Social context and perspectives of non-medical prescription opioid use among young adults in Rhode Island: A qualitative study.
Social context and perspectives of non-medical prescription opioid use among young adults in Rhode Island: A qualitative study.
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罗德岛州年轻人非医疗处方阿片类药物使用的社会背景和观点：一项定性研究。
DOI：
10.1111/ajad.12466
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Marshall,BrandonDL
中科院分区：
文献类型：
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作者：
Yedinak,JesseL;Kinnard,ElizabethN;Hadland,ScottE;Green,TraciC;Clark,MelissaA;Marshall,BrandonDL
背景和ObjectivesThis pilot study examined the context of nonmedical prescription opioid（NMPO）use and related risk behaviors among young adults in罗得岛，一个新英格兰地区，NMPO use and overdose mortality.MethodsWe conducted semi-structured interviews（n= 13）with young adults（18-29奥尔兹）who reported current or recent NMPO use.我们还与从服务机构招募的专业服务提供者进行了焦点小组（两组，共14人）。数据进行了录音，转录，和关键的主题进行了analysed.ResultsParticipants讨论了高水平的非医疗用途的处方阿片类药物通过处方最初提供给家人和朋友。与会者所描述的背景包括聚会等社会环境，在聚会中，据报告有阿片剂与苯二氮卓类药物、酒精或其他类型药物混合的情况，以及无意过量服用的事件。参与者将过量的风险归因于个人因素（例如，“无法处理它”的用户），而不是背景因素，并描述了被标记为“成瘾者”或“成瘾”的负面反应。专业服务提供者在治疗环境中对年轻人有第一手经验，但对未接受过治疗的年轻人的接触有限。ConclusionsYoung adult NMPO用户描述了多物质使用和药丸使用常见的社会环境，并强调了对被标记为物质使用障碍的厌恶。干预措施应针对吸毒和危险行为发生的社会背景。(Am J Addict 2016;25：659-665）
Background and ObjectivesThis pilot study examined the context of nonmedical prescription opioid (NMPO) use and related risk behaviors among young adults in Rhode Island, a New England region with markedly high prevalence of NMPO use and overdose mortality.MethodsWe conducted semi‐structured interviews (n= 13) with young adults (18–29 year‐olds) who reported current or recent NMPO use. We also conducted focus groups (two groups,n= 14 total) with professional service providers recruited from service organizations. Data were audio‐recorded, transcribed, and key themes were analyzed.ResultsParticipants discussed high levels of access to prescription opioids for nonmedical use via prescriptions originally provided to family and friends. The contexts described by participants included social environments such as parties, in which mixing opiates with benzodiazepines, alcohol or other types of drugs, and incidents of unintentional overdose were reported. Participants attributed risk for overdose to individual‐level factors (eg, users who “couldn't handle it”), rather than contextual factors, and described negative reactions to being labeled as an “addict” or “addicted.” Professional service providers had first‐hand experience with young adults in treatment settings, yet limited exposure to young adults who were treatment‐naïve.ConclusionsYoung adult NMPO users described social settings where polysubstance use and pill use were common, and highlighted an aversion to being labeled as having a substance use disorder.Scientific SignificanceTo reduce harms of NMPO use among young adults, interventions should address the social context in which drug use and risk behaviors occur. (Am J Addict 2016;25:659–665)