

Demographic and Mental Health Characteristics of Individuals Who Present to Community Health Clinics With Substance Misuse.

Praise O Iyiewuare, Colleen McCullough, Allison Ober, Kirsten Becker, Karen Osilla, Katherine E Watkins

Abstract read
In one paragraph

Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Praise O IyiewuareRAND Corporation, Santa Monica, CA, USA.
Colleen McCulloughRAND Corporation, Santa Monica, CA, USA.
Allison OberRAND Corporation, Santa Monica, CA, USA.
Kirsten BeckerRAND Corporation, Santa Monica, CA, USA.
Karen OsillaRAND Corporation, Santa Monica, CA, USA.
Katherine E WatkinsRAND Corporation, Santa Monica, CA, USA.

Funding

Integrated Collaborative Care for Substance Use DisordersR01DA034266 · NIDA · RAND CORPORATION · PI WATKINS, KATHERINE E · 2012 to 2016
$4.0M
NIDA NIH HHS R01 DA034266
6 · The paper itself

Abstract

introductionCommunity health clinics (CHCs) are an opportune setting to identify and treat substance misuse. This study assessed the characteristics of patients who presented to a CHC with substance misuse.

methodsPersonnel at a large CHC administered a 5-question screener to patients between June 3, 2014, and January 15, 2016, to assess past 3-month alcohol use, prescription opioid misuse, or illicit drug use. We stratified screen-positive patients into 4 diagnostic groups: (1) probable alcohol use disorder (AUD) and no comorbid opioid use disorder (OUD); (2) probable heroin use disorder; (3) probable prescription OUD, with or without comorbid AUD; and (4) no probable substance use disorder. We describe substance use and mental health characteristics of screen-positive patients and compare the characteristics of patients in the diagnostic groups.

resultsCompared to the clinic population, screen-positive patients (N = 733) included more males (

conclusionsPatients presenting to CHCs who screen positive for alcohol or opioid misuse have a high likelihood of having an AUD or OUD, with or without a comorbid serious mental illness. Community health clinics offering substance use treatment may be an important resource for addressing unmet need for substance use treatment and comorbid mental illness.

Indexed as

alcoholcommunity health centersopioidprimary carescreeningsubstance misuse

Identifiers

PMID29124080
PMCPMC5661753

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.