Sources of Prescription Medication Misuse Among Young Adults in the United States: The Role of Educational Status
Sources of Prescription Medication Misuse Among Young Adults in the United States: The Role of Educational Status
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DOI：
10.4088/jcp.17m11958
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发表时间：
2018-03-01
影响因子：
5.3
通讯作者：
Schepis, Ty S.
中科院分区：
文献类型：
--
作者：
McCabe, Sean Esteban;Teter, Christian J.;Schepis, Ty S.
目的：本研究探讨处方药滥用（PDM），PDM的来源，和物质使用障碍（SUD）症状作为美国年轻人的教育状况的函数基于一个大的全国代表性sample.Methods：从2009-2014年全国药物使用和健康调查的数据来自一个样本的106,845年1825岁的年轻人。受访者进行了分类的教育状况和PDM，PDM的来源，其他物质的使用，SUD症状，分别进行处方阿片类药物，兴奋剂，镇静剂/镇静剂的分析。结果：处方阿片类药物（去年：11.9%）和镇静剂/镇静剂（去年：5.8%）滥用是最普遍的年轻人不上大学，尤其是高中辍学。相比之下，全日制大学生和大学毕业生的处方兴奋剂滥用率最高（去年分别为4.3%和3.9%）。从朋友/亲戚那里免费获得处方药是PDM最常见的来源，特别是在大学生/毕业生中。从盗窃/假处方、购买或多个来源获得药物的处方药滥用者更有可能报告去年的SUD，并且具有最严重的同时使用药物和SUD的总体风险特征。超过70%的上个月处方药滥用者报告多个来源的PDM至少有1个去年SUD.Conclusions：来源的PDM不同的教育状况之间的美国年轻人，和大学的环境与共享处方药。临床医生可以通过确定个人是否参与PDM和个人滥用处方药的来源来帮助评估个人的SUD风险。
Objective: This study examined prescription drug misuse (PDM), sources of PDM, and substance use disorder (SUD) symptoms as a function of educational status among US young adults based on a large nationally representative sample.Methods: Data from the 2009-2014 National Survey on Drug Use and Health came from a sample of 106,845 young adults aged 1825 years. Respondents were categorized by educational status and PDM, sources of PDM, other substance use, and SUD symptoms, with analyses performed separately for prescription opioids, stimulants, and sedatives/tranquilizers.Results: Prescription opioid (past-year: 11.9%) and sedative/tranquilizer (past-year: 5.8%) misuse were most prevalent among young adults not attending college, especially among high school dropouts. In contrast, full-time college students and college graduates had the highest rates of prescription stimulant misuse (past-year: 4.3% and 3.9%, respectively). Obtaining prescription medications from friends/relatives for free was the most common source of PDM, especially among college students/graduates. Prescription drug misusers who obtained medications from theft/fake prescriptions, purchases, or multiple sources were more likely to report past-year SUDs and had the most severe overall risk profile of concurrent substance use and SUD. More than 70% of past-month prescription drug misusers who reported multiple sources for PDM had at least 1 past-year SUD.Conclusions: Sources of PDM vary by educational status among US young adults, and the college environment is associated with sharing prescription medications. Clinicians can help assess an individual's risk for SUD by determining whether the individual engaged in PDM and the source of prescription medication the individual is misusing.