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首页> 外文期刊>Addictive behaviors >Is nonmedical prescription opiate use a unique form of illicit drug use?
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Is nonmedical prescription opiate use a unique form of illicit drug use?

机译:非医疗处方鸦片药物是否是非法使用毒品的独特形式?

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Nonmedical prescription opiate (NMPO) use is of great concern because of its high addiction potential, cognitive impairment effects, and other adverse consequences (e.g., hormonal and immune system effects, hyperalgesia and overdose). Due to the combination of drugs used by those who are NMPO users, it is difficult to isolate the negative effects of NMPO use from the effects of other legal and illicit drugs. Based on a stage model of substance use, this study tested whether NMPO use represents a unique form of illicit drug use among emerging adults and whether there are unique consequences of early NMPO use. We used longitudinal data from 912 emerging adults from the Raising Healthy Children study who were interviewed at least annually from the first or second grade through age 21. The findings indicated that almost all NMPO users have also used marijuana and a large majority has also used other drugs, such as cocaine and ecstasy. In addition, more frequent users of NMPOs are also more frequent users of other drugs. Except for violent behavior, NMPO use explained little unique variance in negative outcomes of use (e.g., drug use disorder, mood disorder, nonproductive behavior, poor health, and property crime) beyond that explained by other illicit drug use. Future studies examining the predictors or consequences of NMPO use and nonmedical use of other prescription drugs need to consider use within the context of other drug use.
机译:非药物处方鸦片(NMPO)的使用引起极大的关注,因为它具有很高的成瘾潜力,认知障碍作用和其他不良后果(例如激素和免疫系统作用,痛觉过敏和药物过量)。由于NMPO使用者的药物组合使用,很难将NMPO的负面影响与其他合法和非法药物的影响区分开。基于物质使用的阶段模型,该研究测试了NMPO使用是否代表新兴成年人中非法药物使用的独特形式,以及早期NMPO使用是否具有独特的后果。我们使用了来自养育健康儿童研究的912名新兴成年人的纵向数据,他们从一年级或二年级到21岁至少每年接受过一次访谈。研究结果表明,几乎所有NMPO用户也都使用了大麻,而绝大多数人还使用了大麻。药物,例如可卡因和摇头丸。此外,更经常使用NMPO的使用者也更经常使用其他药物。除了暴力行为外,NMPO的使用所解释的负面使用后果(例如,药物使用障碍,情绪障碍,非生产性行为,不良健康状况和财产犯罪)几乎没有独特的变化,这超出了其他非法药物使用的解释。未来研究检查NMPO使用和其他处方药的非医学用途的预测因素或后果的未来研究需要考虑在其他药物使用的背景下使用药物。

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