Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, USA.
Subst Use Misuse. 2019;54(14):2264-2274. doi: 10.1080/10826084.2019.1645176. Epub 2019 Jul 29.
: Most adolescents who misuse controlled prescription medications acquire them from home settings. However, little is known regarding household management (storage, administration, and disposal) of these medications. : To describe household management of controlled medications. : This was a cross-sectional study with paired data using brief, online, confidential surveys of adolescents and parents via an adolescent medicine clinic associated with a large academic center. Eligible adolescents were 12-18 years with at least one controlled prescription medication in the home. Six core safe management strategies for controlled medications were identified based on current recommendations. Data were collected and analyzed in 2017. Results: Of the 243 adolescent-parent dyads, 78.2% ( = 190) dyads store medication out of sight, 68.7% ( = 167) lock up medications, 78.2% ( = 190) do not store pills besides a school nurse's office or a parent's place of work, 43.6% ( = 106) provide periodic parental monitoring, 64.6% ( = 157) frequently dispose of unused controlled medications (at least every 3-4 months), and 80.2% ( = 195) dispose of controlled medications in a prescription drug take-back program or by flushing. Families with an adolescent prescription for a controlled medication were more likely to use several core management strategies (periodic parental monitoring, frequent disposal, and appropriate disposal location). Families with a household pain reliever were 8.7 times (95% CI 3.3, 23.3) as likely to not keep spare pills in inappropriate locations. : Most families do not practice all recommended safe management strategies for controlled medications. Healthcare professionals should promote safe management to reduce controlled prescription medication misuse.
: 大多数滥用管制处方药物的青少年都是从家庭环境中获取这些药物的。然而，对于这些药物的家庭管理（储存、管理和处置）知之甚少。: 描述管制药物的家庭管理。: 这是一项横断面研究，使用简短的、在线的、保密的青少年和家长调查，通过与大型学术中心相关联的青少年医学诊所，获得配对数据。符合条件的青少年为 12-18 岁，家中至少有一种管制处方药物。根据当前的建议，确定了六项核心的管制药物安全管理策略。数据于 2017 年收集和分析。结果：在 243 对青少年-家长中，78.2%（190 对）的家庭将药物放在视线之外储存，68.7%（167 对）将药物上锁，78.2%（190 对）不在学校护士办公室或家长工作地点以外的地方存放药丸，43.6%（106 对）提供定期家长监督，64.6%（157 对）经常处理未使用的管制药物（至少每 3-4 个月一次），80.2%（195 对）将管制药物放入处方药回收计划或通过冲洗处理。家中有青少年开处方的管制药物的家庭更有可能使用几种核心管理策略（定期家长监督、频繁处理和适当的处理地点）。家中有止痛药的家庭将备用药物存放在不合适地点的可能性是没有备用药物的家庭的 8.7 倍（95%可信区间 3.3，23.3）。: 大多数家庭没有遵守管制处方药物的所有推荐安全管理策略。医疗保健专业人员应推广安全管理，以减少管制处方药物的滥用。
