Youth Perspectives of Prescription Pain Medication in the Opioid Crisis
Youth Perspectives of Prescription Pain Medication in the Opioid Crisis
复制标题
DOI：
10.1016/j.jpeds.2020.02.003
复制
发表时间：
2020-06-01
影响因子：
5.1
通讯作者：
Chang, Tammy
中科院分区：
文献类型：
--
作者：
Harbaugh, Calista M.;Vu, Joceline V.;Chang, Tammy
目的 描述当前年轻人对处方止痛药的看法。研究设计 通过有针对性的社交媒体广告，总共招募了 1047 名 14-24 岁的年轻人，以匹配国家人口统计基准。青少年会收到开放式短信提示，询问他们接触和获得处方止痛药、处方药和非处方药的安全性以及与“阿片类药物”一词的关联。针对新出现的主题和频率对答复进行归纳分析。结果 在 745 名受访者中（答复率为 71.2%），其中 439 人为女性（59.3%），561 人为白人（75.8%），平均年龄为 18.3 +/- 3.2 岁。 377 名受访者 (52.0%) 报告曾接触过处方止痛药，最常见与牙科 (32.8%)、手术 (19.2%) 和受伤 (12.0%) 有关。 256 名受访者 (36.9%) 指出了获得处方止痛药的非医疗来源，另有 111 名受访者 (16.0%) 指出了除医生以外的医疗来源。青少年的反应中还出现了另外三个主题：（1）基于对医生的信任，处方药被认为比非处方药更安全； (2) 非处方药成瘾和服用过量的风险被认为更大； (3) 受访者对“阿片类药物”这个词有广泛的理解，从历史到时事，从医疗到非法物质，从个人到公共协会。 结论 尽管年轻人意识到阿片类药物危机，但他们认为医生开出的处方止痛药的风险低于其他来源。政策应针对临床和非临床环境中的青少年进行教育，强调所有阿片类药物成瘾和过量的风险。
Objective To characterize current youth perspectives of prescription pain medication.Study design In total, 1047 youths aged 14-24 years were recruited by targeted social media advertisements to match national demographic benchmarks. Youths were queried by open-ended text message prompts about exposure and access to prescription pain medication, perceived safety of prescribed and nonprescribed medication, and associations with the word "opioid." Responses were analyzed inductively for emerging themes and frequencies.Results Among 745 respondents (71.2% response rate), 439 identified as female (59.3%), 561 as white (75.8%), and mean age was 18.3 +/- 3.2 years. Previous exposure to prescription pain medication was reported by 377 respondents (52.0%), most commonly related to dentistry (32.8%), surgery (19.2%), and injury (12.0%). Nonmedical sources of access to prescription pain medication were identified by 256 respondents (36.9%) and medical sources other than their doctor by an additional 111 respondents (16.0%). Three additional themes emerged from youth responses: (1) prescribed medication was thought to be safer than nonprescribed medication, based on trust in doctors; (2) risks of addiction and overdose were thought to be greater for nonprescribed medication; (3) respondents had a widely ranging understanding of the word "opioid," from historical to current events, medical to illicit substances, and personal to public associations.Conclusions Although youths are aware of the opioid crisis, they perceive less risk of prescription pain medication prescribed by a doctor, than from other sources. Policies should target education to youth in clinical and nonclinical settings, highlighting the risks of addiction and overdose with all opioids.