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“有星光的地方也有黑暗”:冰岛年轻男性处方药滥用的体验。

"Where There Are Stars, There Is Also Darkness": Young Icelandic Men's Experience of Prescription Drug Misuse.

机构信息

University of Akureyri, Akureyri, Iceland.

Landspitali University Hospital, Reykjavík, Iceland.

出版信息

Am J Mens Health. 2022 Jan-Feb;16(1):15579883221074794. doi: 10.1177/15579883221074794.

DOI:10.1177/15579883221074794
PMID:35130784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8829793/
Abstract

Misuse of prescription drugs is a public health problem in many places around the world, including Iceland. It is considered most common among 18- to 25-year-olds, various risk factors and motives explain this trend. The purpose of this study was to examine young Icelandic men's experience of prescription drug misuse. Participants in this study were seven Icelandic males, 18-26 years old, mean age was 20.9. Data were collected through 14 interviews and then processed using a qualitative methodological approach based on Vancouver's school of phenomenology. The overriding theme of the study "" refers to the common thread in participants' experiences of misuse of prescription drugs that were initially positive but quickly turned negative. Four main themes were identified: influence factors, reasons, onset, and continued drug misuse. The influencing factors were social influence, social group, lack of knowledge, and curiosity. The main reasons for the drug misuse were to suppress distress, improve capacity and efficiency, or have fun and avoid boredom. The onset of prescription drug misuse was characterized by quick fixes, misuse of one's own medication or medication from a friend/family member. Continued misuse was characterized by a vicious circle, black market, medical visits on false pretenses, and symptoms of dependence and addiction. It is necessary to highlight this public health problem that prescription drug misuse among young Icelandic males appear to be and it needs to be considered as a multifarious problem as the results indicate that its nature is truly complex.

摘要

处方药物滥用是全球许多地方的一个公共卫生问题,包括冰岛。它被认为在 18 至 25 岁的人群中最为常见,各种风险因素和动机解释了这一趋势。本研究的目的是探讨冰岛年轻男性滥用处方药物的经历。本研究的参与者是 7 名冰岛男性,年龄在 18 至 26 岁之间,平均年龄为 20.9 岁。通过 14 次访谈收集数据,然后使用基于温哥华现象学学派的定性方法进行处理。研究的主题“处方药物滥用的体验”指的是参与者在最初是积极但很快变得消极的处方药物滥用经历中的共同线索。确定了四个主题:影响因素、原因、开始和持续药物滥用。影响因素是社会影响、社会群体、缺乏知识和好奇心。药物滥用的主要原因是抑制痛苦、提高能力和效率,或者是为了娱乐和避免无聊。处方药物滥用的开始特征是快速解决问题、滥用自己的药物或朋友/家人的药物。持续滥用的特征是恶性循环、黑市、虚假借口就诊、以及依赖和成瘾的症状。有必要强调这个公共卫生问题,即冰岛年轻男性的处方药物滥用似乎是一个问题,需要将其视为一个多方面的问题,因为结果表明其性质确实很复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9870/8829793/c28ebc2adcb6/10.1177_15579883221074794-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9870/8829793/6a07c941c872/10.1177_15579883221074794-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9870/8829793/c28ebc2adcb6/10.1177_15579883221074794-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9870/8829793/6a07c941c872/10.1177_15579883221074794-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9870/8829793/c28ebc2adcb6/10.1177_15579883221074794-fig2.jpg

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本文引用的文献

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Trajectories of prescription drug misuse during the transition from late adolescence into adulthood in the USA: a national longitudinal multicohort study.美国从青少年晚期到成年期过渡阶段的处方药滥用轨迹:一项全国性纵向多队列研究
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Systematic Review: Nonmedical Use of Prescription Stimulants: Risk Factors, Outcomes, and Risk Reduction Strategies.系统评价:处方兴奋剂的非医疗使用:风险因素、后果和风险降低策略。
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Risk Factors for Misuse of Prescribed Opioids: A Systematic Review and Meta-Analysis.
处方阿片类药物滥用的危险因素:系统评价和荟萃分析。
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Prescription opioid misuse and the need to promote medication safety among adolescents.处方阿片类药物滥用与促进青少年药物安全的必要性。
Res Social Adm Pharm. 2019 Jul;15(7):841-844. doi: 10.1016/j.sapharm.2019.01.003. Epub 2019 Jan 11.
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