The Effectiveness of Internet- and Field-Based Methods to Recruit Young Adults Who Use Prescription Opioids Nonmedically
The Effectiveness of Internet- and Field-Based Methods to Recruit Young Adults Who Use Prescription Opioids Nonmedically
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DOI：
10.1080/10826084.2018.1425725
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发表时间：
2018-01-01
影响因子：
2
通讯作者：
Clark, Melissa A.
中科院分区：
文献类型：
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作者：
Marshall, Brandon D. L.;Green, Traci C.;Clark, Melissa A.
背景：非医疗处方阿片类药物（NMPO）的使用是年轻人中的一个问题，然而年轻的NMPO使用者是一个多样化的人群，参与过量预防和减少危害计划一直具有挑战性。目的：本研究比较了通过两种不同抽样策略招募的人员的有效性和特征，为青年NMPO使用者的研究和干预工作提供信息。方法：我们分析了罗德岛年轻成人处方药研究（RAPiDS）的数据，该研究纳入了年龄在18至29岁之间，报告过去30天使用NMPO的人。我们比较了2015年2月至2016年2月期间同时招募的两个样本的特征。一个样本是使用基于现场的策略（例如，受访者驱动的抽样，过境广告）招募的，另一个样本是从互联网来源（例如，在线分类广告）招募的。结果：198名符合条件的参与者中位年龄为25岁（IQR: 22,27），男性130人（65.7%），白人123人（63.1%），城市居民150人（78.1%）。共有79名（39.9%）采用实地策略招募，119名（60.1%）从互联网资源招募。互联网招募的人更年轻（中位数= 24 [IQR: 21,27]对26 [IQR: 23,28]岁），更有可能居住在农村地区（16.2%对5.3%），尽管这一发现具有边际意义。现场招募的参与者更有可能无家可归（36.7%对17.7%），被监禁（39.7%对21.8%），并且每天使用NMPO（34.6%对14.5%）。结论：需要采取多管齐下的推广方法，让所有年轻成年NMPO使用者参与预防和减少危害的工作。
Background: Nonmedical prescription opioid (NMPO) use is a problem among young adults, yet young NMPO users are a diverse population that has been challenging to engage in overdose prevention and harm reduction programs. Objectives: This study compared the effectiveness and characteristics of persons recruited through two different sampling strategies to inform research and intervention efforts with young adult NMPO users. Methods: We analyzed data from the Rhode Island Young Adult Prescription Drug Study (RAPiDS), which enrolled persons aged 18 to 29 who reported past 30-day NMPO use. We compared the characteristics of two samples recruited simultaneously between February 2015 and February 2016. One sample was recruited using field-based strategies (e.g., respondent-driven sampling, transit ads), and a second from internet sources (e.g., online classifieds). Results: Among 198 eligible participants, the median age was 25 (IQR: 22, 27), 130 (65.7%) were male, 123 (63.1%) were white, and 150 (78.1%) resided in urban areas. A total of 79 (39.9%) were recruited using field-based strategies and 119 (60.1%) were recruited from internet sources. Internet-recruited persons were younger (median = 24 [IQR: 21, 27] vs. 26 [IQR: 23, 28] years) and more likely to reside in rural areas (16.2% vs. 5.3%), although this finding was marginally significant. Field-recruited participants were more likely to have been homeless (36.7% vs. 17.7%), have been incarcerated (39.7% vs. 21.8%), and engage in daily NMPO use (34.6% vs. 14.5%). Conclusions: Multipronged outreach methods are needed to engage the full spectrum of young adult NMPO users in prevention and harm reduction efforts.