Prescription Drug Abuse in Club Subcultures: Contexts & Risks

俱乐部亚文化中的处方药滥用：背景

• 批准号: 7731672
• 负责人: Brian C Kelly
• 金额: $ 61.5万
• 依托单位: PURDUE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7731672
• 关键词: Achievement; Alcohol or Other Drugs use; Americas; Analgesics; Applications Grants; Area; Behavioral Research; Data; Data Analyses; Data Collection; Development; Drug abuse; Drug usage; Epidemiology; Ethnography; Event; Funding; Gender; Gender Role; Goals; Health; Health Promotion; Individual; Intervention; Interview; Light; Literature; Locales; Measures; Medical; Methodology; Methods; Nature; New York City; Participant; Pattern; Pharmaceutical Preparations; Physicians; Prevention education; Property; Recreation; Recruitment Activity; Research; Research Methodology; Research Personnel; Respondent; Risk; Risk-Taking; Ritual compulsion; Route; Sampling; Sex Orientation; Site; Social Environment; Structure; Substance abuse problem; Surveys; Testing; Time; Ursidae Family; Youth; adolescent drug use; aged; base; contextual factors; design; drug abuser; ethnographic method; experience; follow-up; metropolitan; prescription drug abuse; psychologic; public health relevance; sedative; social; theories; trend; young adult

Prescription (Rx) drug abuse has emerged as a significant problem among young adults in America. While research indicates a dear pattern of abuse of Rx drugs by young adults, the social, psychological, and subcultural contexts associated with Rx drug abuse and related risk taking among young adults need further explication, particularly given that it may elevate HIV risk via sexual risk taking and injection drug use. Our goal is to conduct a study of the patterns and contexts of Rx drug abuse and risk taking among young adults in the New York City (NYC) metropolitan area. This grant application proposes a mixed-methods study of the abuse of various classes of Rx drugs, including pain killers, sedatives, and stimulants, by young adults in club subcultures and the youth in their networks to whom they are connected. The goals of the study include explorations of a) the contextual factors associated with Rx drug initiation and continued patterns of abuse among young adults, in particular transitions to illegal opiates or injection drug use, b) how gender and sexual orientation bear upon Rx drug abuse and risk among young adults, and c) the risks associated with Rx drug abuse, including sexual risk taking. A mixed-methods design, using ethnographic methods, qualitative interviews, and structured surveys, will be applied. We will use ethnographic methods including in-depth interviews to explore contextual factors related to Rx drug abuse and risk taking. The in-depth interviews utilize Critical Incident Measures to draw out narratives about initiation experiences and experiences with recent patterns of use. Beyond ethnographic methods, a structured survey will be used to obtain epidemiological data and data on factors related to Rx drug abuse and risk. We will recruit 400 Rx drug abusing young adults aged 18 to 29 in NYC using Respondent Driven Sampling (RDS). The survey will be administered a second time through an on-line survey provided to subjects at 12-months following the original assessment. The combination of these methods in this study will enable the development of a fuller contextual understanding of Rx drug abuse among young adults and its associated risks, including HIV risk, which will be instrumental in the development of health promotion activities and interventions.

处方药物滥用已经成为美国年轻人中的一个严重问题。虽然研究表明年轻人滥用Rx药物的严重模式，但与年轻人滥用Rx药物和相关风险承担相关的社会、心理和亚文化背景需要进一步解释，特别是考虑到它可能通过性风险承担和注射吸毒增加艾滋病毒风险。我们的目标是对纽约市（NYC）大都市区年轻人中Rx药物滥用和风险承担的模式和背景进行研究。这项拨款申请提出了一项混合方法研究，研究俱乐部亚文化中的年轻人和他们所联系的网络中的年轻人滥用各种类型的处方药，包括止痛药、镇静剂和兴奋剂。该研究的目的包括探讨：a)与年轻人开始使用Rx药物和持续滥用模式相关的背景因素，特别是过渡到非法阿片类药物或注射药物；b)性别和性取向如何影响年轻人的Rx药物滥用和风险；c)与Rx药物滥用相关的风险，包括性风险承担。将采用混合方法设计，使用人种学方法、定性访谈和结构化调查。我们将使用包括深度访谈在内的人种学方法来探索与Rx药物滥用和风险承担相关的背景因素。深度访谈利用关键事件措施来描绘关于入会经历和最近使用模式的经历的叙述。除人种学方法外，还将使用一项结构化调查来获取流行病学数据以及与Rx药物滥用和风险有关的因素的数据。我们将采用问卷驱动抽样（RDS）的方法在纽约市招募400名年龄在18 - 29岁的Rx药物滥用青年。该调查将在首次评估后12个月通过在线调查进行第二次管理。在这项研究中，这些方法的结合将使我们能够更全面地了解年轻人滥用处方药及其相关风险，包括艾滋病毒风险，这将有助于制定健康促进活动和干预措施。