PMID- 21660872 OWN - NLM STAT- MEDLINE DCOM- 20111017 LR - 20150330 IS - 1547-0164 (Electronic) IS - 0889-7077 (Linking) VI - 32 IP - 3 DP - 2011 Jul TI - Substance use prevalence and screening instrument comparisons in urban primary care. PG - 128-34 LID - 10.1080/08897077.2011.562732 [doi] AB - Substance use screening in a primary care setting compared the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST version 3.0), Two-Item Conjoint Screen (TICS), National Institute on Alcohol Abuse and Alcoholism (NIAAA) daily limit single item, and electronic medical record (EMR). Among 236 consecutive adults, ASSIST moderate- to high-risk substance use prevalence was tobacco, 15.3%; alcohol, 8.5%; cannabis, 5.1%; cocaine, 2.5%; and opioids, 2.5%. Compared to ASSIST, a positive TICS was 45% (95% confidence interval [CI], 27-64%) sensitive, 99% (95-100%) specific; the NIAAA single-item screen was 80% (56-94%) sensitive, 87% (82-91%) specific. The NIAAA single item correlated closely with alcohol ASSIST. TICS and EMR were less sensitive for any nontobacco substance use. FAU - Lee, Joshua D AU - Lee JD AD - Division of General Internal Medicine, New York University School of Medicine, New York, New York 10010, USA. joshua.lee@med.nyu.edu FAU - Delbanco, Benjamin AU - Delbanco B FAU - Wu, Edward AU - Wu E FAU - Gourevitch, Marc N AU - Gourevitch MN LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Subst Abus JT - Substance abuse JID - 8808537 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Primary Health Care/*statistics & numerical data MH - Psychiatric Status Rating Scales MH - Sensitivity and Specificity MH - Substance Abuse Detection/*instrumentation MH - Substance-Related Disorders/*diagnosis/*epidemiology MH - United States/epidemiology MH - Urban Population/*statistics & numerical data EDAT- 2011/06/11 06:00 MHDA- 2011/10/18 06:00 CRDT- 2011/06/11 06:00 PHST- 2011/06/11 06:00 [entrez] PHST- 2011/06/11 06:00 [pubmed] PHST- 2011/10/18 06:00 [medline] AID - 933889875 [pii] AID - 10.1080/08897077.2011.562732 [doi] PST - ppublish SO - Subst Abus. 2011 Jul;32(3):128-34. doi: 10.1080/08897077.2011.562732.