ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025
U.S. Pediatricians' Attitudes and Practices Around Screening for Substance Use in Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Pediatrician Preparedness and Referrals to Resources for Children in Immigrant Families.Academic pediatrics · 2026Article
- Addressing Access to Child Mental Health Services in Primary Care: Implementation and Feasibility of the Colorado Pediatric Psychiatry Consultation and Access Program.Children (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeTo examine primary care pediatricians' attitudes and practices around substance use screening, including barriers to screening.
methodsThe 2021 American Academy of Pediatrics Periodic Survey was completed by a national, random sample of 1,683 nonretired US American Academy of Pediatrics members (residents excluded; response rate 43%). Pediatricians who reported providing health supervision to adolescents (n = 455) completed survey items assessing substance use screening practices and attitudes, including barriers to screening and access to treatment resources. Multivariable logistic regression identified associations between physician- and practice-level characteristics and (1) using a standardized substance use screening instrument and (2) barriers to substance use screening.
resultsNine of 10 primary care pediatricians (404/455) reported always/often screening adolescent patients for substance use during health supervision visits, with 41% usually using a standardized instrument. Compared to those in the Northeast, pediatricians in the South (adjusted odds ratio 0.56; 95% confidence interval [CI] 0.32-0.97), Midwest (adjusted odds ratio 0.26; 95% CI 0.13-0.49), or West (0.46; 95% CI 0.25-0.85) were half as likely to report use of a standardized screening instrument. The most common barriers to screening were a lack of treatment options for adolescents with a positive screen (69%), a lack of on-site substance use counseling providers (67%), and needing more information on counseling (50%). Most pediatricians reported it was difficult/very difficult to find outpatient behavioral interventions (76%), inpatient treatment (79%), or medication management services (73%) for adolescent substance use. DISCUSSION: These data highlight variability in substance use screening practices by US region. Systems-level interventions that strengthen workforce training on screening and the availability of referral resources may help overcome barriers to screening.
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Registered trials
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