Nonmedical Prescription Opioid and Sedative Use Among Adolescents in the Emergency Department
Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) visit characteristics and other correlates associated with past-year NPOU and NPSU...
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| Veröffentlicht in: | Pediatrics (Evanston) 2013-11, Vol.132 (5), p.825-832 |
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| creator | WHITESIDE, Lauren K WALTON, Maureen A BOHNERT, Amy S. B BLOW, Frederic C BONAR, Erin E EHRLICH, Peter CUNNINGHAM, Rebecca M |
| description | Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) visit characteristics and other correlates associated with past-year NPOU and NPSU among adolescents and young adults using the ED.
Participants aged 14 to 20 presenting to the ED at the University of Michigan Medical Center between September 2010 and September 2011 were systematically recruited. A computerized self-report screening survey with validated items measuring past-year NPOU, NPSU, substance use, and violence was delivered to participants, and a retrospective chart review was performed.
Of the 2135 participants (86.0% response rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) participants that reported NPOU, 14.6% had a current home prescription for an opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription for a sedative. After controlling for demographics (age, gender, race, public assistance), correlates of NPOU or NPSU included other substance use, and drinking and driving or riding with a drinking driver. Additional correlates of NPOU included receiving an intravenous opioid in the ED and for NPSU, dating violence, presenting to the ED for a noninjury complaint, and previous ED visit in the past year.
Nearly 1 in 10 young people who use the ED for care report NPOU or NPSU, and only 12.3% and 14.6% report having current home prescriptions for sedatives and opioids. The ED represents a key location for screening and intervention efforts. |
| doi_str_mv | 10.1542/peds.2013-0721 |
| format | Article |
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Participants aged 14 to 20 presenting to the ED at the University of Michigan Medical Center between September 2010 and September 2011 were systematically recruited. A computerized self-report screening survey with validated items measuring past-year NPOU, NPSU, substance use, and violence was delivered to participants, and a retrospective chart review was performed.
Of the 2135 participants (86.0% response rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) participants that reported NPOU, 14.6% had a current home prescription for an opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription for a sedative. After controlling for demographics (age, gender, race, public assistance), correlates of NPOU or NPSU included other substance use, and drinking and driving or riding with a drinking driver. Additional correlates of NPOU included receiving an intravenous opioid in the ED and for NPSU, dating violence, presenting to the ED for a noninjury complaint, and previous ED visit in the past year.
Nearly 1 in 10 young people who use the ED for care report NPOU or NPSU, and only 12.3% and 14.6% report having current home prescriptions for sedatives and opioids. The ED represents a key location for screening and intervention efforts.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2013-0721</identifier><identifier>PMID: 24167166</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Addictive behaviors ; Adolescent ; Adolescent Behavior - psychology ; Adolescents ; Adult and adolescent clinical studies ; Analgesics, Opioid - administration & dosage ; Biological and medical sciences ; Correlation analysis ; Cross-Sectional Studies ; Drug addiction ; Drug use ; Emergency medical care ; Emergency Service, Hospital - trends ; Female ; General aspects ; Humans ; Hypnotics and Sedatives - administration & dosage ; Male ; Medical sciences ; Miscellaneous ; Pediatrics ; Pilot Projects ; Prescription Drug Misuse - psychology ; Prescription Drug Misuse - trends ; Prescription drugs ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotropic drugs ; Retrospective Studies ; Risk Factors ; Self Report ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Teenagers ; Young Adult ; Young adults</subject><ispartof>Pediatrics (Evanston), 2013-11, Vol.132 (5), p.825-832</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Academy of Pediatrics Nov 2013</rights><rights>Copyright © 2013 by the American Academy of Pediatrics 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-d5468fbaa5d6e8664e8e4afb79d1f4547475d1b354ac6c66caca24d4811f10223</citedby><cites>FETCH-LOGICAL-c507t-d5468fbaa5d6e8664e8e4afb79d1f4547475d1b354ac6c66caca24d4811f10223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27868242$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24167166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WHITESIDE, Lauren K</creatorcontrib><creatorcontrib>WALTON, Maureen A</creatorcontrib><creatorcontrib>BOHNERT, Amy S. B</creatorcontrib><creatorcontrib>BLOW, Frederic C</creatorcontrib><creatorcontrib>BONAR, Erin E</creatorcontrib><creatorcontrib>EHRLICH, Peter</creatorcontrib><creatorcontrib>CUNNINGHAM, Rebecca M</creatorcontrib><title>Nonmedical Prescription Opioid and Sedative Use Among Adolescents in the Emergency Department</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) visit characteristics and other correlates associated with past-year NPOU and NPSU among adolescents and young adults using the ED.
Participants aged 14 to 20 presenting to the ED at the University of Michigan Medical Center between September 2010 and September 2011 were systematically recruited. A computerized self-report screening survey with validated items measuring past-year NPOU, NPSU, substance use, and violence was delivered to participants, and a retrospective chart review was performed.
