Substance use among adolescents and young adults (AYAs) is associated with an increased risk of poor physical and mental health outcomes. For AYA childhood cancer survivors (CCSs), substance use may also increase their likelihood of experiencing late effects. As a result, professional organizations recommend that AYA CCSs be regularly screened for risk behaviors, including substance use. The best methods for assessing these behaviors as part of clinical care for AYA CCSs, however, remain unclear. To begin to address this gap, the purpose of this study was to systematically review written substance use measures that have been used with AYA CCSs and published between 2000 and 2020. A search of PubMed, PsycINFO, and CINAHL using terms related to substance use and AYA CCSs identified 47 articles representing 20 different written substance use measures that evaluated current substance use (i.e., use of alcohol, tobacco, marijuana, prescription medications taken in a manner other than as prescribed, and/or other illicit substances within the 12 months). Measures varied in domains assessed, item formats, and response formats. Results are presented alongside recommendations for selecting screening tools for use with AYA CCS populations in both clinical and research settings.

中文翻译：

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青少年和青年儿童癌症幸存者物质使用测量工具的系统评价

青少年和年轻人 (AYAs) 的药物使用与身体和心理健康状况不佳的风险增加有关。对于 AYA 儿童癌症幸存者 (CCS) 来说，物质使用也可能会增加他们出现后期影响的可能性。因此，专业组织建议定期筛查 AYA CCS 的危险行为，包括物质使用。然而，作为 AYA CCS 临床护理的一部分，评估这些行为的最佳方法仍不清楚。为了开始解决这一差距，本研究的目的是系统地回顾 AYA CCS 中使用并在 2000 年至 2020 年间发布的书面物质使用措施。使用与物质使用和AYA CCS 确定了 47 篇文章，代表 20 种不同的书面药物使用措施，用于评估当前的药物使用情况（即，在 12 个月内使用酒精、烟草、大麻、以非处方方式服用的处方药和/或其他非法药物） 。衡量标准在评估领域、项目格式和响应格式方面各不相同。结果与在临床和研究环境中用于 AYA CCS 人群的筛选工具的选择建议一起提出。