title: Differences between adult non-drug users versus alcohol, cocaine and concurrent alcohol and cocaine problem users.
abstract: Concurrent drug use is a serious public health concern with significant morbidity and mortality associated with the combined use of alcohol and cocaine. Multinomial logistic regression was used to assess differences between non-drug users and alcohol, cocaine and concurrent problem users incorporating data from the 2005 National Survey on Drug Use and Health. Results demonstrated that alcohol and cocaine use is associated with mental health disturbance, other drug use and adverse social consequences. Furthermore, concurrent users were more likely to report cigarette and marijuana use as well as lifetime STDs and arrest for breaking the law. Study results have implications for planning prevention and treatment services differentially for alcohol, cocaine and concurrent users and support the need for more intense resources allocated to the prevention and treatment of the concurrent use of alcohol and cocaine.
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, 2213 McElderry Street, Fourth Floor, Suite 400, Baltimore, MD 21205, USA. shedden@jhsph.edu
authors.forename: Sarra L
authors.initials: SL
authors.lastname: Hedden
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Malcolm
authors.forename: William W
authors.initials: WW
authors.lastname: Latimer
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011634:Public Health; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D055815:Young Adult