Prescription Drug Abuse in Adolescents and Young Adults

描述（由申请人提供）：尽管最近物质使用总体减少，但青少年和年轻人中处方药的非医疗使用正在增加。2001年，年轻人报告说，去年非医疗处方药的使用超过了海洛因、可卡因、快克和致幻剂的使用总和。在12至17岁的人中，2001年非医疗处方药的使用比前一年增加了11.3%。此外，12至25岁的人首次使用非医疗处方药的人数一直在增加，特别是新使用处方麻醉剂的人数。到目前为止，很少有研究明确审查青少年和年轻人的非医疗使用和滥用处方药。尽管新出现的证据表明，对风险和可获得性的看法因物质而异，但对此类使用的风险和保护因素所知更少。拟议的研究将填补这些知识空白，为临床医生、治疗提供者和决策者提供有用的信息，以确定和预防青少年和年轻人滥用处方药的问题。 本研究以“影响网络”模型为重点框架，将解决以下三个具体目标：1）记录非医疗处方药使用、滥用和依赖的流行率和模式，单独使用和与其他合法和非法物质一起使用; 2）确定与非医疗处方药使用相关的风险和保护因素;及3）找出与滥用及依赖非医疗处方药物的后果有关的风险及保护因素。实现这些目标的数据来自1999 - 2003年全国药物滥用家庭调查，这是估计与药物使用有关的流行率、风险和保护因素的主要数据来源，包括非医疗使用、滥用和对处方药的依赖。通过该项目的完成，我们将产生第一个国家级的青少年和年轻人处方药非医疗使用，滥用和依赖的流行率估计，确定相关的和相关的风险和保护因素，并提供分析基础，以开发处方药非医疗使用，滥用和依赖的预测模型。这项研究的结果将提供更广泛的理论和实证研究的基础上，处方药的独特问题，并提供急需的信息，为制定和实施成功的预防和教育战略，旨在改善处方药滥用。

DESCRIPTION (provided by applicant): Despite recent overall reductions in substance use, the non-medical use of prescription drugs is rising among adolescents and young adults. In 2001, young people reported past-year non-medical prescription drug use that exceeded the combined use of heroin, cocaine, crack, and hallucinogens. Among those aged 12-17, non-medical prescription drug use increased by 11.3 percent in 2001 from the previous year. In addition, first-time use of non-medical prescription drugs among individuals age 12-25 has been increasing, especially new use of prescription narcotics. To date, few studies have explicitly examined adolescents' and young adults' non-medical use and abuse of prescription drugs. Even less is known about the risk and protective factors for such use, despite emerging evidence that perceptions of risk and availability vary markedly by substance. The proposed study will fill these knowledge gaps by providing information that is useful to clinicians, treatment providers and decision-makers in identifying and preventing problematic use of abusable prescription drugs among adolescents and young adults. Using the "Web of Influence" model as a focusing framework, this study will address the following three specific aims: 1) document the prevalence and patterns of non-medical prescription drug use, abuse, and dependency, alone and in conjunction with other licit and illicit substances; 2) identify the risk and protective factors associated with non-medical prescription drug use; and 3) identify the risk and protective factors associated with the consequences of non-medical prescription drug use, namely abuse and dependency. Data to address these aims come from the 1999 - 2003 National Household Survey on Drug Abuse, the premier data source for estimating the prevalence of and risk and protective factors associated with substance use, including non-medical use, abuse, and dependency of prescription drugs. By the completion of this project, we will produce the first national-level estimates of the prevalence of prescription drug non-medical use, abuse, and dependency in adolescents and young adults, identify the associated and pertinent risk and protective factors, and provide an analytic foundation to develop predictive models for prescription drug non-medical use, abuse and dependency. Findings from this study will provide the basis for pursuing more extensive theoretical and empirical research into the unique problems of prescription drugs, and provide much-needed information for the development and implementation of successful prevention and education strategies aimed at ameliorating prescription drug abuse.