Nonmedical prescription drug use among US young adults by educational attainment.
Nonmedical prescription drug use among US young adults by educational attainment.
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DOI：
10.1007/s00127-014-0980-3
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发表时间：
2015-05
影响因子：
4.4
通讯作者：
Storr, Carla L.
中科院分区：
文献类型：
--
作者：
Martins, Silvia S.;Kim, June H.;Chen, Lian-Yu;Levin, Deysia;Keyes, Katherine M.;Cerda, Magdalena;Storr, Carla L.
关键词：
对于美国未上大学的年轻人对处方药的非医疗用途知之甚少。数据来自 2008-2010 年国家药物使用和健康调查公共使用档案中的 36,781 名年轻人（18-22 岁）。考虑了当前教育程度的调整后的主要影响及其与性别和种族/民族的相互作用。与上大学的人相比，至少拥有或低于高中学位的非大学就读年轻人过去一年非医疗使用处方阿片类药物的比例较高（NMUPO：分别为 13.1% 和 13.2% vs. 11.3%，调整后优势比 [aORs]：1.21 [1.11–1.33] 和 1.25 [1.12–1.40]），但处方兴奋剂的使用率较低。在使用者中，无论药物类型如何，未上大学的青少年更有可能出现继发于使用的去年障碍（例如，NMUPO：分别为 17.4% 和 19.1%，vs. 11.7%，aOR：1.55 [1.22–1.98] 和 1.75 [1.35–2.28]）。教育程度与性别和种族相互作用：1）在处方阿片类药物的非医疗使用者中，完成高中但未上大学的女性患阿片类药物障碍的风险（与女大学生相比）显着高于男性； 2) 在西班牙裔受教育程度群体中，非医疗使用处方阿片类药物的风险可以忽略不计，这与非西班牙裔白人的风险增加显着不同。需要制定年轻人预防和干预计划，以针对大学校园以外的非医疗处方药使用。
Little is known about nonmedical use of prescription drugs among non-college attending young adults in the United States. Data was drawn from 36,781 young adults (ages 18–22 years) from the 2008–2010 National Survey on Drug Use and Health public use files. The adjusted main effects for current educational attainment, along with its interaction with gender and race/ethnicity, were considered. Compared to those attending college, non-college attending young adults with at least and less than a HS degree had a higher prevalence of past-year nonmedical use of prescription opioids (NMUPO: 13.1% and 13.2%, respectively, vs. 11.3%, adjusted Odds Ratios [aORs]: 1.21 [1.11–1.33] and 1.25 [1.12–1.40]), yet lower prevalence of prescription stimulant use. Among users, regardless of drug type, non-college attending youth were more likely to have past year disorder secondary to use (e.g., NMUPO: 17.4% and 19.1%, respectively, vs. 11.7%, aORs: 1.55 [1.22–1.98] and 1.75 [1.35–2.28]). Educational attainment interacted with gender and race: 1) among nonmedical users of prescription opioids, females who completed high school but were not enrolled in college had a significantly greater risk of opioid disorder (compared to female college students) than the same comparison for men; and 2) the risk for nonmedical use of prescription opioids was negligible across educational attainment groups for Hispanics, which was significantly different than the increased risk shown for Non-Hispanic whites. There is a need for young adult prevention and intervention programs to target nonmedical prescription drug use beyond college campuses.
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影响因子：
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