Subtypes of nonmedical prescription drug misuse.
Subtypes of nonmedical prescription drug misuse.
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DOI：
10.1016/j.drugalcdep.2009.01.007
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发表时间：
2009-06-01
影响因子：
4.2
通讯作者：
Teter, Christian J.
中科院分区：
文献类型：
--
作者：
McCabe, Sean Esteban;Boyd, Carol J.;Teter, Christian J.
关键词：
该研究使用了三个特征（即，动机、给药途径和与酒精共摄入）的非医疗处方药滥用的四个独立类别（即，疼痛，镇静/焦虑，睡眠和兴奋剂药物）检查亚型和药物相关的问题。一项网络调查是由随机抽取的3,639名就读于美国中西部一所大型四年制大学的本科生自行进行的。自我治疗亚型的特点是动机与处方药的主要药物适应症一致，仅口服给药途径，不与酒精共摄入。休闲亚型的特点是娱乐的动机，口服或非口服途径，并共同摄入。混合亚型包括动机、途径和共同摄入的其他组合。在报告非医疗处方药滥用的人中，约13%被归类为娱乐亚型，39%为自我治疗亚型，48%为混合亚型。各亚型在性别、种族和处方药类别方面存在显著差异。大约50%的自我治疗以外的亚型患者药物滥用筛查呈阳性。自我治疗亚型中物质使用和滥用的几率通常低于其他亚型。研究结果表明，在检查非医疗处方药滥用时，应考虑亚型，特别是止痛药。
This study used three characteristics (i.e., motive, route of administration, and co-ingestion with alcohol) of nonmedical prescription drug misuse across four separate classes (i.e., pain, sedative/anxiety, sleeping and stimulant medications) to examine subtypes and drug related problems. A Web survey was self-administered by a randomly selected sample of 3,639 undergraduate students attending a large Midwestern 4-year U.S. university. Self-treatment subtypes were characterized by motives consistent with the prescription drug's pharmaceutical main indication, oral only routes of administration, and no co-ingestion with alcohol. Recreational subtypes were characterized by recreational motives, oral or non-oral routes, and co-ingestion. Mixed subtypes consisted of other combinations of motives, routes, and co-ingestion. Among those who reported nonmedical prescription drug misuse, approximately 13% were classified into the recreational subtype, while 39% were in the self-treatment subtype, and 48% were in the mixed subtype. There were significant differences in the subtypes in terms of gender, race and prescription drug class. Approximately 50% of those in subtypes other than self-treatment screened positive for drug abuse. The odds of substance use and abuse were generally lower among self-treatment subtypes than other subtypes. The findings indicate subtypes should be considered when examining nonmedical prescription drug misuse, especially for pain medication.
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影响因子：
4.2
作者：
McCabe, SE;Teter, CJ;Boyd, CJ
通讯作者：
Boyd, CJ
影响因子：
1.7
作者：
JOHNSTON, LD;OMALLEY, PM
通讯作者：
OMALLEY, PM
影响因子：
8
作者：
Boyd, Carol J.;McCabe, Sean Esteban;Young, Amy
通讯作者：
Young, Amy
影响因子：
3.6
作者：
Maisto, SA;Carey, MP;Gleason, JR
通讯作者：
Gleason, JR
影响因子：
3.6
作者：
Cocco, KM;Carey, KB
通讯作者：
Carey, KB