Medical use, illicit use and diversion of prescription stimulant medication
Medical use, illicit use and diversion of prescription stimulant medication
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DOI：
10.1080/02791072.2006.10399827
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发表时间：
2006-03-01
影响因子：
2.8
通讯作者：
Boyd, CJ
中科院分区：
文献类型：
--
作者：
McCabe, SE;Teter, CJ;Boyd, CJ
本研究的目的是调查大学生中非法使用处方兴奋剂的发生率及其相关因素，并评估本科生中医疗和非法使用处方兴奋剂之间的关系。2003年春天，在中西部一所大型公立大学就读的9161名本科生中，随机抽取了9161名学生进行了一项网络调查。共有8.1%的人报告终身非法使用处方兴奋剂，5.4%的人报告过去一年非法使用。报告非法使用处方兴奋剂的本科生人数超过了报告医疗使用处方兴奋剂治疗ADHD的学生人数。非法使用处方兴奋剂的主要来源是朋友和同龄人。多因素Logistic回归分析显示，非法使用处方兴奋剂的几个危险因素，如男性、白人、社会兄弟会或姐妹会成员、犹太宗教信仰和平均成绩较低。所有这些特征也与处方兴奋剂的医学处方使用有关。那些在小学开始使用处方兴奋剂治疗ADHD的人，与那些从未开过兴奋剂处方的人相比，在大学期间非法使用处方兴奋剂或其他药物的风险一般不会增加。本研究提供的证据表明，非法使用处方兴奋剂在本科生中是一个问题，某些亚群似乎面临更高的风险。
The objective of this study was to examine the prevalence and factors associated with the illicit use of prescription stimulants and to assess the relationship between the medical and illicit use of prescription stimulants among undergraduate college students. A Web survey was self-administered by a random sample of 9,161 undergraduate students attending a large public midwestern university in the spring of 2003. A total of 8.1% reported lifetime illicit use of prescription stimulants and 5.4% reported past year illicit use. The number of undergraduate students who reported illicit use of prescription stimulants exceeded the number of students who reported medical use of prescription stimulants for ADHD. The leading sources of prescription stimulants for illicit use were friends and peers. Multivariate logistic regression analyses revealed several risk factors for illicit use of prescription stimulants such as being male, White, member of a social fraternity or sorority, Jewish religious affiliation, and lower grade point average. All of these characteristics were also related to medically prescribed use of prescription stimulants. Those who initiated medically prescribed use of prescription stimulants for ADHD in elementary school were generally not at increased risk for illicit use of prescription stimulants or other drugs during college as compared to those who were never prescribed stimulant medication. The present study provides evidence that the illicit use of prescription stimulants is a problem among undergraduate college students, and certain subgroups appear to be at heightened risk.