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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 5/2015

01.05.2015 | Original Paper

Nonmedical prescription drug use among US young adults by educational attainment

verfasst von: Silvia S. Martins, June H. Kim, Lian-Yu Chen, Deysia Levin, Katherine M. Keyes, Magdalena Cerdá, Carla L. Storr

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 5/2015

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Abstract

Purpose

Little is known about nonmedical use of prescription drugs among non-college-attending young adults in the United States.

Methods

Data were drawn from 36,781 young adults (ages 18–22 years) from the 2008–2010 National Survey on Drug Use and Health public use files. The adjusted main effects for current educational attainment, along with its interaction with gender and race/ethnicity, were considered.

Results

Compared to those attending college, non-college-attending young adults with at least and less than a HS degree had a higher prevalence of past-year nonmedical use of prescription opioids [NMUPO 13.1 and 13.2 %, respectively, vs. 11.3 %, adjusted odds ratios (aORs) 1.21 (1.11–1.33) and 1.25 (1.12–1.40)], yet lower prevalence of prescription stimulant use. Among users, regardless of drug type, non-college-attending youth were more likely to have past-year disorder secondary to use [e.g., NMUPO 17.4 and 19.1 %, respectively, vs. 11.7 %, aORs 1.55 (1.22–1.98) and 1.75 (1.35–2.28)]. Educational attainment interacted with gender and race: (1) among nonmedical users of prescription opioids, females who completed high school but were not enrolled in college had a significantly greater risk of opioid disorder (compared to female college students) than the same comparison for men; and (2) the risk for nonmedical use of prescription opioids was negligible across educational attainment groups for Hispanics, which was significantly different than the increased risk shown for non-Hispanic whites.

