Perceived harmfulness predicts nonmedical use of prescription drugs among college students: interactions with sensation-seeking.

Perceived harmfulness predicts nonmedical use of prescription drugs among college students: interactions with sensation-seeking.
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感知的有害性预测了大学生中处方药的非医学使用:与寻求感觉的互动。

DOI:
10.1007/s11121-008-0095-8
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发表时间:
2008-09
期刊:
影响因子:
3.5
通讯作者:
Wish, Eric D.
Wish, Eric D.
中科院分区:
医学2区
文献类型:
--
作者:
Arria, Amelia M.;Caldeira, Kimberly M.;Vincent, Kathryn B.;O'Grady, Kevin E.;Wish, Eric D.

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本研究描述了一个样本的大学生使用非医疗处方兴奋剂和镇痛药的感知危害水平,并探讨了感知危害和随后的非医疗使用之间的前瞻性关系。此外,我们还探讨了感知危害性和非医疗使用之间的关联是否因寻求感觉的水平而异。对1,253名大学一年级学生进行了个人访谈,包括关于寻求刺激和吸毒的问题。然后,每隔六个月对参与者进行两次随访。通过基于网络的调查,在六个月时评估了非医疗使用处方药的感知危害。在12个月的随访中,再次评估了药物使用情况。从未有机会非医学地使用处方药的学生被排除在所有分析之外。结果显示,四分之一的学生认为偶尔非医疗使用处方兴奋剂(25.2%)和镇痛药(27.8%)的伤害的风险很大。正如预期的那样,低感知危害性和高感觉寻求与非医疗使用风险增加独立相关,保持恒定的人口统计学特征。高感知危害性的保护作用,可以看到在所有层次的感觉寻求一个重要的例外:在高感觉寻求者,感知危害性是不相关的处方止痛药的非医疗使用。在有机会使用的情况下,感知危害似乎可以区分非医疗使用者和非使用者。对大多数学生来说,增加感知的危害性可能是一种可行的预防策略,但可能需要开发针对高感觉寻求者的替代方法。
This study describes the level of perceived harmfulness of nonmedical prescription stimulant and analgesic use in a sample of college students, and examines the prospective relationship between perceived harmfulness and subsequent nonmedical use. In addition, we explore whether the association between perceived harmfulness and nonmedical use varies by level of sensation-seeking. Personal interviews, including questions on sensation-seeking and drug use, were conducted with 1,253 first-year college students. Participants were then followed-up twice at six-month intervals. Perceived harmfulness of nonmedical use of prescription drugs was assessed at six months via a web-based survey. At the 12-month follow-up interview, drug use was again assessed. Students who never had the opportunity to use prescription drugs nonmedically were excluded from all analyses. Results revealed that one in four students perceived a great risk of harm from occasional nonmedical use of prescription stimulants (25.2%) and analgesics (27.8%). As expected, low perceived harmfulness and high sensation-seeking were independently associated with increased risk of nonmedical use, holding constant demographic characteristics. The protective effect of high perceived harmfulness could be seen at all levels of sensation-seeking with one important exception: among high sensation-seekers, perceived harmfulness was not related to nonmedical use of prescription analgesics. Perceived harmfulness appears to distinguish nonmedical users from non-users, given the opportunity to use. Increasing perceived harmfulness may be a viable prevention strategy for most students, but alternative approaches might need to be developed that are tailored to high sensation-seekers.
DOI: 10.1016/j.drugalcdep.2004.07.005
发表时间: 2005-01-07
影响因子: 4.2
作者:
McCabe, SE;Teter, CJ;Boyd, CJ
通讯作者: Boyd, CJ
DOI: 10.1037/1064-1297.2.3.244
发表时间: 1994-08-01
影响因子: 2.3
作者:
Anthony, James C.;Warner, Lynn A.;Kessler, Ronald C.
通讯作者: Kessler, Ronald C.
DOI: 10.1080/02791072.2006.10399827
发表时间: 2006-03-01
影响因子: 2.8
作者:
McCabe, SE;Teter, CJ;Boyd, CJ
通讯作者: Boyd, CJ
DOI: 10.2307/2137171
发表时间: 1990-06-01
影响因子: 5
作者:
BACHMAN, JG;JOHNSTON, LD;OMALLEY, PM
通讯作者: OMALLEY, PM
DOI: 10.1023/a:1024190429920
发表时间: 2002-03-01
期刊: JOURNAL OF NEUROCYTOLOGY
影响因子: --
作者:
Fuster, JM
通讯作者: Fuster, JM