TY - JOUR PY - 1990// TI - Evaluation of Substance Abusing Adolescents by Primary Care Physicians JO - Journal of Aolescent Health Care A1 - Friedman, L. S. A1 - Johnson, Bankole A1 - Brett, AS SP - 227 EP - 230 VL - 11 IS - 3 N2 - Physicians are in a unique position to identify substance-abusing adolescents. To evaluate physician performance from the patient's perspective, we interviewed 54 substance-abusing adolescents and their parents about previous medical encounters. Although nearly all patients had seen a physician during the time they were using drugs or alcohol, 43% did not recall being asked by a doctor about alcohol or drug use. Of the 26 patients who recalled benig asked, 12 (46%) stated that they responded dishonestly, usually because a parent was present. Of the 23 who didn't recall being asked, five (18%) wished they had been asked. Physicians tended to ask about substance abuse more often (p = .08) when they had previously discussed the problem with parents, but many parents did not initiate such discussions. This survey suggests that physicians may not adequately assess high-risk adolescents for substance abuse because of physician-, patient- and/or parent-dependent factors.
Language: en
LA - en SN - 0197-0070 UR - http://dx.doi.org/ ID - ref1 ER -