Vermont Center on Behavior and Health, 1 South Prospect Street, MS 482, Burlington, VT 05401, USA; Department of Psychiatry, University of Vermont College of Medicine, 1 South Prospect Street, MS 446AR6, Burlington, VT 05401, USA.
Vermont Center on Behavior and Health, 1 South Prospect Street, MS 482, Burlington, VT 05401, USA; Department of Psychiatry, University of Vermont College of Medicine, 1 South Prospect Street, MS 446AR6, Burlington, VT 05401, USA.
Prev Med. 2019 Nov;128:105684. doi: 10.1016/j.ypmed.2019.03.047. Epub 2019 Apr 2.
Non-medical use of prescription opioids (NMUPO) and related overdoses are disproportionately elevated among young adults. Efforts to understand the underlying reasons for NMUPO are critical for developing more effective prevention and intervention strategies for this group. Given the robust literature on the association between educational status and substance abuse risk, we examined the reasons for NMUPO through the lens of educational attainment among young adults. Data from the 2016 National Survey on Drug Use and Health came from an unweighted sample of 941 young adults aged 18-25 years who reported past-year NMUPO. Self-reported reasons for most recent NMUPO were compared by educational status. The most commonly-endorsed reasons for past-year NMUPO was physical pain relief (47.6%), followed by feel good/get high (19.8%), relax/relieve tension (13.2%) and experiment/see what it feels like (6.8%). Reasons for NMUPO did not differ as a function educational status (p = 0.17). These findings suggest that efforts to prevent and address opioid misuse among young adults should focus on understanding and improving pain management in this vulnerable population.
非医疗用途处方类阿片（NMUPO）和相关的药物过量在年轻人中不成比例地高发。努力了解 NMUPO 背后的根本原因对于为这一群体制定更有效的预防和干预策略至关重要。鉴于关于教育程度与物质滥用风险之间关联的大量文献，我们通过年轻成年人的教育程度来研究 NMUPO 的原因。2016 年全国毒品使用与健康调查的数据来自一个未经加权的样本，其中包括 941 名年龄在 18-25 岁之间、报告过去一年 NMUPO 的年轻人。根据教育程度比较了最近一次 NMUPO 的自我报告原因。过去一年 NMUPO 的最常见原因是缓解身体疼痛（47.6%），其次是感觉良好/兴奋（19.8%）、放松/缓解紧张（13.2%）和尝试/感受一下感觉（6.8%）。NMUPO 的原因与教育程度无关（p=0.17）。这些发现表明，预防和解决年轻人阿片类药物滥用的努力应侧重于了解和改善这一脆弱人群的疼痛管理。
