Prescription Drug Abuse in Adolescents and Young Adults

描述(申请人提供)：尽管最近物质使用总体上减少了，但青少年和年轻人中非医疗用药的情况正在上升。2001年，年轻人报告称，过去一年非医疗处方药的使用超过了海洛因、可卡因、可卡因和迷幻剂的总和。在12-17岁的人群中，2001年非医疗处方药的使用比前一年增加了11.3%。此外，12-25岁个人首次使用非医疗处方药的人数一直在增加，特别是新使用的处方药。到目前为止，很少有研究明确检查青少年和年轻人的非医疗使用和滥用处方药的情况。人们对这种使用的风险和保护因素知之甚少，尽管有新的证据表明，人们对风险和可获得性的看法在实质上存在显著差异。拟议的研究将通过提供对临床医生、治疗提供者和决策者有用的信息来填补这些知识空白，以确定和预防青少年和年轻人滥用处方药的问题。 这项研究将使用“影响网”模型作为重点框架，解决以下三个具体目标：1)记录非医疗处方药的使用、滥用和依赖的盛行率和模式，单独并与其他合法和非法物质结合使用；2)确定与非医疗处方药使用相关的风险和保护因素；以及3)确定与非医疗处方药使用的后果相关的风险和保护因素，即滥用和依赖。实现这些目标的数据来自1999-2003年全国药物滥用家庭调查，这是估计药物使用的流行率和风险以及与药物使用有关的保护因素的主要数据来源，包括非医疗用途、滥用和对处方药的依赖。随着该项目的完成，我们将首次对青少年和青年中处方药的非医疗使用、滥用和依赖的流行率进行国家级估计，识别相关的相关风险和保护因素，并为建立处方药非医疗使用、滥用和依赖的预测模型提供分析基础。这项研究的结果将为对处方药的独特问题进行更广泛的理论和实证研究提供基础，并为制定和实施旨在改善处方药滥用的成功的预防和教育策略提供急需的信息。

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.