Bento Samantha P, Campbell MaryJane S, Soutullo Olivia, Cogen Fran R, Monaghan Maureen
Children's National Hospital, Washington, DC, USA.
George Washington University, Washington, DC, USA.
Clin Pediatr (Phila). 2020 May;59(4-5):388-395. doi: 10.1177/0009922820902433. Epub 2020 Jan 31.
Pediatric health care providers are in a unique position to discuss the health implications of alcohol, tobacco, and drug use with adolescents and young adults (AYAs) with type 1 diabetes (T1D). This study evaluated the frequency of self-reported substance use and associated demographic and clinical characteristics in a sample of AYAs with T1D and patient-provider discussions of substance use in T1D care. Sixty-four AYAs completed questions about substance use from the Youth Risk Behavior Survey (YRBS). Corresponding diabetes clinic visits were audio-recorded, transcribed, and reviewed to examine substance use discussions. A total of 56.3% of AYAs reported ever engaging in substance use; 40.6% reported substance use within the past 30 days. Five AYAs had discussions about substance use during their most recent diabetes clinic visit. Substance use should be proactively addressed by pediatric health care providers and AYAs should be encouraged to raise questions related to substance use during clinic visits.
儿科医疗服务提供者在与患有1型糖尿病（T1D）的青少年和青年（AYAs）讨论酒精、烟草和药物使用对健康的影响方面具有独特地位。本研究评估了患有T1D的AYAs样本中自我报告的物质使用频率以及相关的人口统计学和临床特征，以及在T1D护理中患者与医疗服务提供者关于物质使用的讨论情况。64名AYAs完成了青少年风险行为调查（YRBS）中关于物质使用的问题。对相应的糖尿病门诊就诊进行了录音、转录和审查，以检查关于物质使用的讨论情况。共有56.3%的AYAs报告曾使用过物质；40.6%报告在过去30天内有物质使用行为。5名AYAs在最近一次糖尿病门诊就诊期间进行了关于物质使用的讨论。儿科医疗服务提供者应积极解决物质使用问题，并鼓励AYAs在门诊就诊时提出与物质使用相关的问题。
