The Usefulness of the CRAFFT in Screening for Problematic Drug and Alcohol Use Among Youth Living with HIV.

TitleThe Usefulness of the CRAFFT in Screening for Problematic Drug and Alcohol Use Among Youth Living with HIV.
Publication TypePublication
Year of Publication2017
AuthorsGamarel KE, Nelson KM, Brown L, M Fernández I, Nichols S
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Intervention
JournalAIDS Behav
Volume21
Issue7
Pagination1868-1877
Date Published2017 Jul
ISSN1573-3254
KeywordsAdolescent, Adult, Age Factors, Alcoholism, Child, Comorbidity, Cross-Sectional Studies, Female, HIV Infections, Humans, Male, Mass Screening, Substance-Related Disorders, Surveys and Questionnaires, United States, Young Adult
Abstract

<p>Substance use is highly prevalent among youth living with HIV (YLWH) and negatively impacts HIV care. This study sought to determine whether the CRAFFT (Car, Relax, Alone, Forget, Friends, and Trouble), designed to screen for problematic substance use, is reliably associated with substance use behaviors among YLWH. A cross-sectional sample of 2216 youth (ages 12-26) were recruited through the adolescent medicine trials network for HIV/AIDS Interventions. Participants completed a self-administered survey. Over half screened positive on the CRAFFT (i.e., ≥2). Among frequent substance users, those older in age, behaviorally infected, with history of incarceration or unstably housed were more likely to screen positive on the CRAFFT. Study findings suggest that the CRAFFT reliably identifies youth who use substances. Thus, screening measures such as the CRAFFT should be utilized routinely in HIV clinical settings for youth.</p>

DOI10.1007/s10461-016-1640-2
Alternate JournalAIDS Behav
PubMed ID27981399
PubMed Central IDPMC5472507
Grant ListT32 MH078788 / MH / NIMH NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
K23 MH109346 / MH / NIMH NIH HHS / United States
L30 DA040191 / DA / NIDA NIH HHS / United States
U24 AA022000 / AA / NIAAA NIH HHS / United States