Prevalence and key covariates of non-medical prescription opioid use among the general secondary student and adult populations in Ontario, Canada
Prevalence and key covariates of non-medical prescription opioid use among the general secondary student and adult populations in Ontario, Canada
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DOI：
10.1111/dar.12025
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发表时间：
2013-05-01
影响因子：
3.8
通讯作者：
Mann, Robert E.
中科院分区：
文献类型：
--
作者：
Fischer, Benedikt;Ialomiteanu, Anca;Mann, Robert E.
在两项有代表性的成人调查(成瘾和心理健康监测中心)和中学生调查(安大略省学生药物使用和健康调查)中，评估非医疗处方阿片类药物使用的流行率和关键变量。设计与方法采用CMA分层、多阶段、随机数字拨号电话调查2010年和2011年周期(n=4023)和OSDUHS 2011年周期(n=3266)的数据，对712级公共系统学生进行基于自我管理的书面问卷调查。除了NMPOU的患病率，还通过单变量和多步多变量(Logistic回归)分析来评估相关性。对NMPOU和关键社会经济指标(即性别、年龄、土著民族、家庭所在地、收入、主观社会地位)、健康指标(身体健康状况、心理困扰、自杀意念)、药物使用(吸烟、酗酒、大麻使用、其他药物使用)进行了测量。结果过去一年NMPOU患病率学生为15.5%，成人为5.9%。在两个人群中都发现了与社会、健康和药物使用因素的各种单变量关联，并因性别而异。根据多因素分析，在各自的研究人群中，其他吸毒(男学生)和农村居住、主观社会地位、其他吸毒和自杀意念(女学生)、婚姻状况和使用大麻(男成人)和酗酒(女成人)与NMPOU独立相关。讨论与结论NMPOU在成人尤其是学生中较高。NMPOU的独立预测因素在很大程度上与性别不一致。值得注意的是，NMPOU广泛分布在社会人口和经济阶层，因此需要广泛的干预措施。访问数/每百万人：Rehm.加拿大安大略省普通中学生和成人人群中非医疗处方阿片类药物使用的流行率和关键协变量。毒品酒精2013版；32：276-287]
Introduction and Aims To assess the prevalence and key covariates of non-medical prescription opioid use (NMPOU) in two representative surveys of adults (Centre for Addiction and Mental Health Monitor, CM) and secondary-school students (Ontario Student Drug Use and Health Survey, OSDUHS). Design and Methods Data from the 2010 and 2011 cycles (n=4023) of CMa stratified, multi-stage, random-digit-dialling telephone survey of adults (18 years and older)and the 2011 cycle of OSDUHS (n=3266)a self-administered written questionnaire-based survey of grade 712 public system studentswere used. Besides NMPOU prevalence, associations were assessed by univariate and multi-step multivariate (logistic regression) analyses. NMPOU and key socioeconomic (i.e. sex, age, Aboriginal ethnicity, household location, income, subjective social status), health indicators (physical health status, psychological distress, suicidal ideation), drug use (cigarette smoking, binge drinking, cannabis use, other drug use) were measured. Results NMPOU (past year) prevalence was 15.5% in students and 5.9% in adults. Various univariate associations with social, health and drug use factors were found in both populations, with differences by sex. Based on multivariate analyses, other drug use (male students) and rural residence, subjective social status, other drug use and suicidal ideation (female students); marital status and cannabis use (male adults) and binge drinking (female adults) were independently associated with NMPOU in the respective study populations. Discussion and Conclusions NMPOU was high in adults and especially students. Independent predictors of NMPOU were largely inconsistent by sex. Notably, NMPOU is widely distributed across socio-demographic and -economic strata, and thus requires broad-based interventions. [Fischer B, Ialomiteanu A, Boak A, Adlaf E, Rehm J, Mann RE. Prevalence and key covariates of non-medical prescription opioid use among the general secondary student and adult populations in Ontario, Canada. Drug Alcohol Rev 2013;32:276-287]