Prevalence and Correlates of Prescription Drug Misuse Among a Racially Diverse Sample of Young Sexual Minority Men
Prevalence and Correlates of Prescription Drug Misuse Among a Racially Diverse Sample of Young Sexual Minority Men
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DOI：
10.1089/lgbt.2017.0125
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发表时间：
2018-01-23
期刊：
影响因子：
4.8
通讯作者：
Mustanski, Brian
中科院分区：
文献类型：
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作者：
Li, Dennis H.;Mustanski, Brian
目的：性少数男性（SMM）滥用处方精神药物的风险比异性恋男性更大。然而，缺乏社区滥用处方药的年轻SMM流行率估计。目前的研究描述了一生和过去6个月的兴奋剂，止痛药，镇静剂/镇静剂滥用在一个大的，种族多样化的样本967 SMM年龄在16-29岁的芝加哥，伊利诺伊州，并调查人口和其他物质的使用associations.Methods：数据来自基线访问的雷达纵向队列研究。协会进行了检查，使用双变量和多变量logistic regression.Results：四分之一的样本报告曾经滥用任何处方药，14.2%的报告最近滥用。终生类别特定滥用兴奋剂为16.9%，止痛药为11.0%，镇静剂/镇静剂为11.4%;近期滥用分别为8.0%，5.7%和6.2%。在多变量分析中，非西班牙裔黑人参与者终生滥用兴奋剂和镇静剂/镇静剂以及近期滥用兴奋剂的几率低于非西班牙裔白色参与者，双性恋参与者终生和近期滥用止痛药和镇静剂/镇静剂的几率高于同性恋参与者。一般来说，使用其他物质与处方药滥用的可能性更大有关。曾经被规定的精神药物与更高的几率终身止痛药滥用后，控制协变量covariates.Conclusion：这些结果提供了重要的信息越来越多的年轻SMM之间的公共卫生问题。未来的研究应该探讨为什么不同的滥用率存在亚组。应制定和评估新的干预措施，强调处方药的风险，劝阻药物共享，并加强拒绝和应对技能。
Purpose: Sexual minority men (SMM) are at greater risk than heterosexual men for misusing prescription psychotropic medications. However, community prevalence estimates of prescription drug misuse among young SMM are lacking. The current study described lifetime and past-6-month stimulant, painkiller, and depressant/tranquilizer misuse in a large, racially diverse sample of 967 SMM aged 16-29 in Chicago, Illinois, and investigated demographic and other substance use associations.Methods: Data came from the baseline visit of the RADAR longitudinal cohort study. Associations were examined using bivariate and multivariable logistic regression.Results: A quarter of the sample reported ever misusing any prescription drug, and 14.2% reported recent misuse. Lifetime class-specific misuse was 16.9% for stimulants, 11.0% for painkillers, and 11.4% for depressants/tranquilizers; recent misuse was 8.0%, 5.7%, and 6.2%, respectively. In multivariable analysis, Non-Hispanic black participants had lower odds of lifetime stimulant and depressant/tranquilizer misuse and recent stimulant misuse than non-Hispanic white participants, and bisexual participants had greater odds of lifetime and recent painkiller and depressant/tranquilizer misuse than gay participants. Generally, using other substances was associated with greater odds of prescription drug misuse. Having ever been prescribed a psychotropic medication was associated with higher odds of lifetime painkiller misuse after controlling for covariates.Conclusion: These results provide critical information on a growing public health problem among young SMM. Future research should explore why differential rates of misuse exist across subgroups. New interventions emphasizing the risk of prescription drugs, discouraging drug sharing, and bolstering refusal and coping skills should be developed and evaluated.