Sharing and selling of prescription medications in a college student sample.
Sharing and selling of prescription medications in a college student sample.
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DOI：
10.4088/jcp.09m05189ecr
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发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Wish ED
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文献类型：
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作者：
Garnier LM;Arria AM;Caldeira KM;Vincent KB;O'Grady KE;Wish ED
评估大学生中处方药转移的流行率；比较不同类型药物转移的可能性；记录最常见的转移方法；并检查转移药物的学生的特征。对2006年8月至2007年8月期间收集的个人访谈数据进行横断面分析，作为正在进行的纵向研究的一部分。研究开始时，这些学生的年龄在17岁到19岁之间，他们就读于大西洋中部地区的一所大型公立大学。收集了关于各种变量的信息，包括人口统计数据、医药处方药物的转移、非法药物使用和儿童行为问题。在483名开了药的学生中，35.8%的人一生中至少有一次换药。最常见的转药类别是处方ADHD药物，转移率为61.7%；处方止痛药，转移率为35.1%。分享是最常见的消遣方式，33.6%的学生分享他们的药物(S)，9.3%的学生在有生之年卖药。对比分析显示，在过去的一年里，处方药物转移者比非转移者使用了更多的非法药物，儿童行为问题也更多。如果得到证实，这些发现对于改善医患沟通和提高对年轻人开止痛药和刺激性药物的警惕具有重要的临床意义。
To estimate the prevalence of prescription medication diversion among college students; to compare classes of medications with respect to the likelihood of diversion; to document the most common methods of diversion; and to examine the characteristics of students who diverted medications. A cross-sectional analysis of personal interview data collected between August 2006 and August 2007 as part of an ongoing longitudinal study. The cohort of students, who were between the ages 17 and 19 at study onset, attended a large public university in the mid-Atlantic region. Information was gathered regarding a wide variety of variables, including demographics, diversion of medically prescribed drugs, illicit drug use, and childhood conduct problems. Among 483 students prescribed a medication, 35.8% diverted a medication at least once in their lifetime. The most commonly diverted medication classes were prescription ADHD medication, with a 61.7% diversion rate, and prescription analgesics (35.1% diversion rate). Sharing was the most common method of diversion, with 33.6% of students sharing their medication(s) and 9.3% selling in their lifetime. Comparative analyses revealed that prescription medication diverters had used more illicit drugs in the past year and had more childhood conduct problems than non-diverters. If confirmed, these findings have important clinical implications for improved physician-patient communication and vigilance regarding prescribing analgesic and stimulant medications for young adults.