Sources of Pharmaceutical Opioids for Non-Medical Use among Young Adults

Sources of Pharmaceutical Opioids for Non-Medical Use among Young Adults
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DOI:
10.1080/02791072.2014.916833
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发表时间:
2014-07-01
影响因子:
2.8
通讯作者:
Carlson, Robert G.
Carlson, Robert G.
中科院分区:
医学4区
文献类型:
--
作者:
Daniulaityte, Raminta;Falck, Russel;Carlson, Robert G.

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该研究使用定性和定量数据来描述年轻成年人(18至23岁)使用者非法使用止痛药的来源。在俄亥俄州的哥伦布地区,采用受试者驱动的抽样方法招募了383名受试者。样本几乎50%是白人,大约55%是男性。定性访谈参与者(n = 45)从较大的样本中选出。定性数据表明,阿片类药物的供应是如此普遍,以至于大多数人不必冒险离开他们的直接社交网络去寻找出售或分享药片的人。与会者强调了积极参与获取药丸的人和扮演更被动角色的人之间的差异。积极参与被描述为外出寻找药丸并付钱获得它们。相比之下,被动角色包括当有人免费提供或分享药丸时获得药丸。多元逻辑回归分析表明,在获得药物阿片类药物方面更积极的作用与白色、更频繁地使用药物阿片类药物、使用缓释羟考酮和使用药物阿片类药物获得高,而不是自我治疗健康问题有关。研究结果可以帮助为吸毒流行病学、干预措施和政策提供信息。
The study uses qualitative and quantitative data to describe sources of pain pills for illicit use among young adult (18- to 23-year-old) users. Respondent-driven sampling was used to recruit 383 individuals in the Columbus, Ohio, area. The sample was almost 50% Caucasian and about 55% male. Qualitative interview participants (n = 45) were selected from the larger sample. Qualitative data suggest that pharmaceutical opioid availability was so pervasive that most individuals did not have to venture outside of their immediate social networks to find people who sold or shared pills. Participants emphasized differences between those who are actively involved in obtaining pills and those who play a more passive role. Active involvement was described as going out searching for pills and paying money to obtain them. In contrast, passive role included obtaining pills when somebody offered or shared them free of charge. Multiple logistic regression analysis indicates that a more active role in obtaining pharmaceutical opioids was related to being White, more frequent use of pharmaceutical opioids, extended-release oxycodone use, and using pharmaceutical opioids to get high, as opposed to self-treating a health problem. The study results can help inform drug use epidemiology, interventions, and policy.