Of the 2135 participants (86.0% response rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) participants that reported NPOU, 14.6% had a current home prescription for an opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription for a sedative. After controlling for demographics (age, gender, race, public assistance), correlates of NPOU or NPSU included other substance use, and drinking and driving or riding with a drinking driver. Additional correlates of NPOU included receiving an intravenous opioid in the ED and for NPSU, dating violence, presenting to the ED for a noninjury complaint, and previous ED visit in the past year.
Nearly 1 in 10 young people who use the ED for care report NPOU or NPSU, and only 12.3% and 14.6% report having current home prescriptions for sedatives and opioids. The ED represents a key location for screening and intervention efforts.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Analgesics, Opioid - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Correlation analysis</subject><subject>Cross-Sectional Studies</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - trends</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><subject>Prescription Drug Misuse - psychology</subject><subject>Prescription Drug Misuse - trends</subject><subject>Prescription drugs</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotropic drugs</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Teenagers</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1rFTEUhoMo9ra6dSkBEdzMNR8nycxGuNRWhWIF7VJCbpK5TZlJpsncQv-9GXqtH6sszpOX854HoVeUrKkA9n7yrqwZobwhitEnaEVJ1zbAlHiKVoRw2gAh4ggdl3JDCAGh2HN0xIBKRaVcoZ9fUxy9C9YM-Fv2xeYwzSFFfDmFFBw20eHv3pk53Hl8VTzejCnu8MalocI-zgWHiOdrj89Gn3c-2nv80U8mz2MdvkDPejMU__LwnqCr87Mfp5-bi8tPX043F40VRM2NEyDbfmuMcNK3UoJvPZh-qzpHexCgQAlHt1yAsdJKaY01DBy0lPaUMMZP0IeH3Gm_rW2WvbIZ9JTDaPK9TibofycxXOtdutO8pZx3S8C7Q0BOt3tfZj2GWm8YTPRpXzQFCYIILruKvvkPvUn7HGu9Sol67E4KqNT6gbI5lZJ9_7gMJXoxpxdzejGnF3P1w-u_Kzziv1VV4O0BMKXa6rOJNpQ_nGply4DxXxgIonc</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>WHITESIDE, Lauren K</creator><creator>WALTON, Maureen A</creator><creator>BOHNERT, Amy S. 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B</au><au>BLOW, Frederic C</au><au>BONAR, Erin E</au><au>EHRLICH, Peter</au><au>CUNNINGHAM, Rebecca M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonmedical Prescription Opioid and Sedative Use Among Adolescents in the Emergency Department</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>132</volume><issue>5</issue><spage>825</spage><epage>832</epage><pages>825-832</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Nonmedical prescription opiate use (NPOU) and nonmedical prescription sedative use (NPSU) are serious public health concerns. The objectives of this study were to determine the prevalence and emergency department (ED) visit characteristics and other correlates associated with past-year NPOU and NPSU among adolescents and young adults using the ED.
Participants aged 14 to 20 presenting to the ED at the University of Michigan Medical Center between September 2010 and September 2011 were systematically recruited. A computerized self-report screening survey with validated items measuring past-year NPOU, NPSU, substance use, and violence was delivered to participants, and a retrospective chart review was performed.
Of the 2135 participants (86.0% response rate), 222 (10.4%) reported either NPOU or NPSU. Among the 185 (8.7%) participants that reported NPOU, 14.6% had a current home prescription for an opioid and among the 115 (5.4%) with NPSU, 12.3% had a current home prescription for a sedative. After controlling for demographics (age, gender, race, public assistance), correlates of NPOU or NPSU included other substance use, and drinking and driving or riding with a drinking driver. Additional correlates of NPOU included receiving an intravenous opioid in the ED and for NPSU, dating violence, presenting to the ED for a noninjury complaint, and previous ED visit in the past year.
Nearly 1 in 10 young people who use the ED for care report NPOU or NPSU, and only 12.3% and 14.6% report having current home prescriptions for sedatives and opioids. The ED represents a key location for screening and intervention efforts.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>24167166</pmid><doi>10.1542/peds.2013-0721</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Addictive behaviors Adolescent Adolescent Behavior - psychology Adolescents Adult and adolescent clinical studies Analgesics, Opioid - administration & dosage Biological and medical sciences Correlation analysis Cross-Sectional Studies Drug addiction Drug use Emergency medical care Emergency Service, Hospital - trends Female General aspects Humans Hypnotics and Sedatives - administration & dosage Male Medical sciences Miscellaneous Pediatrics Pilot Projects Prescription Drug Misuse - psychology Prescription Drug Misuse - trends Prescription drugs Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotropic drugs Retrospective Studies Risk Factors Self Report Substance-Related Disorders - diagnosis Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Teenagers Young Adult Young adults |
| title | Nonmedical Prescription Opioid and Sedative Use Among Adolescents in the Emergency Department |
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