Conclusions

There is a need for young adult prevention and intervention programs to target nonmedical prescription drug use beyond college campuses.
Literatur
8.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2011) Results from the 2010 National Survey on Drug Use and Health: summary of national findings, NSDUH series H-41, HHS PUBLICATION No. (SMA) 11-4658 Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville Substance Abuse and Mental Health Services Administration (2011) Results from the 2010 National Survey on Drug Use and Health: summary of national findings, NSDUH series H-41, HHS PUBLICATION No. (SMA) 11-4658 Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville
9.
11.
Zurück zum Zitat Lankenau SE, Schrager SM, Silva K, Kecojevic A, Bloom JJ, Wong C, Iverson E (2012) Misuse of prescription and illicit drugs among high-risk young adults in Los Angeles and New York. J Public Health Res 1(1):22–30CrossRefPubMedCentralPubMed Lankenau SE, Schrager SM, Silva K, Kecojevic A, Bloom JJ, Wong C, Iverson E (2012) Misuse of prescription and illicit drugs among high-risk young adults in Los Angeles and New York. J Public Health Res 1(1):22–30CrossRefPubMedCentralPubMed
17.
Zurück zum Zitat White A, Hingson R (2013) The burden of alcohol use: excessive alcohol consumption and related consequences among college students. Alcohol Res 35(2):201–218PubMed White A, Hingson R (2013) The burden of alcohol use: excessive alcohol consumption and related consequences among college students. Alcohol Res 35(2):201–218PubMed
18.
Zurück zum Zitat Kypri K, Vater T, Bowe SJ, Saunders JB, Cunningham JA, Horton NJ, McCambridge J (2014) Web-based alcohol screening and brief intervention for university students: a randomized trial. JAMA 311(12):1218–1224. doi:10.1001/jama.2014.2138 CrossRefPubMed Kypri K, Vater T, Bowe SJ, Saunders JB, Cunningham JA, Horton NJ, McCambridge J (2014) Web-based alcohol screening and brief intervention for university students: a randomized trial. JAMA 311(12):1218–1224. doi:10.​1001/​jama.​2014.​2138 CrossRefPubMed
19.
Zurück zum Zitat Weyandt LL, Marraccini ME, Gudmundsdottir BG, Zavras BM, Turcotte KD, Munro BA, Amoroso AJ (2013) Misuse of prescription stimulants among college students: a review of the literature and implications for morphological and cognitive effects on brain functioning. Exp Clin Psychopharmacol 21(5):385–407. doi:10.1037/a0034013 CrossRefPubMed Weyandt LL, Marraccini ME, Gudmundsdottir BG, Zavras BM, Turcotte KD, Munro BA, Amoroso AJ (2013) Misuse of prescription stimulants among college students: a review of the literature and implications for morphological and cognitive effects on brain functioning. Exp Clin Psychopharmacol 21(5):385–407. doi:10.​1037/​a0034013 CrossRefPubMed
21.
Zurück zum Zitat Hartung CM, Canu WH, Cleveland CS, Lefler EK, Mignogna MJ, Fedele DA, Correia CJ, Leffingwell TR, Clapp JD (2013) Stimulant medication use in college students: comparison of appropriate users, misusers, and nonusers. Psychol Addict Behav 27(3):832–840. doi:10.1037/a0033822 CrossRefPubMed Hartung CM, Canu WH, Cleveland CS, Lefler EK, Mignogna MJ, Fedele DA, Correia CJ, Leffingwell TR, Clapp JD (2013) Stimulant medication use in college students: comparison of appropriate users, misusers, and nonusers. Psychol Addict Behav 27(3):832–840. doi:10.​1037/​a0033822 CrossRefPubMed
26.
Zurück zum Zitat Aud S, Hussar W, Kena G, Bianco K, Frohlich L, Kemp J, Tahan K (2011) The condition of education 2011 (NCES 2011-033). National Center for Education Statistics. U.S Government Printing Office, Washington Aud S, Hussar W, Kena G, Bianco K, Frohlich L, Kemp J, Tahan K (2011) The condition of education 2011 (NCES 2011-033). National Center for Education Statistics. U.S Government Printing Office, Washington
29.
Zurück zum Zitat Snyder TD, Dillow SA (2012) Digest of Education Statistics 2011 (NCES 2012-001). Institute of Education Sciences. U.S. Department of Education, Washington Snyder TD, Dillow SA (2012) Digest of Education Statistics 2011 (NCES 2012-001). Institute of Education Sciences. U.S. Department of Education, Washington
33.
Zurück zum Zitat Compton WM, Thomas YF, Stinson FS, Grant BF (2007) Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 64(5):566–576. doi:10.1001/archpsyc.64.5.566 CrossRefPubMed Compton WM, Thomas YF, Stinson FS, Grant BF (2007) Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 64(5):566–576. doi:10.​1001/​archpsyc.​64.​5.​566 CrossRefPubMed
34.
Zurück zum Zitat Grant BF (1996) Prevalence and correlates of drug use and DSM-IV drug dependence in the United States: results of the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse 8(2):195–210CrossRefPubMed Grant BF (1996) Prevalence and correlates of drug use and DSM-IV drug dependence in the United States: results of the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse 8(2):195–210CrossRefPubMed
35.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2010) Results from the 2009 National Survey on Drug Use and Health: volume I. Summary of National Findings. NSDUH Series H-38A, HHS Publication No. SMA 10-4856. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville Substance Abuse and Mental Health Services Administration (2010) Results from the 2009 National Survey on Drug Use and Health: volume I. Summary of National Findings. NSDUH Series H-38A, HHS Publication No. SMA 10-4856. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville
