Abstract:
OBJECTIVES:: This study characterizes patterns and correlates of prescription drug nonmedical (PDNM) use and prescription drug problem (PDP) use among U.S. adolescents. METHODS:: Using the 2003 National Survey on Drug Use and Health (NSDUH), we estimated annual prevalence of PDNM and PDP use. We stratified prevalence estimates by therapeutic class and key patterns of use (prescription drugs alone [Rx-only] and with other drugs [poly-drug]). We used weighted multivariate logistic regression to estimate odds ratios (OR; 95% confidence interval [CI]) of correlates associated with PDNM and PDP use, adjusting for complex sampling design. RESULTS:: Nearly 2.3 million adolescents (9.3%) reported PDNM use; of these, 357,000 (15.3%) met PDP use criteria. Nearly 60% of PDNM users and 70% of PDP users also reported past-year use of illicit drugs, predominantly marijuana, hallucinogens, inhalants, and cocaine/crack. Among PDP users, almost 60% reported use of 2 or more prescription drug classes. Multivariable analyses revealed variation in the associations of correlates, especially sex and race/ethnicity, with PDNM and PDP use. Correlates also differed across therapeutic classes and by patterns of use. For example, females were more likely to report Rx-only PDNM use (OR = 1.27, 95 CI = 1.05, 1.54) and Rx-only PDP use (OR = 1.62, 95% CI = 1.15, 2.3); sex differences disappeared with poly-drug use measures. Hispanic ethnicity was strongly associated with all PDP use measures (OR = 2.13, 95% CI = 1.16, 3.91). CONCLUSIONS:: Correlates differed for PDNM and PDP use, in aggregate and by therapeutic class, and adolescents' preferences for prescription drugs as single agents or with other drugs use. These findings provide knowledge that can be used to better target approaches for identifying and preventing problematic prescription drug use.
journal_name
J Addict Medjournal_title
Journal of addiction medicineauthors
Simoni-Wastila L,Yang HW,Lawler Jdoi
10.1097/ADM.0b013e31815b5590subject
Has Abstractpub_date
2008-03-01 00:00:00pages
31-9issue
1eissn
1932-0620issn
1935-3227pii
01271255-200803000-00004journal_volume
2pub_type
杂志文章abstract:OBJECTIVES:To compare maternal characteristics, prenatal care, and newborn outcomes in a cohort of opioid-dependent pregnant women treated with methadone versus buprenorphine. METHODS:In a retrospective cohort study, 609 pregnant, opioid-dependent women were treated with methadone (n = 248) or buprenorphine (n = 361) ...
journal_title:Journal of addiction medicine
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0b013e31825e2a67
更新日期:2012-09-01 00:00:00
abstract:UNLABELLED:Previous studies have not examined patterns of pain treatment use among patients seeking office-based buprenorphine-naloxone treatment (BNT) for opioid dependence. OBJECTIVES:To examine, among individuals with pain seeking BNT for opioid dependence, the use of pain treatment modalities, perceived efficacy o...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0b013e31826d1df3
更新日期:2012-12-01 00:00:00
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0b013e3182541933
更新日期:2012-06-01 00:00:00
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更新日期:2017-11-01 00:00:00
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journal_title:Journal of addiction medicine
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更新日期:2017-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2019-11-01 00:00:00
abstract::This clinical case presentation and discussion illustrates a culturally adapted alcohol and drug use intervention using the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach, incorporating motivational interviewing skills. This case conference serves to complement the accompanying review articl...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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journal_title:Journal of addiction medicine
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更新日期:2020-11-03 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000266
更新日期:2017-01-01 00:00:00
abstract::: Acknowledging the needs and challenges of women with opioid use disorder is an essential step to reduce the opioid epidemic in the United States. Efforts that can help women include increasing psychosocial services to address trauma, increasing access to medication treatment for opioid use disorder, reducing barrier...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000622
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:Effective and safe pain management interventions in methadone maintenance treatment are needed. METHODS:We examined the feasibility (ie, single-session attendance) and acceptability (ie, patient satisfaction and booster session attendance) of cognitive-behavioral therapy-informed groups for pain management-...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000055
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Patients with substance use disorders (SUDs) prescribed long-term opioid therapy (LtOT) are at risk for overdose and mortality. Prior research has shown that receipt of LtOT in accordance with clinical practice guidelines has the potential to mitigate these outcomes. Our objective was to determine whether the...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000255
更新日期:2016-11-01 00:00:00
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更新日期:2011-03-01 00:00:00
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journal_title:Journal of addiction medicine
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更新日期:2017-03-01 00:00:00
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更新日期:2018-07-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:In 2017, an academic health center in Chicago launched the multidisciplinary Substance Use Intervention Team (SUIT) to address opioid misuse across 18 inpatient units and in a new outpatient addiction medicine clinic. This report assesses the first 5 months of implementation and associations with patient heal...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:Screening, Brief Intervention, and Referral to Treatment (SBIRT) has demonstrated efficacy for addressing unhealthy alcohol use in primary care, yet recent research indicates weaker efficacy for drug use as well as very limited success in referral to specialty care for patients with substance use disorder (S...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000663
更新日期:2020-12-01 00:00:00
abstract::: The Grayken Center for Addiction at Boston Medical Center includes programs across the care continuum for people with substance use disorders (SUDs), serving both inpatients and outpatients. These programs had to innovate quickly during the COVID-19 outbreak to maintain access to care. Federal and state regulatory f...
journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2020-12-08 00:00:00
abstract:OBJECTIVES:The goal of our study was to examine cognitive effects of alcohol in young adults at varied levels of alcohol usage using well-validated computerized cognitive measures. METHODS:One hundred fifty-five young adults (mean age: 21.15 ± 3.092 years; 25.8% female), free from non-alcohol-related psychiatric diagn...
journal_title:Journal of addiction medicine
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
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更新日期:2013-09-01 00:00:00
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journal_title:Journal of addiction medicine
pub_type: 杂志文章
doi:10.1097/ADM.0000000000000109
更新日期:2015-03-01 00:00:00