The use, misuse and diversion of prescription stimulants among middle and high school students
The use, misuse and diversion of prescription stimulants among middle and high school students
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DOI：
10.1081/ja-120038031
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发表时间：
2004-06-01
影响因子：
2
通讯作者：
Boyd, CJ
中科院分区：
文献类型：
--
作者：
McCabe, SE;Teter, CJ;Boyd, CJ
本研究调查的患病率和相关因素的使用，滥用和转移处方兴奋剂药物的注意力缺陷多动障碍（ADHD）的样本中，初中和高中学生。作为2002年5月进行的一项以学校为基础的自我管理网络调查的一部分，来自美国中西部公立学区的六至十一年级学生（n = 1536）报告了处方兴奋剂的三个方面;他们报告了其使用、滥用和转移（例如，交易，销售，提供）用于ADHD的兴奋剂药物。总的学生样本是57%的白色，40%的非洲裔美国人，3%来自其他种族和民族群体。性别和学校水平在学生样本中的分布大致相等，81%的学生计划上大学。非法使用兴奋剂药物的报告占总样本的4.5%。在报告使用处方兴奋剂的学生中，23.3%的人报告说有人接近他们出售，给予或交易他们的处方药。在调整社会人口因素后，非裔美国学生非法使用兴奋剂药物的几率较低，而那些没有上大学计划的学生则较高。与不使用兴奋剂或不滥用自己处方的学生相比，报告非法使用兴奋剂药物的学生也报告了更高的酒精和其他药物使用率。高中生被要求转移兴奋剂药物的几率最高。我们的研究结果表明，需要采取以社区为基础的方法来减少初中和高中学生群体中兴奋剂药物的非法使用和转移。
This present study investigated the prevalence and the factors associated with the use, misuse, and diversion of prescribed stimulant medication for attention-deficit hyperactivity disorder (ADHD) in a sample of middle and high school students. As part of a school-based, self-administered web survey in May 2002, students from a Midwestern public school district in the United States in grades six through eleven (n = 1536) reported on three aspects of prescription stimulants; they reported on their use, misuse, and diversion (e.g., trading, selling, offering) of stimulant medication for ADHD. The total student sample was 57% White, 40% African American, and 3% from other racial and ethnic groups. Gender and school level were approximately equally distributed in the student sample, and 81% of students had plans to attend college. The illicit use of stimulant medication was reported by 4.5% of the overall sample. Of the students who reported prescription stimulant use, 23.3% reported being approached to sell, give, or trade their prescription drugs. After adjusting for sociodemographic factors, the odds for illicit use of stimulant medication was lower among African American students and higher among those students with no plans for attending college. When compared with students who did not use stimulants or who did not misuse their own prescriptions, students who reported illicit use of stimulant medications also reported significantly higher rates of alcohol and other drug use. High schools students had the highest odds for being approached to divert their stimulant medications. Our findings suggest that community-based approaches are needed to reduce the illicit use and diversion of stimulant medications within middle and high school student populations.