Levy Michael S
CAB Health & Recovery Services, Peabody, MA, USA.
J Psychoactive Drugs. 2007 Sep;39(3):271-6. doi: 10.1080/02791072.2007.10400613.
This study surveyed 422 individuals being treated in a substance abuse treatment program that offers various levels of care in order to learn about OxyContin use among this population. Focus areas included exposure and use of OxyContin, how this medication was obtained, reasons for initial use, and whether users of OxyContin were drug naive or experienced users of opiate or non-opiate drugs. Whether OxyContin users who previously had never used opiates would report migrating to heroin was also explored. Findings revealed that 48% of the population had used OxyContin and of this population, only 1% had no history of prior substance use. Seventy percent of this sample obtained them from friends and 14% obtained them directly from physicians. Many reported that their friends obtained their OxyContin from physicians, bringing the percentage of people who directly or indirectly obtained OxyContin through a physician to 37%. While most users of OxyContin had a history of past opiate use, a small percentage had not, and of this later group, 73% migrated to using heroin. The majority of individuals who obtained OxyContin from a physician had a history of recreational or problematic opiate or non-opiate drug use. Finally, over time, 90% had stopped using this drug, although other drug use continued.
本研究对422名正在接受药物滥用治疗项目的个体进行了调查,该项目提供不同级别的护理,旨在了解该人群中羟考酮的使用情况。重点领域包括羟考酮的接触和使用、这种药物的获取方式、初次使用的原因,以及羟考酮使用者是初次使用药物者还是阿片类或非阿片类药物的有经验使用者。还探讨了以前从未使用过阿片类药物的羟考酮使用者是否会转而使用海洛因。研究结果显示,48%的人群使用过羟考酮,在这一人群中,只有1%没有既往药物使用史。该样本中有70%从朋友处获得羟考酮,14%直接从医生处获得。许多人报告说他们的朋友从医生那里获得羟考酮,使得直接或间接通过医生获得羟考酮的人群比例达到37%。虽然大多数羟考酮使用者有过去使用阿片类药物的历史,但有一小部分人没有,在这后一组中,73%转而使用海洛因。从医生那里获得羟考酮的大多数个体有娱乐性或问题性阿片类或非阿片类药物使用史。最后,随着时间的推移,90%的人停止使用这种药物,尽管其他药物使用仍在继续。