From the Department of Epidemiology, University of Florida, Gainesville, FL, USA (JDC, VS, AMF, CL-Q); College of Nursing, University of Florida, Gainesville, FL, USA (ELT); Pain Research and Intervention Center of Excellence (PRICE), University of Florida, Gainesville, FL, USA (ELT).
J Addict Med. 2022;16(4):470-474. doi: 10.1097/ADM.0000000000000932. Epub 2021 Nov 12.
This study aims to investigate racial-ethnic differences in reasons for misuse of prescription medications among a nationally representative sample of US adults.
We analyzed data from the 2015-2019 National Surveys on Drug Use and Health. The study population includes US adults (18-49 years old) who reported misuse of 3 types of prescription drugs (stimulants [n = 6139], sedatives and tranquilizers [n = 5643], and pain relievers [n = 8780]) for 3 reasons: medical-only (eg, to help with pain), recreational-only (eg, to get high), or combined medical and recreational reasons. Multinomial logistic regressions assessed the association between reasons of misuse of prescription medications and self-identified race-ethnicity.
Misuse of the 4 types of prescription medications was primarily motivated by medical reasons (63%-80%). Compared to non-Hispanic Whites, non-Hispanic Blacks (nHB), and Hispanics (H) were less likely to report misuse of pain relievers for combined (nHB: adjusted relative risk ratio [aRRR] = 0.6, 95% confidence interval [CI]: 0.4, 0.7; H; aRRR = 0.7, 95% CI: 0.5, 0.9) or recreational reasons (nHB: aRRR = 0.8, 95% CI: 0.6, 1.0; H; aRRR = 0.7, 95% CI: 0.6, 0.9) rather than medical-only reasons. The odds of misuse of sedatives and tranquilizers for recreational-only reasons as opposed to medical-only reasons were higher among nHB (aRRR = 1.9, 95% CI: 1.3, 2.7) and H (aRRR = 1.9, 95% CI: 1.4, 2.4) than among non-Hispanic Whites.
The increased misuse of prescription pain relievers for medical reasons among racial-ethnic minority groups demonstrates a continued need to investigate underlying structural factors driving these behaviors. The higher odds of sedative and tranquilizer misuse for recreational purposes among racial-ethnic minority groups warrant further investigation.
本研究旨在调查全美成年人中，不同种族和族裔群体在处方药滥用原因上的差异。
我们分析了 2015 年至 2019 年全国药物使用和健康调查的数据。研究人群包括报告了 3 种类型的处方药物（兴奋剂[6139 人]、镇静剂和安定[5643 人]和止痛药[8780 人]）滥用 3 种原因的美国成年人（18-49 岁）：仅医疗原因（例如，帮助缓解疼痛）、仅娱乐原因（例如，寻求快感）或医疗和娱乐混合原因。多项逻辑回归评估了滥用处方药物的原因与自我认同的种族和族裔之间的关联。
4 种类型的处方药物滥用主要是出于医疗原因（63%-80%）。与非西班牙裔白人相比，非西班牙裔黑人（nHB）和西班牙裔（H）报告混合（nHB：调整后的相对风险比[ARR] = 0.6，95%置信区间[CI]：0.4，0.7；H；ARR = 0.7，95%CI：0.5，0.9）或娱乐原因（nHB：ARR = 0.8，95%CI：0.6，1.0；H；ARR = 0.7，95%CI：0.6，0.9）而不是仅医疗原因的可能性较小。nHB（ARR = 1.9，95%CI：1.3，2.7）和 H（ARR = 1.9，95%CI：1.4，2.4）报告的单纯镇静剂和安定滥用用于娱乐而非医疗原因的可能性高于非西班牙裔白人。
不同种族和族裔群体中，用于医疗目的的处方止痛药滥用增加，这表明需要继续调查导致这些行为的潜在结构性因素。在少数族裔群体中，镇静剂和安定类药物更多地被滥用为娱乐目的，这需要进一步调查。