36.
Zurück zum Zitat Lord S, Downs G, Furtaw P, Chaudhuri A, Silverstein A, Gammaitoni A (2003) Budman S (2009) Nonmedical use of prescription opioids and stimulants among student pharmacists. J Am Pharm Assoc 49(4):519–528. doi:10.1331/JAPhA.2009.08027 Lord S, Downs G, Furtaw P, Chaudhuri A, Silverstein A, Gammaitoni A (2003) Budman S (2009) Nonmedical use of prescription opioids and stimulants among student pharmacists. J Am Pharm Assoc 49(4):519–528. doi:10.​1331/​JAPhA.​2009.​08027
37.
Zurück zum Zitat Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE (2013) Monitoring the future national survey results on drug use, 1975–2012: volume 2, college students and adults ages 19–50. Ann Arbor Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE (2013) Monitoring the future national survey results on drug use, 1975–2012: volume 2, college students and adults ages 19–50. Ann Arbor
40.
Zurück zum Zitat Becker WC, LE Sullivan, Tetrault JM, Desai RA, Fiellin DA (2008) Non-medical use, abuse and dependence on prescription opioids among U.S. adults: Psychiatric, medical and substance use correlates. Drug and Alcohol Depend 94(1-3):38–47CrossRef Becker WC, LE Sullivan, Tetrault JM, Desai RA, Fiellin DA (2008) Non-medical use, abuse and dependence on prescription opioids among U.S. adults: Psychiatric, medical and substance use correlates. Drug and Alcohol Depend 94(1-3):38–47CrossRef
43.
Zurück zum Zitat Martins S, Storrs C, Zhu H, Chilcoat H (2009)Trends in recent-onset extramedical opioid analgesic use in the US from 1991 to 2006. In: 70th college on problems of drug dependence annual meeting, San Juan, Puerto Rico Martins S, Storrs C, Zhu H, Chilcoat H (2009)Trends in recent-onset extramedical opioid analgesic use in the US from 1991 to 2006. In: 70th college on problems of drug dependence annual meeting, San Juan, Puerto Rico
44.
Zurück zum Zitat Martins SS, Fenton MC, Keyes KM, Blanco C, Zhu H, Storr CL (2012) Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychol Med 42(6):1261–1272. doi:10.1017/s0033291711002145 CrossRefPubMedCentralPubMed Martins SS, Fenton MC, Keyes KM, Blanco C, Zhu H, Storr CL (2012) Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychol Med 42(6):1261–1272. doi:10.​1017/​s003329171100214​5 CrossRefPubMedCentralPubMed
45.
Zurück zum Zitat Fischer B, Lusted A, Roerecke M, Taylor B, Rehm J (2012) The prevalence of mental health and pain symptoms in general population samples reporting nonmedical use of prescription opioids: a systematic review and meta-analysis. J Pain 13(11):1029–1044. doi:10.1016/j.jpain.2012.07.013 CrossRefPubMed Fischer B, Lusted A, Roerecke M, Taylor B, Rehm J (2012) The prevalence of mental health and pain symptoms in general population samples reporting nonmedical use of prescription opioids: a systematic review and meta-analysis. J Pain 13(11):1029–1044. doi:10.​1016/​j.​jpain.​2012.​07.​013 CrossRefPubMed
47.
Zurück zum Zitat Katz C, El-Gabalawy R, Keyes KM, Martins SS, Sareen J (2013) Risk factors for incident nonmedical prescription opioid use and abuse and dependence: results from a longitudinal nationally representative sample. Drug Alcohol Depend 132(1–2):107–113. doi:10.1016/j.drugalcdep.2013.01.010 CrossRefPubMed Katz C, El-Gabalawy R, Keyes KM, Martins SS, Sareen J (2013) Risk factors for incident nonmedical prescription opioid use and abuse and dependence: results from a longitudinal nationally representative sample. Drug Alcohol Depend 132(1–2):107–113. doi:10.​1016/​j.​drugalcdep.​2013.​01.​010 CrossRefPubMed
49.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2009) Results from the 2008 National Survey on Drug Use and Health: national findings. NSDUH Series H-36, HHS Publication No. SMA 09-4434. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville Substance Abuse and Mental Health Services Administration (2009) Results from the 2008 National Survey on Drug Use and Health: national findings. NSDUH Series H-36, HHS Publication No. SMA 09-4434. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville
51.
Zurück zum Zitat Gfroerer J, Eyerman J, Chromy J (2002) Redesigning an ongoing national household survey: Methodological issues Substance Abuse and Mental Health Services Administration, Office of Applied Studies., Rockville, MD Gfroerer J, Eyerman J, Chromy J (2002) Redesigning an ongoing national household survey: Methodological issues Substance Abuse and Mental Health Services Administration, Office of Applied Studies., Rockville, MD
53.
Zurück zum Zitat American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, Fourth Edition: DSM-IV-TR®. American Psychiatric Association American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, Fourth Edition: DSM-IV-TR®. American Psychiatric Association
54.
Zurück zum Zitat Furukawa TA, Kessler RC, Slade T, Andrews G (2003) The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med 33(2):357–362CrossRefPubMed Furukawa TA, Kessler RC, Slade T, Andrews G (2003) The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med 33(2):357–362CrossRefPubMed
55.
Zurück zum Zitat StataCorp (2009) Stata statistical software: release 11. College station, StataCorp LP, TX StataCorp (2009) Stata statistical software: release 11. College station, StataCorp LP, TX
