Mental health and rape history in relation to non-medical use of prescription drugs in a national sample of women.
Mental health and rape history in relation to non-medical use of prescription drugs in a national sample of women.
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DOI：
10.1016/j.addbeh.2009.03.026
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发表时间：
2009-08
影响因子：
4.4
通讯作者：
Resnick, Heidi S.
中科院分区：
文献类型：
--
作者：
McCauley, Jenna L.;Amstadter, Ananda B.;Danielson, Carla Kmett;Ruggiero, Kenneth J.;Kilpatrick, Dean G.;Resnick, Heidi S.
目前的研究调查了非医疗使用处方药（NMUPD）的患病率和相关性，特别强调了强奸和创伤后应激障碍的终身史作为风险关联。利用计算机辅助电话访谈技术通过电话进行访谈，对居住在有电话家庭的3 001名非收容机构、平民、讲英语或西班牙语的妇女（年龄18-86岁）进行了具有全国代表性的抽样调查。人口统计学特征，强奸史，一般健康/心理健康和药物滥用变量进行了评估。通过询问参与者在过去一年中是否滥用处方药来评估NMUPD。对每个理论推导的预测值集进行多变量logistic回归。然后将每组中的显著预测因子输入最终的多变量逻辑回归，以确定过去一年NMUPD的显著预测因子。5.5%的样本（n=164）支持NMUPD。最终的多变量模型显示，终身创伤后应激障碍，其他形式的物质使用/滥用，以及药物或酒精促进强奸的历史与NMUPD的可能性增加显着相关。针对经历过创伤事件和/或滥用药物的妇女使用非医疗处方药的风险降低工作是必要的。针对毒品或酒精促成的强奸受害者的以创伤为重点的干预措施应包括专门针对NMUPD的治疗或预防模块。
The current study examined prevalence and correlates of non-medical use of prescription drugs (NMUPD), with particular emphasis on lifetime history of rape and PTSD as risk associates. Interviews conducted via telephone using Computer-Assisted Telephone Interviewing technology, resulting in a nationally representative sample of 3,001 non-institutionalized, civilian, English or Spanish speaking women (aged 18–86 years) residing in households with a telephone. Demographic characteristics, rape history, general health/mental health, and substance abuse variables were assessed. NMUPD was assessed by asking if, in the past year, participants had misused a prescription drug. Multivariable logistic regressions were conducted for each theoretically derived predictor set. Significant predictors from each set then entered into final multivariable logistic regression to determine significant predictors of past-year NMUPD. NMUPD was endorsed by 5.5% of the sample (n=164). Final multivariable model showed that lifetime posttraumatic stress disorder, other forms of substance use/abuse, and a history of drug or alcohol facilitated rape were significantly associated with increased likelihood of NMUPD. Risk reduction efforts targeting non-medical prescription drug use among women who have experienced traumatic events and/or abuse substances are warranted. Trauma-focused interventions for drug or alcohol facilitated rape victims should include treatment or prevention modules that specifically address NMUPD.
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影响因子：
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