Alia Al-Tayyib1, Paula Riggs2, Susan Mikulich-Gilbertson2, Christian Hopfer2. 1. Denver Public Health, Denver Health and Hospital Authority, Denver, Colorado; Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado. Electronic address: alia.al-tayyib@dhha.org. 2. Division of Substance Dependence, University of Colorado School of Medicine, Aurora, Colorado.
Abstract
PURPOSE: We sought to describe the prevalence of the nonmedical use of prescription opioids (NMUPO) and its association with co-occurring substance use disorders in a sample of adolescents in substance treatment. METHODS: Adolescents in two substance treatment programs were recruited for participation between 2009 and 2013. The Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM) was administered to assess substance use patterns and lifetime abuse or dependence. RESULTS: A total of 378 adolescents completed the CIDI-SAM (mean age 16.1 [standard deviation = 1.1], 78% male, 50% white, non-Hispanic). Of the 378 adolescents, 62 (16.4%) reported NMUPO and 59 (15.6%) were diagnosed with opioid/heroin abuse or dependence. The mean age at first NMUPO was 14.3 (standard deviation = 1.4). NMUPO was associated with a 3.31-fold (95% confidence interval: 2.83-3.79) increase in having three or more co-occurring substance use diagnoses. CONCLUSIONS: NMUPO is quite prevalent among adolescents in substance use treatment. Intervention to interrupt NMUPO from progressing to heroin use or developing into a disorder is critical.
PURPOSE: We sought to describe the prevalence of the nonmedical use of prescription opioids (NMUPO) and its association with co-occurring substance use disorders in a sample of adolescents in substance treatment. METHODS: Adolescents in two substance treatment programs were recruited for participation between 2009 and 2013. The Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM) was administered to assess substance use patterns and lifetime abuse or dependence. RESULTS: A total of 378 adolescents completed the CIDI-SAM (mean age 16.1 [standard deviation = 1.1], 78% male, 50% white, non-Hispanic). Of the 378 adolescents, 62 (16.4%) reported NMUPO and 59 (15.6%) were diagnosed with opioid/heroin abuse or dependence. The mean age at first NMUPO was 14.3 (standard deviation = 1.4). NMUPO was associated with a 3.31-fold (95% confidence interval: 2.83-3.79) increase in having three or more co-occurring substance use diagnoses. CONCLUSIONS:NMUPO is quite prevalent among adolescents in substance use treatment. Intervention to interrupt NMUPO from progressing to heroin use or developing into a disorder is critical.
Authors: Rohan H C Palmer; Tanya M Button; Soo H Rhee; Robin P Corley; Susan E Young; Michael C Stallings; Christian J Hopfer; John K Hewitt Journal: Drug Alcohol Depend Date: 2012-01-11 Impact factor: 4.492
Authors: Magdalena Cerdá; Julián Santaella; Brandon D L Marshall; June H Kim; Silvia S Martins Journal: J Pediatr Date: 2015-06-06 Impact factor: 4.406