| Factors associated with substance use problem among Maryland Medicaid enrollees affected by serious mental illness. | |
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MedLine Citation:
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PMID: 19487082 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to identify long-term factors associated with substance use problem among individuals affected by severe mental illness. Prospective data come from the 1994, 1998, and 2000 waves of the Maryland Mental Health Outcomes Survey conducted among a sub-cohort of adult Medicaid recipients affected by serious mental illness. We estimated factors associated with alcohol and drug problem, as well as a hierarchy of substance use problem severity constructed from the alcohol and drug problem outcomes. Drug problem was the strongest factor associated with alcohol problem, and vice versa. Conceptualizing alcohol and drug problem separately, and as a hierarchy of severity, revealed distinct profiles of significant factors. Further research is warranted to explore the utility of modeling substance use problem in terms of a hierarchy of severity. |
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Authors:
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Krista Schladweiler; Pierre K Alexandre; Donald M Steinwachs |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2009-05-20 |
Journal Detail:
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Title: Addictive behaviors Volume: 34 ISSN: 1873-6327 ISO Abbreviation: Addict Behav Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-06-16 Completed Date: 2010-05-14 Revised Date: 2011-05-04 |
Medline Journal Info:
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Nlm Unique ID: 7603486 Medline TA: Addict Behav Country: England |
Other Details:
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Languages: eng Pagination: 757-63 Citation Subset: IM |
Affiliation:
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Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Alcoholism / epidemiology, psychology Baltimore / epidemiology Diagnosis, Dual (Psychiatry) Epidemiologic Methods Female Humans Male Maryland / epidemiology Medicaid / statistics & numerical data* Mental Disorders / epidemiology, psychology Middle Aged Psychiatric Status Rating Scales Substance-Related Disorders / epidemiology*, psychology United States Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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DA020630/DA/NIDA NIH HHS; R01 DA020630-03/DA/NIDA NIH HHS; R01 MH049250-07/MH/NIMH NIH HHS; R01 MH49250/MH/NIMH NIH HHS; T32 DA07292/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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