Evidence map›Paper›PMID 30861475›Full record

ArticleAddictive behaviors2019

Adolescents with better mental health have less problem alcohol use six months later.

Lisa S Meredith, Rachana Seelam, Bradley D Stein, Layla Parast, William G Shadel, Elizabeth J D'Amico

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Observational
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 at 1 institution in 1 country.

Lisa S MeredithRAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA; VA HSR&D Center for Healthcare Innovation, Implementation and Policy, 16111 Plummer Street (152), Sepulveda, CA 91343-2036, USA; Pardee RAND Graduate School, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: seidel@rand.org.
Rachana SeelamRAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: rseelam@rand.org.
Bradley D SteinRAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA 15213, USA. Electronic address: stein@rand.org.
Layla ParastRAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: parast@rand.org.
William G ShadelRAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA 15213, USA. Electronic address: shadel@rand.org.
Elizabeth J D'AmicoRAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138, USA. Electronic address: damico@rand.org.
RAND Corporation · US

Funding

Alcohol Screening in an Ethnically Diverse Sample of Adolescents in Primary CareR01AA021786 · NIAAA · RAND CORPORATION · PI D'AMICO, ELIZABETH J. · 2012 to 2016
$3.3M
NIAAA NIH HHS R01 AA021786
6 · The paper itself

Abstract

purposeAdolescents who report having mental health problems, including depression and anxiety, are at greater risk of alcohol use. We examined the longitudinal association between mental health and alcohol use six months later in a diverse adolescent sample attending a primary care appointment. The primary care setting provides a unique opportunity to reach this younger age group and address risk factors, including mental health problems and substance use.

methodsAdolescents aged 12-18 (n = 668) recruited from waiting rooms at four primary care clinics in Los Angeles, California and Pittsburgh, Pennsylvania completed a baseline web-based survey (April 2013 to November 2015) and another survey six months later. Bivariate analysis and multi-variable regression assessed associations between baseline mental health and 6-month alcohol use outcomes (any use, heavy use, and maximum quantity).

resultsAdolescents were stratified by mental health scores using the Mental Health Inventory-5 (MHI-5) cut off at baseline. In unadjusted analyses of alcohol outcomes at six months, adolescents with more mental health problems reported higher alcohol use across all three measures (p < .01 for heavy use; p < .05 for any use and maximum quantity used). Adolescents' reports of better mental health at baseline were associated with fewer heavy drinking episodes (p < .05) and lower maximum number of drinks (p < .05) at six months, after adjusting for baseline alcohol use, intervention group, site, and demographic characteristics.

conclusionsAddressing mental health in primary care may be important for decreasing alcohol problems in adolescents. Strategies for facilitating screening and intervention with adolescents at-risk of alcohol use are warranted.

Indexed as

Mental HealthPrimary Health CareAdolescentAlcohol-Related DisordersBinge DrinkingChildFemaleHumansMaleMultivariate AnalysisRisk FactorsUnderage DrinkingAdolescentsAlcohol useMental healthPrimary care

Identifiers

PMID30861475
PMCPMC6611548
OpenAlexW2922461677

What OpenQuestion holds

Textmetadata
LicenceTDM
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.