Tapscott Brian E, Schepis Ty S
Adolesc Med State Art Rev. 2013 Dec;24(3):597-610.
Nonmedical use of prescription medications (NUPM) is an area of increasing public health concern, particularly in young adults. Young adults aged 18 to 25 have the highest annual and monthly rates of NUPM of any age group in the US, with notable consequences from using opioid, stimulant, tranquilizer and sedative medication. This article will review the literature on young adult NUPM, focusing first on the characteristics of those young adults engaged in NUPM. Then, we will examine the most common motives for NUPM, the sources young adults use to engage in nonmedical use and the related process of medication diversion. Finally, we will outline treatment and make specific recommendations of ways clinicians can help prevent the spread of NUPM in young adults, completing the work by covering future directions for research.
处方药物的非医疗使用（NUPM）是一个日益引起公众健康关注的领域，尤其是在年轻人中。在美国，18至25岁的年轻人是所有年龄组中NUPM年度和月度使用率最高的群体，使用阿片类药物、兴奋剂、镇静剂和安眠药会产生显著后果。本文将回顾关于年轻人NUPM的文献，首先关注参与NUPM的年轻人的特征。然后，我们将研究NUPM最常见的动机、年轻人用于非医疗使用的来源以及药物转移的相关过程。最后，我们将概述治疗方法，并提出临床医生可以帮助预防NUPM在年轻人中传播的具体建议，通过涵盖未来的研究方向来完成这项工作。
