Factors associated with internalized injection drug user stigma among injection drug users in New York City

s / Drug and Alcohol Dependence 146 (2015) e34–e117 e81 acceptable to patients, their parents and pediatric staff and provide clinical utility when used during well child check-ups. Methods: Following informed consent and child assent, while waiting for a physician in the exam room, parents and patients completed the TLI and RI, respectively. Nurses also invited parents to participate in a follow-up interview. Of 258 records scanned for eligibility (patients of 17 pediatricians within 3 practices), 106 parent-child dyads were recruited by nurses to complete the TLI and aRI prototype; 41.9% of patientswere girls, 55.7%wereAfricanAmerican, 44.3% were Caucasian, and their mean age=10.3 years (SD=2.0). Results: TLIs took a mean 5.3min (range=4.3–7.4); prototype RIs took a mean 5.1min (range=2.3–10.1). Parents and patients rated the screening protocol very positively. E.g., over 93% of parents reported they want pediatricians to use the screening tools; 96.6% reported that if the screening indicated their child needed prevention, they would seek help through a physician’s referral. Pediatricians and office staff also viewed the protocol positively, patient flow was not disrupted, and medical staff agreed to assist in further development of a screening and referral protocol. Scores on both indexes correlated with substance use, conduct disorder, health behaviors that concern pediatricians (e.g., wearing a helmet while riding a bike) and many case-conceptualization measures used with the Family Check-Up prevention program. Conclusions: The TLI/RI screening protocol fits pediatric well child check-up logistics, is acceptable, and provides clinical utility as a screening tool for healthcare-based SUD prevention. Financial support: Supported by grants from NIDA (P50 DA005605, R42 DA022127) and the Staunton Farm Foundation. http://dx.doi.org/10.1016/j.drugalcdep.2014.09.588 Factors associated with internalized injection drug user stigma among injection drug users in New York City Alexis V. Rivera1, Jennifer DeCuir1, Natalie D. Crawford2, Crystal Fuller1 1 Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States 2 Epidemiology and Biostatistics, Georgia State University School of Public Heatlh, Atlanta, GA,