@article{ref1,
title="Marijuana use and prior injury among injured problem drinkers",
journal="Academic emergency medicine",
year="2003",
author="Clifford, Patrick R. and Carty, Kathleen and Gogineni, Aruna and Minugh, P. Allison and Longabaugh, Richard and Becker, Bruce Erhart and Nirenberg, Ted D. and Woolard, Robert",
volume="10",
number="1",
pages="43-51",
abstract="OBJECTIVES: The purpose of this paper is to better understand marijuana use among injured problem drinkers in the emergency department (ED). The specific objectives are: 1) to assess the prevalence of marijuana use; 2) to identify factors associated with marijuana use; 3) to determine whether prior injury is associated with marijuana use; and 4) to determine whether marijuana-using problem drinkers want to change behaviors. METHODS: The authors conducted a post-hoc analysis on data obtained prospectively. Subjects had injury and problem drinking: either measurable alcohol level (blood alcohol concentration, BAC), report of drinking, or an Alcohol Use Disorders Identification Test (AUDIT) score of &gt; or =8. The study was conducted on weekend nights; 3,776 injured ED patients were screened, 383 refused, 578 were enrolled, and 433 had complete data. RESULTS: Of the 433 subjects, 48.3% reported using marijuana in the three months prior. Marijuana-using problem drinkers had more hazardous drinking, higher AUDIT scores (14.0 vs. 11.4, p &lt; 0.001), and higher risk-taking scores (12.4 vs. 10.1, p &lt; 0.001). More used other drugs (69.7% vs. 30.3%, p &lt; 0.001). In regression analyses, marijuana use remained an independent predictor of prior injury (OR = 2.16, 95% CI = 1.25 to 3.75), particularly prior alcohol-related (OR = 2.26, 95% CI = 1.45 to 3.53) and motor-vehicle-related (OR = 1.69, 95% CI = 1.03 to 2.79) injury. Readiness-to-change scores were similar (4.14 vs. 4.22, p = 0.21) between users and nonusers. CONCLUSIONS: Marijuana use among injured problem drinkers is prevalent. Their risk of prior injury is increased. Counseling for alcohol and injury should address marijuana use.<p /><p>Language: en</p>",
language="en",
issn="1069-6563",
doi="",
url="http://dx.doi.org/"
}