Perspectives of US Adolescents on Diverted Stimulant Use

Hadler, Nicole; Strome, Arianna; Waselewski, Marika; Herbert, Kelsey; Harper, Chloe; Chang, Tammy

doi:10.1016/j.jpeds.2021.04.010

Cited by 3 publications

(3 citation statements)

References 43 publications

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“…35 This association may be attributable to a "crash" that nonmedical prescription stimulant users experience that produce depressed mood and symptoms of depression, 36,37 while the use/misuse of stimulants may also be associated with self-treatment as prior research shows that stimulant use/ misuse may be a way to cope with daily stressors. 38…”

Section: Discussionmentioning

confidence: 99%

Prescription Drug Misuse with Alcohol Coingestion among US Adolescents: Youth Experiences, Health-related Factors, and Other Substance Use Behaviors

2023

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Background: While alcohol use and prescription drug misuse (PDM) are common among adolescents, there is relatively little research on coingestion. This is disquieting as polysubstance use has become a major contributing factor in drug overdose deaths among young people in the United States. Methods: The current research uses multiple years of data from the National Survey on Drug Use and Health (2015-2019) to assess characteristics associated with coingestion among adolescents aged 12 to 17 years (N = 57,352). Multinomial logistic regression analysis is used to identify characteristics associated with past 30-day PDM with and without alcohol coingestion. The primary objective is to determine how youth experiences with parents, involvement in conventional activities, religiosity, social support, and school status are associated with coingestion.Results: Among adolescents who report past 30-day PDM, 18.6% coingest with alcohol and 77.5% of adolescents who coingest report at least one substance use disorder. Several youth experiences were significantly associated with opioid coingestion including increased conflict with parents (relative risk ratio [RRR], 1.27; 95% confidence interval [CI], 1.07-1.48), lower levels of religiosity (RRR, 0.72; 95% CI, 0.52-0.98), less social support (RRR, 0.36; 95% CI, 0.18-0.69), and not being in school (RRR, 3.86; 95% CI, 1.33-11.17). In addition, emergency department visits, depression, and other substance use behaviors were also significantly associated with coingestion.Conclusions: Findings demonstrate a strong connection between coingestion and substance use disorder among US adolescents. The findings from the current study can inform prevention and intervention efforts by identifying youth experiences and health-related factors that are associated with coingestion.

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Section: Discussionmentioning

confidence: 99%

Prescription Drug Misuse with Alcohol Coingestion among US Adolescents: Youth Experiences, Health-related Factors, and Other Substance Use Behaviors

2023

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“…Peer health educators may help prevent diversion between peers by educating students about the harmful health impacts associated with taking unprescribed medication, and the legal consequences that come from diversion (e.g., Arria & DuPont, 2010). Platforms relevant to the population, such as text-messaging, can be used effectively to reach this population (e.g., Hadler et al, 2021; Mason et al, 2021). In addition, the stressful environment associated with intense academic periods, like finals week, influenced participants to divert to their peers.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, continuing discussions about medication impact may assist with promoting proper medication management. Providers should also continue to educate their patients with ADHD prior to prescribing them with stimulants regarding the side effects and other consequences of stimulant misuse (Hadler et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

et al. 2022

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We used the narrative vignette/storytelling approach to provide a holistic illustration of prescription stimulant misuse [PSM] and diversion [PSD] initiation and maintenance among college-attending emerging adults. We conducted 32 semi-structured, theory-guided interviews with 20 students during spring and summer 2019. The participants were diverse with respect to age, race/ethnicity and gender, and had a history of PSM and/or PSD. We created four narrative vignettes using a multi-step, collaborative process that incorporated patterns of what contributed to initiation and maintenance for four identified student groups (i.e., PSM with and without a prescription and PSD with and without a prescription). Characteristics of the individual, social and broader environments influenced behavior initiation, and positive reinforcement from trial behavior contributed to maintenance. Similarities and differences were identified across the groups. Approaches for PSM and PSD prevention and intervention in college-attending emerging adults should be multifaceted and consider prescription status.

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Non-prescribed pharmaceutical stimulants use among adolescents: A way to self-care or peer success?

Baroni¹,

Biagioni²,

Scalese³

et al. 2023

Drug and Alcohol Dependence

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Perspectives of US Adolescents on Diverted Stimulant Use

Cited by 3 publications

References 43 publications

Prescription Drug Misuse with Alcohol Coingestion among US Adolescents: Youth Experiences, Health-related Factors, and Other Substance Use Behaviors

Prescription Drug Misuse with Alcohol Coingestion among US Adolescents: Youth Experiences, Health-related Factors, and Other Substance Use Behaviors

Using Narrative Vignettes to Understand the Misuse and Diversion of Stimulants Among College Students With and Without a Prescription

Non-prescribed pharmaceutical stimulants use among adolescents: A way to self-care or peer success?

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