Prescription drug monitoring programs, nonmedical use of prescription drugs, and heroin use: Evidence from the National Survey of Drug Use and Health
Prescription drug monitoring programs, nonmedical use of prescription drugs, and heroin use: Evidence from the National Survey of Drug Use and Health
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DOI：
10.1016/j.addbeh.2017.01.011
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发表时间：
2017-06-01
影响因子：
4.4
通讯作者：
Novak, Scott P.
中科院分区：
文献类型：
--
作者：
Ali, Mir M.;Dowd, William N.;Novak, Scott P.
在美国，非医疗处方阿片类药物的使用是一个主要的公共卫生问题。为了应对这场危机，已经采取了各种政策举措，包括国家处方药监测计划（PDMP）。本研究使用 2004-2014 年全国药物使用和健康调查 (NSDUH)，并利用 PDMP 实施时间和 PDMP 特征的州级差异来调查 PDMP 是否与处方阿片类药物滥用的减少相关，或者是否会导致海洛因使用增加带来意想不到的后果。此外，该研究还探讨了 PDMP 对各种来源的阿片类药物供应的影响。该研究发现 POMP 状态对非医疗处方阿片类药物使用的各种指标（滥用、依赖和开始）没有影响，但发现有证据表明过去一年阿片类药物滥用天数有所减少。研究还发现，实施 PDMP 与海洛因使用或开始使用的增加无关，但与过去一年海洛因使用天数的增加有关。研究结果还表明，PDMP 与个人就医次数显着下降有关，而没有增加对非法来源（例如毒贩、盗窃等）或社会来源（朋友或亲戚）作为获取阿片类药物的手段的依赖。总统的 2017 财年预算提议拨款 11 亿美元，以减少处方药滥用，并强调使用 PDMP 作为政策工具。这项研究记录了 PDMP 可能产生可衡量影响的证据。由爱思唯尔有限公司出版
In the United States, nonmedical prescription opioid use is a major public health concern. Various policy initiatives have been undertaken to tackle this crisis, including state prescription drug monitoring programs (PDMPs). This study uses the 2004-2014 National Survey of Drug Use and Health (NSDUH) and exploits state-level variation in the timing of PDMP implementation and PDMP characteristics to investigate whether PDMPs are associated with a reduction in prescription opioid misuse or whether they have the unintended consequence of increasing heroin use. In addition, the study examines the impact of PDMPs on the availability of opioids from various sources. The study finds no effect of POMP status on various measures of nonmedical prescription opioid use (abuse, dependence, and initiation), but finds evidence of a reduction in the number of days of opioid misuse in the past year. The study also finds that impleinentation of PDMP was not associated with an increase in heroin use or initiation, but was associated with an increase in number of days of heroin use in the past year. Findings also suggest that PDMPs were associated with a significant decline in doctor shopping among individuals without increasing reliance on illegal sources (e.g., drug dealers, stealing, etc.) or social sources (friends or relatives) as a means of obtaining opioids. The President's FY2017 budget proposed the allocation of $1.1 billion in an effort to reduce prescription drug misuse, and highlighted the use of PDMPs as a policy tool. This study documents evidence that PDMPs might be having measurable impact. Published by Elsevier Ltd.