Adolescents' access to their own prescription medications in the home.

Adolescents' access to their own prescription medications in the home.
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DOI:
10.1016/j.jadohealth.2013.02.012
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发表时间:
2013-08
影响因子:
7.6
通讯作者:
Boyd, Carol J.
Boyd, Carol J.
中科院分区:
医学2区
文献类型:
--
作者:
Ross-Durow, Paula Lynn;McCabe, Sean Esteban;Boyd, Carol J.

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这项描述性研究的目的是确定青少年在家中获得自己的药物的情况,特别是处方止痛药、兴奋剂、抗焦虑药和镇静药物。对来自密歇根州东南部两个学区的 501 名青少年进行了半结构化访谈。参与者被问及在过去六个月内给他们开了哪些药物;如果他们收到了处方药,他们会被问到有关这些药物的深入问题,包括如何在家中储存和监管药物。样本由八年级和九年级的青少年组成,其中 50.9% 是男性。参与者主要是白人(72.9%,n = 365)或非裔美国人(21.6%,n = 108)。略低于一半的青少年 (45.9%,n=230) 报告在过去六个月内曾服用过药物。在该组中,14.3% (n = 33) 服用了止痛药,9.6% (n = 22) 服用了兴奋剂,1.7% (n = 4) 服用了抗焦虑药物,0.9% (n = 2) 服用了镇静剂。总共有 57 名青少年服用了止痛药、兴奋药、抗焦虑药或镇静药(包括管制药物),大多数(73.7%,n=42)报告称,他们在无人监督的情况下获得了可能滥用的药物。大多数在过去六个月内服用止痛药、兴奋药、抗焦虑药或镇静药的青少年都是在无人监督的情况下在家中服用这些药物的。临床医生必须教育家长和患者了解正确储存和处置药物的重要性,特别是那些可能被滥用的药物,这一点至关重要。
The objective of this descriptive study was to determine adolescents’ access to their own medications at home, specifically prescription pain, stimulant, anti-anxiety, and sedative medications. Semi-structured interviews were conducted with a cohort of 501 adolescents from two southeastern Michigan school districts. Participants were asked what medications had been prescribed to them during the previous six months; if they had received prescription medications, they were asked in-depth questions about them, including how medications were stored and supervised at home. The sample was comprised of adolescents in the 8th and 9th grades, and 50.9% were male. Participants were primarily White (72.9%, n = 365) or African American (21.6%, n = 108). Slightly less than half of the adolescents (45.9%, n=230) reported having been prescribed medications in the previous six months. Of this group, 14.3% (n = 33) had been prescribed pain medications, 9.6% (n = 22) stimulants, 1.7% (n = 4) anti-anxiety medications, and 0.9% (n = 2) sedatives. In total, 57 adolescents were prescribed medications in the pain, stimulant, anti-anxiety, or sedative categories (including controlled medications), and the majority (73.7%, n=42) reported that they had unsupervised access to medications with abuse potential. The majority of adolescents who were prescribed medications in the pain, stimulant, anti-anxiety or sedative categories during the previous six months had unsupervised access to them at home. It is critical that clinicians educate parents and patients about the importance of proper storage and disposal of medications, particularly those with abuse potential.
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