哮喘吸入器误用与药物滥用：对中学生的随机调查
Asthma inhaler misuse and substance abuse: a random survey of secondary school students.
作者信息
Boyd Carol J, McCabe Sean Esteban, Teter Christian J
机构信息
Substance Abuse Research Center, 2025 Traverwood, Suite C, University of Michigan, Ann Arbor, MI 48105-2194, United States.
出版信息
Addict Behav. 2006 Feb;31(2):278-87. doi: 10.1016/j.addbeh.2005.05.005. Epub 2005 Jun 20.
PURPOSE
To assess the relationship between prescription asthma inhaler misuse and other substance abuse.
METHODS
The study included a random sample of 5th through 10th grade students attending one, ethnically diverse school district in metropolitan Detroit (N=1017). A cross-sectional, web-based survey design was used. The survey included questions about the use and misuse of prescribed asthma inhalers (among other medications) as well as the use of alcohol, cigarettes, marijuana, and other drugs. We investigated four types of interaction with prescribed asthma inhalers: non-use, prescribed use, prescribed use and misuse, and misuse.
RESULTS
Students who misused asthma inhaler medication during their lifetimes were more likely to smoke cigarettes and marijuana as well as more likely to drink alcohol, binge drink and have used other illicit drugs. Students who used asthma inhaler medication solely as prescribed were no more likely to abuse drugs or alcohol than non-users of prescription asthma inhalers.
CONCLUSIONS
Our findings are of interest to clinicians who provide health care to adolescents. The present study also has implications for adults managing prescription asthma medication in households and schools.
目的
评估哮喘吸入器处方药物滥用与其他药物滥用之间的关系。
方法
该研究纳入了底特律都会区一个种族多元化校区的5至10年级学生的随机样本（N = 1017）。采用了基于网络的横断面调查设计。该调查包括有关处方哮喘吸入器（以及其他药物）的使用和滥用情况的问题，以及酒精、香烟、大麻和其他药物的使用情况。我们调查了与处方哮喘吸入器的四种交互类型：未使用、按处方使用、按处方使用且滥用以及滥用。
结果
一生中滥用哮喘吸入器药物的学生更有可能吸烟和吸食大麻，也更有可能饮酒、暴饮以及使用其他非法药物。仅按处方使用哮喘吸入器药物的学生与未使用处方哮喘吸入器的学生相比，滥用药物或酒精的可能性并无增加。
结论
我们的研究结果对于为青少年提供医疗保健的临床医生具有参考价值。本研究对于在家庭和学校管理处方哮喘药物的成年人也具有启示意义。
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