Understanding the Scope and Magnitude of Prescription Drug Diversion

了解处方药转移的范围和程度

基本信息

批准号：
7905956
负责人：
Steven P Kurtz
金额：
$ 28.54万
依托单位：
UNIVERSITY OF DELAWARE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-28 至 2011-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7905956
关键词：
Address Age Agreement Alcohols Analgesics Area Benzodiazepines Border Crossings Burglary Characteristics Client Communities Complement Complex Country County Data Data Analyses Diazepam Drug Addiction Drug Delivery Systems Drug Formulations Drug Industry Drug Prescriptions Drug abuse Drug usage Drug user Elderly Employee Fentanyl Florida Fraud Funding Future Gays Goals Government Health Health Professional Healthcare Heroin Users Housekeeping Human Resources Individual Industry Internet Intervention Interview Law Enforcement Learning Legal Letters Literature Manufacturer Name Medicare/Medicaid Medicine Methamphetamine Monitor Morphine Users National Institute of Drug Abuse Oxycodone Paper Patients Pattern Persons Pharmaceutical Preparations Pharmacists Pharmacologic Substance Pharmacy facility Physicians Physicians&apos Offices Police Police officer Policies Population Prevention Price Principal Investigator Process Psychosocial Factor Public Health Published Comment Recruitment Activity Recycling Reporter Research Research Personnel Residential Treatment Respondent Retinal Cone Risk Risk Management Safety Sales Sampling Side Site Source Street Drugs Students Subgroup Surveys System Techniques Theft Time Vicodin Visit Xanax abuse victim club drug college court design drug abuser drug of abuse high school innovation life history male meetings men methadone maintenance methamphetamine abuse metropolitan national surveillance pill prescription drug abuse programs psychosocial repaired robbery trafficking treatment program

项目摘要

DESCRIPTION (provided by applicant): National surveillance systems are documenting widespread, escalating abuse of prescription drugs, and numerous scientific papers have discussed problems associated with pharmaceutical diversion. However, empirical data on the full range of mechanisms, the magnitude of diversion from each source, and the patterns of diversion associated with specific drugs of abuse and/or different at-risk subpopulations are unavailable. Within this context, the overall goal of this 4-year project is to examine and describe the complex of mechanisms and players that connect illicit supplies of prescription drugs (diversion) to abusers in South Florida from three vantage points: 1) prescription drug abusers, 2) prescription drug dealers, and 3) law enforcement. The sampling plan is designed to maximize the diversity of the sample and collect data on the fullest possible range of diversion activities. The specific aims are to:1) recruit samples of 1200 treatment clients (300 publicly-supported, 300 private pay; 300 methadone maintenance clients, and 300 elderly persons ages 60 and above), 300 street drug users, and 300 gay male methamphetamine abusers, all with prescription drug abuse problems; 2) assess life histories of drug abuse, including current alcohol, illicit, and prescription drugs; 3) assess mechanisms of access to and acquisition of prescription drugs; 4) assess demographic, sociocultural, and psychosocial characteristics that are hypothesized to connect prescription drug abusers to their illicit sources of supply; 5) conduct in-depth interviews with sub-samples of 30 respondents from each subgroup; 6) recruit 50 prescription drug sellers from diverse networks and conduct in-depth interviews to determine which prescription drugs they sell, to whom, in what quantities; at what prices, and how they are obtained; 7) extract data from the arrest files of 300 prescription drug traffickers from the diversion unit of the Broward County Sheriff's Department to examine the sources and mechanisms of prescription drug trafficking; and, 8) conduct in-depth interviews with 20 diversion investigators in large police agencies to obtain information about the sources of diverted prescription drugs. Relevance to Public Health. A fuller understanding of the mechanisms and magnitude of prescription drug abuse and diversion, and how they vary across user populations, is critical for health care and regulatory agencies, and industry in order to develop appropriate prevention, risk management, treatment, policy, and enforcement initiatives.

描述（由申请人提供）：国家监视系统正在记录广泛的规定，滥用处方药的滥用以及众多科学论文已经讨论了与药物转移有关的问题。但是，无法获得有关全部机制，每个来源转移的幅度的经验数据，以及与滥用的特定药物和/或不同的处于危险的亚种相关的转移模式。在这种情况下，这个4年项目的总体目标是检查和描述将处方药供应（转移）（转移）与南佛罗里达州的虐待者联系起来的复杂复合物：1）处方药物滥用者，2）处方药毒贩，以及3）执法。采样计划旨在最大程度地提高样本的多样性，并收集最大可能的转移活动范围的数据。具体目的是：1）招募1200名治疗客户的样本（300名公共支撑，300个私人薪水； 300名美沙酮维护客户，以及300名60岁及60岁的老年人），300名街头吸毒者和300名同性恋男性甲基苯丙胺滥用者，所有这些都有处方药物滥用问题； 2）评估药物滥用的生活历史，包括当前的酒精，非法和处方药； 3）评估获得和获取处方药的机制； 4）评估人口，社会文化和社会心理特征，这些特征是将处方药滥用者与非法供应源联系起来的； 5）对每个子组的30名受访者的子样本进行深入的访谈； 6）招募来自不同网络的50名处方药销售商，并进行深入的访谈，以确定他们出售的处方药，以多少数量；以什么价格以及如何获得的价格； 7）从布劳沃德县警长部门转移部门的300名处方贩毒者的逮捕档案中提取数据，以检查处方药贩运的来源和机制； 8）对大型警察机构的20名转移调查人员进行深入的访谈，以获取有关转移处方药的来源的信息。与公共卫生有关。对处方药滥用和转移的机制和大小的更深入的了解，以及它们在用户群体之间的变化，对于医疗保健和监管机构以及行业至关重要，以制定适当的预防，风险管理，治疗，政策，政策和执法计划。