Arria Amelia M, Wish Eric D
Center for Substance Abuse Research, University of Maryland College Park, 20740, USA.
Pediatr Ann. 2006 Aug;35(8):565-71. doi: 10.3928/0090-4481-20060801-09.
Despite the caveats discussed above, national epidemiologic surveys are useful in estimating the prevalence and historical trends of nonmedical use of prescription stimulants. Because it would be difficult and cost-prohibitive to ask several more in-depth questions on these national surveys, other smaller-scale research studies should be undertaken to understand more about the patterns and consequences of nonmedical use of prescription stimulants. The data from the few studies of college students suggest college students are more likely to use prescription stimulants than their noncollege-attending counterparts and suggest college students may experience a need to stay awake to study given the high level of demands in the college environment. More and more people are taking advantage of the opportunity to go to college, making the selection process more competitive. More data are needed regarding the availability of prescription stimulants on college campuses and, in particular, the availability and use of other types of prescription stimulants other than methylphenidate. Data from the college studies presented here also suggest that, in addition to using prescription stimulants as a study aid, students use prescription stimulants to stay awake longer to party or drink more. Because heavy drinking is known to be associated with a wide variety of negative consequences, it is important to learn more about this particular interaction so that appropriate prevention initiatives can be developed.
尽管有上述诸多限制,但全国性流行病学调查对于估算处方兴奋剂非医疗用途的流行程度及历史趋势仍很有用。由于在这些全国性调查中提出更多深入问题既困难又成本高昂,因此应开展其他小规模研究,以更深入了解处方兴奋剂非医疗用途的模式及后果。针对大学生的少数研究数据表明,大学生比未上大学的同龄人更有可能使用处方兴奋剂,且鉴于大学环境的高要求,大学生可能会觉得有必要为学习而保持清醒。越来越多的人利用机会上大学,使得选拔过程竞争更为激烈。需要更多关于大学校园处方兴奋剂可得性的数据,尤其是除哌甲酯之外其他类型处方兴奋剂的可得性及使用情况的数据。此处呈现的大学研究数据还表明,学生除了将处方兴奋剂用作学习辅助工具外,还会用其来延长清醒时间去参加派对或多喝酒。鉴于大量饮酒已知会带来各种各样的负面后果,深入了解这种特定的相互作用很重要,以便能制定出适当的预防措施。