Nonmedical Prescription Stimulant Use Among Youth in the Emergency Department: Prevalence, Severity and Correlates
Published Date:Jun 10 2014
Source:J Subst Abuse Treat. 2014; 48(1):21-27.
Central Nervous System Stimulants
Emergency Service, Hospital
Nonmedical Prescription Stimulant Use
Prescription Drug Misuse
Severity Of Illness Index
Pubmed Central ID:PMC4250391
Funding:1R49CE002099/CE/NCIPC CDC HHS/United States
R01 AA018122/AA/NIAAA NIH HHS/United States
R01AA018122/AA/NIAAA NIH HHS/United States
Description:This study examined the prevalence, severity and correlates of nonmedical prescription stimulant use (NPSU) among youth in the emergency department (ED). Participants 14-20 years old presenting to the ED completed a survey. A multinomial logistic regression was used to compare those without NPSU, with mild NPSU and with moderate/severe NPSU on demographics, risk factors and ED utilization. There were 4389 participants; 8.3% reported past-year NPSU and 44% of those with past 3-month NPSU reported at least monthly use. After controlling for demographics, participants with mild NPSU or moderate/severe NPSU had higher odds of all substance use risk factors compared to those with no NPSU. Also, those with moderate/severe NPSU were more likely to report dating violence and nonmedical use of opioids or sedatives and less likely to use marijuana compared to those with mild NPSU. Healthcare setting screening and intervention efforts should consider NPSU concomitant with other substance use and explore the association of dating violence with NPSU.
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