Painfully Obvious: A Longitudinal Examination of Medical Use and Misuse of Opioid Medication Among Adolescent Sports Participants
Painfully Obvious: A Longitudinal Examination of Medical Use and Misuse of Opioid Medication Among Adolescent Sports Participants
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DOI：
10.1016/j.jadohealth.2013.09.002
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发表时间：
2014-03-01
影响因子：
7.6
通讯作者：
Boyd, Carol J.
中科院分区：
文献类型：
--
作者：
Veliz, Philip;Epstein-Ngo, Quyen M.;Boyd, Carol J.
目的：本纵向研究的目的是评估的流行率的医疗使用，医疗滥用，和非医疗使用阿片类药物的青少年谁参加有组织的sports.Methods：本研究的数据取自中学生生活调查。共有1，540名青少年参与了2009-2010学年和2011-2012学年之间的三波数据收集，82%的基线样本完成了所有三波数据收集。采用广义估计方程模型对纵向数据进行分析，发现在中学学生生活调查的每一波中参加有组织的体育运动的男性青少年被开阿片类药物的可能性更高（即，医疗用途）（调整后的比值比[AOR]，1.86; 95%置信区间[CI]，1.23-2.82），过去一年因过量服用阿片类药物而导致医疗误用的几率较高（AOR，10.5; 95% CI，2.42-45.5），以及过去一年阿片类药物医疗滥用的几率更高，（AOR，4.01; 95%CI，1.13-14.2）与研究期间未参加有组织体育活动的男性相比。在女性中，没有发现有组织的体育运动和医疗使用，医疗滥用，非医疗使用阿片类药物之间的关联：结论：这项研究的结果表明，青少年男性谁参加体育运动可能有更多的机会获得阿片类药物，这使他们在更大的风险滥用这些受控物质。(C)2014年青少年健康和医学协会。All rights reserved.
Purpose: The objective of this longitudinal study was to assess the prevalence of medical use, medical misuse, and non-medical use of opioid medication among adolescents who participate in organized sports.Methods: Data for this study were taken from the Secondary Student Life Survey. A total of 1,540 adolescents participated in three waves of data collection occurring between the 2009-2010 and 2011-2012 school years, with 82% of the baseline sample completing all three waves.Results: Using generalized estimating equation models to analyze the longitudinal data, it was found that male adolescents who participated in organized sports during each wave of the Secondary Student Life Survey had higher odds of being prescribed an opioid medication (i.e., medical use) during the past year (adjusted odds ratio [AOR], 1.86; 95% confidence interval [CI], 1.23-2.82), higher odds of past-year medical misuse of opioid medication as a result of taking too much (AOR, 10.5; 95% CI, 2.42-45.5), and higher odds of past-year medical misuse of opioid medication to get high (AOR, 4.01; 95% CI, 1.13-14.2) compared with males who did not participate in organized sports during the study period. Among females, no association was found between participation in organized sports and medical use, medical misuse, and non-medical use of opioid medication.Conclusions: The results of this study indicate that adolescent males who participate in sports may have greater access to opioid medication, which puts them at greater risk to misuse these controlled substances. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.