University of Florida, Gainsville, Florida, USA.
Curr Opin Psychiatry. 2013 Sep;26(5):511-9. doi: 10.1097/YCO.0b013e3283642cb6.
Assessing the medical and nonmedical use (NMU) of stimulants and diversion is a challenge, especially among youth, with different methods for recruitment and definitions of NMU. The field needs inexpensive, yet effective and reliable, methods of data collection to understand the prescription drug use problem. Most studies of youth are school or web-based, and conducted with teens.
The National Monitoring of Adolescent Prescription Stimulants Study recruited 11,048 youth 10-18 years of age from urban, rural, and suburban areas in 10 US cities using an entertainment venue intercept study. This review discusses the effectiveness of the method and results from four cross-sections as well as the representativeness of the sample. Lifetime prevalence of any stimulant use was 14.8%, with rates highest among rural 16-18 year olds. The rate of last 30-day use was 7.3%, with over half (3.9%) NMU. Nearly 12% of all youth (whether a user or not) reported lifetime incoming/outgoing diversion of prescription stimulants.
Because no study has focused on stimulant use among youth as young as 10 and 11, this study is a landmark for future comparisons and offers a unique strategy for sampling and data collection.
评估兴奋剂的医疗和非医疗用途(NMU)是一项挑战,尤其是在年轻人中,因为招募方法和 NMU 的定义不同。该领域需要经济实惠、有效且可靠的数据收集方法,以了解处方药物使用问题。大多数关于年轻人的研究都是基于学校或网络,针对青少年进行的。
国家青少年处方兴奋剂监测研究使用娱乐场所拦截研究,从美国 10 个城市的城市、农村和郊区招募了 11048 名 10-18 岁的青少年。本综述讨论了该方法的有效性以及四个横断面的结果,以及样本的代表性。任何兴奋剂使用的终身患病率为 14.8%,农村 16-18 岁青少年的患病率最高。过去 30 天的使用率为 7.3%,其中超过一半(3.9%)为 NMU。近 12%的所有青少年(无论是否使用过)报告称曾有过处方兴奋剂的传入/传出转售经历。
由于没有研究专门关注 10 岁和 11 岁的年轻人的兴奋剂使用情况,因此这项研究是未来比较的一个里程碑,并为抽样和数据收集提供了独特的策略。