Opportunities for exploring and reducing prescription drug abuse through social media
Opportunities for exploring and reducing prescription drug abuse through social media
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通过社交媒体探索和减少处方药滥用的机会
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
A. Kaye
中科院分区：
文献类型：
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作者：
X. Ruan;A. Kaye
我们饶有兴趣地阅读了Scott等人发表在《成瘾性疾病杂志》上的题为《通过社交媒体探索和减少处方药滥用的机会》的文章。作者认为，“处方药滥用的增加与社交媒体的广泛使用和扩大覆盖面同时发生。Facebook、Twitter和Instagram等平台被美国许多青少年和年轻人使用，他们也是容易开始滥用药物的年龄组。”作者进一步指出，通过提供一个传达健康相关信息的平台，社交媒体有可能加强对物质使用和成瘾的筛查、预防和治疗。然而，我们认为，利用社交媒体来打击我们的阿片类药物流行病，尽管意图良好，但可能是徒劳的，甚至适得其反。首先，我们要指出，目前阿片类药物的流行是多因素的。它更多的是善意的结果，但却带来了意想不到的后果，是在过去20年中经过几个阶段发展而来的。它始于对疼痛治疗不足的初步认识。这导致慢性疼痛管理与阿片类药物的使用增加。不幸的是，大多数开处方者对开阿片类药物治疗慢性疼痛的后果没有足够的准备，导致阿片类药物流行的现状，阿片类药物过量和死亡率增加。其次，我们同意作者的观点，即该国许多青少年和年轻人是滥用药物的弱势群体。然而，促进他们使用社交媒体来遏制阿片类药物滥用可能会导致更多的药物滥用。根据2011年的一项全国青少年调查，该调查询问12至17奥尔兹的青少年是否在典型的一天中花费时间在Facebook，MySpace或其他社交网站上，70%的青少年报告每天花费时间在社交网站上。那些在典型的一天中花任何时间在社交网站上的人吸烟，饮酒和吸毒的风险增加。与不花时间在社交网站上的青少年相比，花时间在社交网站上的青少年使用烟草的可能性高出5倍，饮酒的可能性高出3倍，使用大麻的可能性高出2倍。大约一半（40%）的受访青少年在Facebook、MySpace或其他社交网站上看到过孩子喝醉、昏倒或吸毒的照片。看过这些照片的青少年使用酒精的可能性是其他人的3倍，使用大麻的可能性是其他人的4倍，在没有处方的情况下获得处方药的可能性是其他人的3倍，并且更有可能有滥用非法和处方药的朋友和同学。令人惊讶的是，大多数父母（87%）认为在社交网站上花费时间并不会使他们的孩子更容易饮酒。同样，高比例的父母（89%）认为社交网络不会使他们的孩子更容易受到毒品的影响。根据美国儿科学会题为“儿童、青少年、药物滥用和媒体”的政策声明，酒精和烟草对儿童和青少年构成最大的危险。酒精和烟草是重要的入门毒品，是儿童和青少年最早使用的毒品之一。一个青少年前或青少年谁吸烟或饮酒是65倍
We read with interest the article by Scott et al. titled “Opportunities for Exploring and Reducing Prescription Drug Abuse through Social Media,” published in the Journal of Addictive Diseases. The authors opine, “The rise in prescription drug abuse has occurred in parallel with the widespread use and expanded reach of social media. Platforms such as Facebook, Twitter, and Instagram are used by many adolescents and young adults in the U.S., who also represent a vulnerable age group for initiation of substance abuse.” The authors further suggest that by providing a platform for communicating health-related messages, social media has the potential to enhance screening, prevention, and treatment of substance use and addiction. However, we believe that using social media to combat our opioid epidemic, although well intended, may be futile or even counterproductive. First, we would like to point out that the current opioid epidemic is multifactorial. It is more of a result of good intentions with unintended consequences, developed in a few stages over the past 2 decades. It started with the initial recognition of the under treatment of pain. This resulted in chronic pain management with enhanced use of opioids. Unfortunately, the majority of the prescribers were ill equipped for the consequences of prescribing opioids to treat chronic pain, resulting in the current state of opioid epidemic, with increased opioid overdoses and mortality. Second, we agree with the authors that many adolescents and young adults in the country are a vulnerable population for substance abuse. However, promoting the use of social media among them to curb opioid abuse may paradoxically result in more drug abuse. According to a 2011 National Teen Survey, which asked 12to 17-year olds whether they spend time on Facebook, MySpace, or other social networking sites in a typical day, 70% of the teens reported spending time on social networking sites daily. Those who in a typical day spent any time on social networking sites were at an increased risk of smoking, drinking, and drug use. Compared to teens who spent no time on social networking sites, teens who did were 5 times more likely to use tobacco, 3 times more likely to consume alcohol, and 2 times more likely to use marijuana. Approximately half of all teens surveyed (40%) had seen pictures on Facebook, Myspace, or other social networking sites of kids getting drunk, passing out, or using drugs. Teens who had seen these images were 3 times more likely to use alcohol, 4 times more likely to use marijuana, 3 times more likely to obtain prescription drugs without a prescription, and much more likely to have friends and classmates who misuse illegal and prescription drugs. Surprisingly, the majority of parents (87%) thought spending time on social networking sites did not make their children more likely to consume alcohol. Similarly, a high percentage of parents (89%) felt that social networking would not make their children more susceptible to drugs. According to the Policy Statement from the American Academy of Pediatrics entitled “Children, Adolescents, Substance Abuse, and the Media,” published in Pediatrics, alcohol and tobacco pose the greatest danger to children and teenagers. Alcohol and tobacco represent significant gateway drugs and are among the earliest drugs used by children and teenagers. A preadolescent or adolescent who smokes tobacco or drinks alcohol is 65 times