A Qualitative Study of Nonmedical Prescription Drug Use

非医疗处方药使用的定性研究

基本信息

批准号：
7761288
负责人：
Sheigla Brighid Murphy
金额：
$ 49.15万
依托单位：
SCIENTIFIC ANALYSIS CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-02-01 至 2012-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7761288
关键词：
Address Affect Age Alcohol or Other Drugs use Alcohols Amphetamines Anxiety Disorders Area Attention Belief Categories Censuses Central Nervous System Depressants Central Nervous System Stimulants Cocaine Critiques Data Data Collection Development Diazepam Dimensions Drug Combinations Drug Prescriptions Drug Prospecting Drug usage Drug user Elements Ethnic Origin Ethnography Future Gender Grouping Health Healthcare Individual Internet Intervention Interview Investigation Life Style Literature Marijuana Medical Methods Motivation Nature Obesity Opiates Pain Participant Perception Performance at work Pharmaceutical Preparations Population Prevention Principal Investigator Property Protocols documentation Public Health Qualitative Research Questionnaires Recruitment Activity Research Research Design Research Methodology Research Personnel Research Project Grants Risk Role Sampling San Francisco Schools Self Medication Services Sex Characteristics Sleep Disorders Social Health Services Source Structure Techniques Testing Theoretical model Time United States Substance Abuse and Mental Health Services Administration Update Validity and Reliability Woman Work adverse outcome age group base behavioral health club drug drug abuser drug of abuse experience flexibility human subject protection informant information gathering instrument men misuse of prescription only drugs nonmedical use prescription drug abuse programs racial and ethnic response social university student young adult

项目摘要

DESCRIPTION (provided by applicant): Nonmedical prescription drug use is an increasing public health problem with the rates of prescription drug abuse highest among young adults. This application proposes a 36-month qualitative study of nonmedical prescription drug use in San Francisco. Using ethnographic sampling methods, 120 participants will be recruited (60 men and 60 women) and interviewed who are between the ages of 18 and 25 and have used one or more drugs from three drug groups (opiates, stimulants and CNS depressants) for nonmedical purposes at least 12 times in the six months prior to interview. Nonmedical use is defined as the use of prescription drugs, prescribed or not, to get high, for the experience(s) they cause, to enhance school/work performance or to modify the effects of other drug or alcohol use. The relationship between the indication for which the medication was prescribed (e.g., pain, sleep disorder, anxiety disorder, obesity) and the role of individual factors and social settings that contribute to abuse will be examined. The following seven research questions are areas to be explored: 1) What are the beliefs, motivations and perceived attractions for initiation and continuation of nonmedical prescription drug use? 2) Do nonmedical prescription drug users combine prescribed drugs with alcohol, illegal drugs or other not prescribed drugs? 3) What are the adverse health, behavioral and social consequences of nonmedical prescription drug use? 4) What are nonmedical prescription drug users' sources for prescription and other drugs? 5) What is the relationship between the individual, the prescription drug, and the setting in which the drug is used or misused? 6) Are there gender differences in the types of prescription drugs misused and the way they are acquired and combined with other drugs? 7) What is the role of the Internet as both a source of prescription drugs and a source of information about those drugs? By limiting the scope of our investigation to young nonmedical prescription drug users, we will address a current gap in the extant literature regarding factors underlying the association between nonmedical prescription drug use and adverse health, behavioral and social consequences. This qualitative research project will provide much needed information about the nature of nonmedical prescription drug use among young adults. Specifically, this project would provide information regarding the health and social consequences of nonmedical prescription drug use and in particular, the impact of use on relationships and lifestyles. Findings from this proposed study would aid in the development of effective prevention and treatment interventions for nonmedical prescription drug abusers and contribute to the improvement of integrated health care and drug treatment services.

描述（由申请人提供）：非医学处方药的使用是越来越多的公共卫生问题，年轻人的处方药滥用率最高。该申请提出了对旧金山非医学处方药物使用的36个月定性研究。使用民族志抽样方法，将招募120名参与者（60名男性和60名女性），并接受了18至25岁之间的采访，并在六个月中至少12次使用了三个药物组（阿片类药物，兴奋剂和CNS抑制剂）的一种或多种药物，以进行非医学目的。非医学用途定义为使用处方药的使用，无论是否处方，以获得高度，以提高学校/工作表现或修改其他药物或饮酒的影响。将检查处方药的指示（例如疼痛，睡眠障碍，焦虑症，肥胖症）与有助于滥用滥用的个人因素和社会环境的作用之间的关系。以下七个研究问题是要探索的领域：1）在非医学处方药使用的开始和延续的信念，动机和感知的景点是什么？ 2）非医学处方药使用者是否将处方药与酒精，非法药物或其他未开处方药结合在一起？ 3）非医学处方药的不利健康，行为和社会后果是什么？ 4）什么是非医学处方药物的处方和其他药物的来源？ 5）个体，处方药与使用或滥用药物的环境之间的关系是什么？ 6）在处方药的类型中是否存在性别差异，并与其他药物合并的方式以及它们的方式有差异？ 7）互联网作为处方药的来源和有关这些药物的信息来源的作用是什么？通过将我们的调查范围限制在年轻的非医学处方药使用者中，我们将解决现有文献中有关非医学处方药物使用与不利健康，行为和社会后果之间关联的因素的当前差距。这个定性研究项目将提供有关年轻人非医学处方药使用性质的急需信息。具体而言，该项目将提供有关非医学处方药物使用的健康和社会后果的信息，尤其是使用对关系和生活方式的影响。这项拟议的研究的结果将有助于开发非医疗处方药滥用者的有效预防和治疗干预措施，并有助于改善综合医疗保健和药物治疗服务。