Department of Sociology, Purdue University, 700 W State Street, West Lafayette, IN 47907, USA.
Drug Alcohol Rev. 2013 May;32(3):288-94. doi: 10.1111/dar.12016. Epub 2012 Nov 28.
Youth cultures play a key role in the social organisation of drug trends among young people; the current prescription drug misuse trend is no different. The authors evaluated whether patterns of prescription drug misuse differed across several youth cultures.
Using field survey methods and time-space sampling during 2011, the authors assessed the patterns and prevalence of prescription drug misuse among young adults who are socially active in various urban youth cultures (n = 1781).
The prevalence of lifetime prescription drug misuse is highest within indie rock scenes (52.5%), electronic dance music scenes (52.1%), lesbian parties (53.8%) and alt scenes (50.9%). Prescription drug misuse was lowest among young adults in hip-hop scenes (25.0%). These findings were upheld in logistic regression analyses that accounted for demographic differences across youth cultures: indie rock scenes (adjusted odds ratio = 2.11), electronic dance music scenes (adjusted odds ratio = 2.20), lesbian parties (adjusted odds ratio = 2.30) and alt scenes (adjusted odds ratio = 2.65) all reported statistically significant (P < 0.05) higher odds of misuse than college bar scenes. Recent prescription drug misuse mirrored patterns for lifetime misuse.
The differing prevalence of prescription drug misuse across distinct youth cultures suggests that the trend has not diffused equally among young people. The differing prevalence across youth cultures indicates that the most efficacious strategies for youth intervention may be targeted approaches that account for the subculturally rooted differences in attitudes and social norms.
青年文化在年轻人的毒品趋势的社会组织中起着关键作用；目前的处方药物滥用趋势也不例外。作者评估了几种青年文化之间处方药物滥用模式是否存在差异。
作者使用现场调查方法和时空抽样方法，在 2011 年期间评估了在各种城市青年文化中活跃的年轻成年人中处方药物滥用的模式和流行率（n=1781）。
终身处方药物滥用的流行率在独立摇滚场景中最高（52.5％），电子舞蹈音乐场景（52.1％），女同性恋派对（53.8％）和另类场景（50.9％）。在嘻哈场景中，年轻成年人处方药物滥用的流行率最低（25.0％）。这些发现在考虑青年文化之间人口统计学差异的逻辑回归分析中得到了支持：独立摇滚场景（调整后的优势比=2.11），电子舞蹈音乐场景（调整后的优势比=2.20），女同性恋派对（调整后的优势比=2.30）和另类场景（调整后的优势比=2.65）都报告了统计学上显著（P<0.05）更高的滥用几率比大学酒吧场景。最近的处方药物滥用与终身滥用模式相似。
不同青年文化中处方药物滥用的不同流行率表明，这种趋势在年轻人中并非均匀扩散。青年文化之间的不同流行率表明，针对年轻人的最有效干预策略可能是针对态度和社会规范的亚文化根源差异的针对性方法。
