Pharmaceutical Opioids in the Home and Youth: Implications for Adult Medical Practice.
Pharmaceutical Opioids in the Home and Youth: Implications for Adult Medical Practice.
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DOI：
10.1080/08897077.2014.991058
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发表时间：
2015
期刊：
影响因子：
3.5
通讯作者：
Glanz JM
中科院分区：
文献类型：
--
作者：
Binswanger IA;Glanz JM
阿片类药物处方，阿片类药物使用障碍和相关中毒在过去十年中大幅增加。特别是，青年中因药物类阿片死亡的人数显著增加。家庭安全的作用相对较少受到关注，因为父母是青少年阿片类药物的重要来源。父母可能会故意与青少年分享阿片类药物，由于感知风险低或知识有限，青少年可能会从父母的药柜中转移阿片类药物。长期以来，提供阿片类药物使用障碍的药物支持治疗的治疗计划一直要求安全的药物储存，但通常不鼓励或要求用于疼痛的药物阿片类药物。需要更加重视三项预防战略的制定、评价和执行。这三种策略可以在成人医疗实践中提供或支持：1）充分告知成人处方阿片类药物对家庭成员和其他人的风险; 2）提供锁定的药物安全存储设备; 3）教育父母安全处置选择。然而，这些阿片类药物安全干预措施仍然缺乏关键的证据基础。
Pharmaceutical opioid prescribing, opioid use disorders, and related poisonings have increased substantially in the last decade. In particular, pharmaceutical opioid deaths among youth have markedly increased. One area that has received relatively little attention is the role of home safety, given that parents are an important source of opioids for youth. Parents may intentionally share opioids with youth, due to low perceived risks or limited knowledge, and youth may divert opioids from parents’ medicine cabinets. Safe medication storage has long been mandated by treatment programs that provide pharmacologically supported treatment of opioid use disorders, but it is not generally encouraged or required for pharmaceutical opioids prescribed for pain. Greater attention is needed on the development, evaluation and implementation of three preventive strategies. These three strategies can be delivered in or supported by adult medical practices: 1) fully informing adults prescribed opioids about the risks of opioids to family members and others; 2) providing locked medication safe storage devices; and 3) educating parents on safe disposal options. However, a critical evidence base is still lacking for these opioid safety interventions.
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