56.
Zurück zum Zitat Rothman KJ, Greenland S, Lash TL (2012) Modern epidemiology. Wolters Kluwer Health/Lippincott Williams & Wilkins Rothman KJ, Greenland S, Lash TL (2012) Modern epidemiology. Wolters Kluwer Health/Lippincott Williams & Wilkins
57.
Zurück zum Zitat Research Triangle Institute (2005) SUDAAN: professional software for survey data analysis Research Triangle Institute (2005) SUDAAN: professional software for survey data analysis
58.
Zurück zum Zitat Johnston LD, O’Malley, P.M., Bachman, J.G., (2003) Monitoring the Future national survey results on drug use, 1975-2002. Volume 1: Secondary school students (NIH Publication No. 03-5375). Bethesda, MD: National Institute on Drug Abuse Johnston LD, O’Malley, P.M., Bachman, J.G., (2003) Monitoring the Future national survey results on drug use, 1975-2002. Volume 1: Secondary school students (NIH Publication No. 03-5375). Bethesda, MD: National Institute on Drug Abuse
59.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2009) The NSDUH Report: Nonmedical Use of of Adderall® among Full-Time College Students. Substance Abuse and Mental Health Services Administration, Rockville Substance Abuse and Mental Health Services Administration (2009) The NSDUH Report: Nonmedical Use of of Adderall® among Full-Time College Students. Substance Abuse and Mental Health Services Administration, Rockville
60.
Zurück zum Zitat Martins SS, Ko J, Kuwabara S, Clarke D, Alexandre P, Zandi P, Mendelson T, Mortensen PBO, Eaton WW (2012) The relationship of adult mental disorders to socioeconomic status, race/ethnicity, marital status, and urbanicity of residence. In: Eaton WW (ed) Public Mental Health. Oxford University Press, Oxford, p 151CrossRef Martins SS, Ko J, Kuwabara S, Clarke D, Alexandre P, Zandi P, Mendelson T, Mortensen PBO, Eaton WW (2012) The relationship of adult mental disorders to socioeconomic status, race/ethnicity, marital status, and urbanicity of residence. In: Eaton WW (ed) Public Mental Health. Oxford University Press, Oxford, p 151CrossRef
63.
Zurück zum Zitat Miech R (2008) The formation of a socioeconomic health disparity: the case of cocaine use during the 1980s and 1990s. J Health Soc Behav 49(3):352–366CrossRefPubMed Miech R (2008) The formation of a socioeconomic health disparity: the case of cocaine use during the 1980s and 1990s. J Health Soc Behav 49(3):352–366CrossRefPubMed
65.
Zurück zum Zitat Blackwell DL, McLaughlin DK (1999) Do Rural Youth Attain Their Educational Goals? Rural Development Perspectives 13(3):37–44 Blackwell DL, McLaughlin DK (1999) Do Rural Youth Attain Their Educational Goals? Rural Development Perspectives 13(3):37–44
68.
Zurück zum Zitat Blanco C, Alderson D, Ogburn E, Grant BF, Nunes EV, Hatzenbuehler ML, Hasin DS (2007) Changes in the prevalence of non-medical prescription drug use and drug use disorders in the United States: 1991-1992 and 2001-2002. Drug Alcohol Depend 90(2–3):252–260. doi:10.1016/j.drugalcdep.2007.04.005 CrossRefPubMed Blanco C, Alderson D, Ogburn E, Grant BF, Nunes EV, Hatzenbuehler ML, Hasin DS (2007) Changes in the prevalence of non-medical prescription drug use and drug use disorders in the United States: 1991-1992 and 2001-2002. Drug Alcohol Depend 90(2–3):252–260. doi:10.​1016/​j.​drugalcdep.​2007.​04.​005 CrossRefPubMed
70.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration (2004) Results from the 2008 National Survey on Drug Use and Health: National Findings. NSDUH Series H-28. DHHS Publication No. SMA 05-4062. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville Substance Abuse and Mental Health Services Administration (2004) Results from the 2008 National Survey on Drug Use and Health: National Findings. NSDUH Series H-28. DHHS Publication No. SMA 05-4062. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville
71.
Zurück zum Zitat New York City Department of Health and Mental Hygiene (2011) Opioid analgesics in New York City: Misuse, morbidity and mortality update. Data tables. New York, NY2011 New York City Department of Health and Mental Hygiene (2011) Opioid analgesics in New York City: Misuse, morbidity and mortality update. Data tables. New York, NY2011
73.
Zurück zum Zitat Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL (1998) Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 280(5365):867CrossRefPubMed Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL (1998) Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 280(5365):867CrossRefPubMed
74.
Zurück zum Zitat Ross T, Kena G, Rathbun A, KewalRamani A, Zhang J, Kristapovich P, Manning E (2012) Higher education: gaps in access and persistence study (NCES 2012-046). Government Printing Office, Washington Ross T, Kena G, Rathbun A, KewalRamani A, Zhang J, Kristapovich P, Manning E (2012) Higher education: gaps in access and persistence study (NCES 2012-046). Government Printing Office, Washington
Metadaten
Titel
Nonmedical prescription drug use among US young adults by educational attainment
verfasst von
Silvia S. Martins
June H. Kim
Lian-Yu Chen
Deysia Levin
Katherine M. Keyes
Magdalena Cerdá
Carla L. Storr
Publikationsdatum
01.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 5/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0980-3

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