Discordant reporting of nonmedical amphetamine use among Adderall-using high school seniors in the US.
Discordant reporting of nonmedical amphetamine use among Adderall-using high school seniors in the US.
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DOI：
10.1016/j.drugalcdep.2017.09.033
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Le A
中科院分区：
文献类型：
--
作者：
Palamar JJ;Le A
安非他明是美国最普遍的处方兴奋剂，无论是医疗还是非医疗。需要关于非医疗用途的可靠数据，以继续为预防提供信息。为了确定青少年是否准确地自我报告非医疗安非他明的使用，我们比较了非医疗安非他明的使用和非医疗Adderall使用在全国样本的自我报告。我们在监测未来研究（2010-2015）中检查了24，740名高中生的全国代表性样本中自我报告的非医疗Adderall和安非他明使用情况。我们研究了过去一年Adderall用户中不一致反应的患病率和相关性，定义为报告过去一年非医疗Adderall使用，但不报告过去一年非医疗安非他明使用。虽然6.9%的人报告了非医疗Adderall使用，7.9%的人报告了非医疗安非他明使用，但超过四分之一（28.7%）的Adderall使用者报告没有使用安非他明。那些使用Adderall风险最高的人往往提供不一致反应的几率较低。年龄较大的学生（年龄≥18岁），黑人学生和那些父母教育程度较低的学生更有可能报告没有使用安非他明，尽管报告使用Adderall。终生使用各种药物与提供不一致反应的几率降低相关;然而，在多变量模型中，仅非医疗阿片类药物使用与几率显著降低相关。对安非他明使用的不赞成增加了提供不一致反应的几率，而对使用者的更高接触减少了提供不一致反应的几率。在某些调查中，特别是在特定的亚群体中，苯丙胺非医疗使用的流行率可能报告不足。今后的调查必须确保准确和一致的答复。
Amphetamine is the most prevalent prescription stimulant in the United States, both medically and nonmedically. Reliable data on nonmedical use is needed to continue to inform prevention. To determine whether adolescents accurately self-report nonmedical amphetamine use, we compared self-reports of nonmedical amphetamine use and nonmedical Adderall use in a national sample. We examined self-reported nonmedical Adderall and amphetamine use in a nationally representative sample of 24,740 high school seniors in the Monitoring the Future study (2010–2015). We examined prevalence and correlates of discordant responses among past-year Adderall users, defined as reporting past-year nonmedical Adderall use, but not reporting past-year nonmedical amphetamine use. While 6.9% reported nonmedical Adderall use and 7.9% reported nonmedical amphetamine use, over a quarter (28.7%) of these Adderall users reported no amphetamine use. Those at highest risk for Adderall use tended to be at lower odds of providing a discordant response. Older students (aged ≥18), black students, and those with parents of lower educational attainment were more likely to report no amphetamine use, despite reporting Adderall use. Lifetime use of various drugs was associated with decreased odds of providing a discordant response; however, only nonmedical opioid use was associated with significant decreased odds in multivariable models. Disapproval towards amphetamine use increased odds of providing a discordant response, while higher exposure to users decreased odds of providing a discordant response. Prevalence of nonmedical amphetamine use may be underreported on some surveys, particularly among specific subpopulations. Future surveys must ensure accurate and consistent responses.
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影响因子：
1.7
作者：
Lessler, JT;Caspar, RA;Barker, PR
通讯作者：
Barker, PR
影响因子：
4.2
作者：
Wallace, John M., Jr.;Vaughn, Michael G.;Schulenberg, John E.
通讯作者：
Schulenberg, John E.
影响因子：
6
作者：
McCabe, SE;Knight, JR;Wechser, H
通讯作者：
Wechser, H
影响因子：
5.3
作者：
Chen, Lian-Yu;Crum, Rosa M.;Mojtabai, Ramin
通讯作者：
Mojtabai, Ramin
影响因子：
10.6
作者：
Spencer RC;Devilbiss DM;Berridge CW
通讯作者：
Berridge CW