Department of Sociology, University of Central Florida, Orlando, Florida.
School of Nursing, Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, Michigan.
Am J Addict. 2018 Jan;27(1):15-22. doi: 10.1111/ajad.12657. Epub 2017 Dec 27.
The United States is in the midst of a prescription drug epidemic, particularly related to opioids. To more effectively deal with the devastating outcomes associated with non-medical use of prescription opioids (NUPO), research is needed to identify populations at increased risk. The current research builds on a small number of studies that have shown that adolescents involved in competitive sports are more likely to report NUPO. Specifically, we examine the relationship between athlete status, injury history, and NUPO among college students.
Using data from the National College Health Assessment (NCHA II from 2008 to 2011), we estimated several logistic regression models to examine the individual, and combined, effects of sex, athlete status, and injury history on NUPO.
In the NCHA II 8.3% of students reported NUPO, 8.0% identified as a varsity athlete, and 17.4% reported an injury. Looking at factors individually, having an injury, being a varsity athlete, and being male were all significantly associated with NUPO. By combining these factors together we were able to determine that male athletes, athletes with injuries, and male athletes with injuries were at the greatest risk for NUPO, after controlling for relevant covariates.
To create effective prevention and intervention programs that target the health and wellness of college students, it is important to understand which groups of students are most likely to report NUPO.
This study advances our understanding of the relationship between sports involvement and NUPO. (Am J Addict 2018;27:15-22).
美国正处于处方药物滥用的流行之中，尤其是与阿片类药物相关的滥用。为了更有效地应对与非医疗使用处方类阿片（NUPO）相关的破坏性后果，我们需要开展相关研究以确定高危人群。目前的研究是基于少数几项研究的，这些研究表明，参与竞技体育的青少年更有可能报告非医疗使用处方类阿片。具体来说，我们调查了大学生运动员身份、受伤史与非医疗使用处方类阿片之间的关系。
利用全国大学生健康评估（NCHA II，2008 年至 2011 年）的数据，我们估计了几个逻辑回归模型，以检验性别、运动员身份和受伤史对非医疗使用处方类阿片的单独和综合影响。
在 NCHA II 中，有 8.3%的学生报告非医疗使用处方类阿片，8.0%的学生为校队运动员，17.4%的学生报告受伤。单独考虑这些因素，受伤、校队运动员和男性均与非医疗使用处方类阿片显著相关。通过将这些因素结合起来，我们能够确定，在校队运动员中，男性运动员、受伤的运动员和受伤的男性运动员报告非医疗使用处方类阿片的风险最大，这是在控制了相关协变量之后得出的结果。
为了制定针对大学生健康和福利的有效预防和干预计划，了解哪些学生群体最有可能报告非医疗使用处方类阿片是很重要的。
这项研究增进了我们对运动参与和非医疗使用处方类阿片之间关系的理解。
