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首页> 外文期刊>Journal of the American Pharmaceutical Association: APhA >Onset of illegal use of mind-altering or potentially addictive prescription drugs among pharmacists.
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Onset of illegal use of mind-altering or potentially addictive prescription drugs among pharmacists.

机译：药剂师开始非法使用改变精神或可能上瘾的处方药。

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OBJECTIVES: To determine the temporal and descriptive aspects of pharmacists' decision-making processes regarding illegal use of mind-altering or potentially addictive prescription drugs (PAPDs) and to measure the effects of social factors associated with being and becoming a pharmacist on pharmacists' decisions to use PAPDs illegally. DESIGN: One-time, written, mailed survey. SETTING: United States. PARTICIPANTS: Random sample of licensed practicing pharmacists who were members of the American Pharmaceutical Association in fall 1996. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Responses to items on the survey. RESULTS: Nearly 40% of respondents indicated that they had used a form of PAPD without first obtaining a physician's authorizing prescription. A significant portion of the sample showed signs of repeated use-20% of the respondents reported 5 or more lifetime PAPD-use episodes, and 6% reported more than 10 such episodes. Almost 6% of the respondents identified themselves as being drug abusers at some point during their pharmacy careers. Moreover, a full 88% of these pharmacists began such illegal PAPD use after entering college, 51% used more than one type or class of PAPD, and 69% directly violated their professional code of ethics and state and/or federal laws by either stealing PAPDs from their place of employment (61%) or forging prescriptions (8%) to obtain them. CONCLUSION: A considerable percentage (40%) of the pharmacists surveyed had, on at least one occasion, used some form of PAPD without first obtaining a physician's authorizing prescription, and about one-fifth of respondents reported repeated use. The onset of such illegal PAPD use by pharmacists almost always occurred after the individuals had entered college. Interpersonal factors, such as positive reinforcement of self-medication practices from peers and increased levels of one's own approval for self-medication, appear to increase the likelihood that a pharmacist will engage in such illegal PAPD use.
机译：目的：确定关于非法使用改变精神或可能上瘾的处方药（PAPD）的药剂师决策过程的时间和描述方面，并衡量与成为和成为药剂师有关的社会因素对药剂师决策的影响非法使用PAPD。设计：一次性书面邮寄调查。地点：美国。参与者：1996年秋天是美国药学会会员的执业执业药师的随机样本。干预措施：不适用。主要观察指标：对调查项目的答复。结果：将近40％的受访者表示，他们在未先获得医师授权处方的情况下使用了PAPD形式。样本的很大一部分显示出重复使用的迹象，有20％的受访者表示一生中有5次或更多PAPD使用事件，而6％的受访者报告了10次以上此类事件。在药房职业生涯的某个时候，将近6％的受访者认为自己是吸毒者。此外，这些药师中有88％进入大学后就开始非法使用PAPD，51％的人使用了不止一种或某类PAPD，还有69％的人通过偷窃而直接违反了他们的职业道德守则以及州和/或联邦法律从工作地点（61％）或伪造处方药（8％）获得PAPD。结论：接受调查的药剂师中有相当大比例（40％）至少有一次使用某种形式的PAPD而未先获得医生的授权处方，并且大约五分之一的受访者表示重复使用。药剂师非法使用PAPD的情况几乎总是在个人进入大学后才开始发生。人际关系因素，例如从同龄人积极加强自我用药的做法，以及个人对自我用药的认可程度的提高，似乎增加了药剂师从事这种非法PAPD使用的可能性。

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