Trends in prescription drug abuse and dependence, co-occurrence with other substance use disorders, and treatment utilization: Results from two national surveys
Trends in prescription drug abuse and dependence, co-occurrence with other substance use disorders, and treatment utilization: Results from two national surveys
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DOI：
10.1016/j.addbeh.2008.06.005
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发表时间：
2008-10-01
影响因子：
4.4
通讯作者：
West, Brady T.
中科院分区：
文献类型：
--
作者：
McCabe, Sean Esteban;Cranford, James A.;West, Brady T.
目的：本研究调查了处方药滥用和依赖的趋势1991-1992年和2001- 2002年，在美国两个具有全国代表性的大型独立成人样本中，对诊断为处方药滥用和依赖的患者进行药物滥用（镇静剂、安定剂、阿片类药物和兴奋剂）、与其他物质使用障碍的共现率和物质滥用治疗利用率的研究。两个全国代表性的横断面样本的平民非制度化的成年人18岁或以上的美国，其中52%是妇女。数据收集从结构化诊断访谈使用NIAAA酒精使用障碍和相关残疾访谈时间表：诊断和统计手册第四版（DSM-IV）。全国流行率估计值来自1991-1992年全国纵向酒精流行病学调查（n = 42，862）和2001-2002年全国酒精及相关疾病流行病学调查（n = 43.093）。处方镇静剂滥用、镇静剂依赖、阿片类药物滥用、1991-1992年至2001-2002年，阿片类药物依赖增加。大多数患有去年镇静剂（56.8%），镇静剂（89.0%），兴奋剂（67.9%）和阿片类药物（74.2%）使用障碍的个体也符合DSM-IV标准的额外去年物质使用障碍。从1991-1992年到2001-2002年，几种形式的处方药使用病症和其他药物使用病症的同时出现有所增加。少数人与过去一年的处方药滥用和近一半的人与过去一年的处方药依赖利用物质滥用treatmentConclusions：研究结果加强了持续的国家监测的基础上增加处方药滥用和依赖的重要性。与其他药物滥用病症同时发生率高，药物滥用治疗服务利用不足。(C)2008爱思唯尔有限公司保留所有权利。
Objectives, This study examined trends in prescription drug abuse and dependence (sedatives, tranquilizers, opioids, and stimulants), co-occurrence with other substance use disorders and substance abuse treatment utilization among those with diagnoses of prescription drug abuse and dependence in two large, nationally representative, independent samples of adults in the United States in 1991-1992 and 2001-2002.Methods: Two nationally representative cross-sectional samples of civilian non-institutionalized adults 18 years or older in the United States, of which 52% were women. Data were collected from structured diagnostic interviews using the NIAAA Alcohol Use Disorder and Associated Disabilities interview Schedule: Diagnostic and Statistical Manual version IV (DSM-IV). National prevalence estimates were derived from the 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (n = 42,862) and the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (n = 43.093).Results: The past-year prevalence of prescription sedative abuse, sedative dependence, opioid abuse, and opioid dependence increased from 1991-1992 to 2001-2002. The majority of individuals with past-year sedative (56.8%), tranquilizer (89.0%), stimulant (67.9%) and opioid (74.2%) use disorders also met DSM-IV criteria for an additional past-year substance use disorder. The co-occurrence of several forms of prescription drug use disorders and other substance use disorders increased from 1991-1992 to 2001-2002. A minority of individuals with past-year prescription drug abuse and approximately one-half of those with past-year prescription drug dependence utilized substance abuse treatmentConclusions: The findings reinforce the importance of continued national monitoring based on the increases in prescription drug abuse and dependence. high co-occurrence with other substance use disorders, and underutilization of substance abuse treatment services. (C) 2008 Elsevier Ltd. All rights reserved.