Prescription opioid medication misuse among university students
Prescription opioid medication misuse among university students
复制标题
DOI：
10.1111/ajad.12807
复制
发表时间：
2018-12-01
影响因子：
3.7
通讯作者：
Grant, Jon E.
中科院分区：
文献类型：
--
作者：
Harries, Michael D.;Lust, Katherine;Grant, Jon E.
背景和目的方法处方阿片类药物滥用是一个既定的问题，在美国。关于处方阿片类药物滥用者的临床和认知特征的信息较少，特别是在大学年龄人群中。本研究旨在描述滥用处方阿片类药物的个人以及当前，过去和非滥用者之间的差异。对中西部一所大型公立大学的9,449名大学生进行了一项156项调查。调查问题包括人口统计学信息、自我报告的平均成绩、性行为、心理健康特征和物质使用。参与者还完成了评估，询问有关冲动，心理健康，物质使用和其他冲动行为，包括赌博和性活动的问题。3,522名学生完成了调查并被纳入分析。结果结论和科学意义在这组中，2.2%的人报告在过去12个月内滥用处方阿片类药物，另有5.3%的人报告以前滥用处方阿片类药物，但在过去一年中没有。这项研究发现，处方阿片类药物滥用者更有可能住在校外，GPA较低，冲动性增加。处方阿片类药物滥用者也更有可能报告性活动的早期年龄，并且在性活动期间不太可能使用屏障保护。这项研究确定了滥用处方阿片类药物的一些风险因素，可用于开发和完善大学健康中心的处方阿片类药物滥用筛查工具。它还确定了一些并发的行为，可以同时解决时，处方阿片类药物滥用者被确定。(Am J Addict 2018; XX：1 - 7）
Background and Objectives Methods Prescription opioid misuse is an established problem in the United States. Less information is known regarding the clinical and cognitive characteristics of prescription opioid misusers, specifically in a college age population. This study sought to characterize individuals who misuse prescription opioids and the differences between current, past and non-misusers. A 156-item survey was administered to over 9,449 university students at a large, public Midwestern university. Survey questions obtained demographic information, self-reported grade point average, sexual behavior, mental health characteristics, and substance use. Participants also completed assessments that asked questions regarding impulsivity, mental health, substance use, and other impulsive behaviors including gambling and sexual activity. 3,522 students completed the survey and were included in the analysis. Results Conclusions and Scientific Significance Of this group, 2.2% reported misusing prescription opioids in the last 12 months and another 5.3% reported misusing prescription opioids previously but not in the past year. This study found prescription opioid misusers to be more likely to live off campus, have a lower GPA, and exhibit increased impulsivity. Prescription opioid misusers were also more likely to report earlier age of sexual activity and were less likely to use barrier protection during sexual activity. This study identifies a number of risk factors for those misusing prescription opioids that can be used to develop and refine prescription opioid misuse screening tools for university health centers. It also identifies a number of concurring behaviors that can simultaneously be addressed when prescription opioid misusers are identified. (Am J Addict 2018;XX:1-7)