ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2024
Trends in Substance-Related Visits Among Youth to US Children's Hospitals, 2016-2021: An Analysis of the Pediatric Health Information System Database.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of adolescent alcohol-related harm trends in high-income countries with declines in adolescent consumption.Addiction (Abingdon, England) · 2025Pooled it
- Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Pooled it
- Adolescent Substance Use Screening in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026Review
- People with psychotic disorders are the most vulnerable to cannabis adverse health outcomes: a study in WA State, USA.Community mental health journal · 2026Article
- Lifetime Nonprescribed Opioid Use by Sex, Race/Ethnicity, and Sexual Identification Among U.S. High-School Students.American journal of preventive medicine · 2026Article
- Physician Experiences of Substance Use Disorder Management in Pediatric Hospitals: A Qualitative Study of Key Informant Interviews.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- The multidimensional social ecological needs and service utilization patterns of youth using non-medical prescription opioids: an observational study of routinely collected data in a provincial integrated youth services initiative.Substance abuse treatment, prevention, and policy · 2025Observational
- Trends in substance use-related emergency department visits by youth, 2018-2023.The American journal of emergency medicine · 2025Article
- Evolving sex-specific trends in mental health-related emergency department visits (2010-2023): insights from 643 French general hospitals.Frontiers in public health · 2025Article
- Substance Use among Youth Presenting to the Pediatric Emergency Department.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeThis study evaluates recent trends in substance-related visits among youth visiting children's hospitals.
methodsWe conducted a cross-sectional study of substance-related visits to pediatric hospitals within the Pediatric Health Information System database of youth aged 12-21 years from 2016 through 2021. Substance-related visits were defined as acute visits for International Classification of Diseases, 10th Revision Clinical Modification codes related to substance 'use', dependence, or overdoses for alcohol, cannabis, nicotine, opioids, sedatives, stimulants, hallucinogens, or other substances. Cumulative growth rate and stratified substance-related trends were calculated using generalized estimating equations. Predicted number of visits during the COVID-19 pandemic was generated using an auto-regressive time series analysis.
resultsThere were 106,793 substance-related visits involving 84,632 youth. From 2016 to 2021, substance-related visits increased by 47.9% and increased across all ages, demographics, regions, and payors. Visits of Hispanic youth experienced the greatest percentage growth (63.3%, p < .05) when compared to Non-Hispanic (NH) White (46.2%) or NH Black (49.8%) youth. All substances except sedatives experienced an increase in growth in visits. Cannabis accounted for the largest percentage of visits (52.2%) and experienced the greatest percentage growth during the study period (82.4%, p < .001). During the pandemic, publicly insured, female, NH Black, and Hispanic youth experienced a greater-than-predicted number of substance-related visits. DISCUSSION: Substance-related visits to children's hospitals are increasing for all demographics and nearly all substances. There were substantial increases in visits for most minoritized youth with a disproportionate rise among Hispanic youth. Visits over the pandemic were concentrated among publicly insured, female, NH Black, and Hispanic youth. Equitable large-scale investment is needed to address the rising morbidity of substance use among adolescents.
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