Prevalence and correlates of benzodiazepine use and misuse among young adults who use prescription opioids non-medically
| Autor: | Benjamin A. Bouvier, Katherine Waye, Scott E. Hadland, Traci C. Green, Brandon D.L. Marshall, Beth Elston |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Prescription drug Prescription Drug Misuse Adolescent Population 030508 substance abuse Poison control Toxicology Article 03 medical and health sciences Benzodiazepines Young Adult 0302 clinical medicine Harm Reduction medicine Prevalence Humans Pharmacology (medical) 030212 general & internal medicine Young adult Medical prescription education Pharmacology Harm reduction education.field_of_study business.industry Mood Disorders Rhode Island medicine.disease Opioid-Related Disorders United States Substance abuse Analgesics Opioid Psychiatry and Mental health Cross-Sectional Studies Female 0305 other medical science business |
| Popis: | Background Benzodiazepine use dramatically increases the risk of unintentional overdose among people who use opioids non-medically. However, little is known about the patterns of co-occurring benzodiazepine and opioid use among young adults in the United States. Methods The Rhode Island Young Adult Prescription Drug Study (RAPiDS) was a cross-sectional study from January 2015—February 2016. RAPiDS recruited 200 young adults aged 18–29 who reported past 30-day non-medical prescription opioid (NMPO) use. Using Wilcoxon rank sum test and Fisher’s exact test, we examined correlates associated with regular prescribed and non-medical use (defined as at least monthly) of benzodiazepines among NMPO users in Rhode Island. Results Among participants, 171 (85.5%) reported lifetime benzodiazepine use and 125 (62.5%) reported regular benzodiazepine use. Nearly all (n = 121, 96.8%) reported non-medical use and 43 (34.4%) reported prescribed use. Compared to the 75 participants who did not regularly use benzodiazepines, participants who reported regular use were more likely to be white (66.3% vs. 58.0%, p = 0.03), have ever been incarcerated (52.8% vs. 37.3%, p = 0.04), and have ever been diagnosed with a psychiatric disorder (bipolar: 29.6% vs. 16.0%, p = 0.04; anxiety: 56.8 vs. 36.0%, p = 0.01). Although the association was marginally significant, accidental overdose was higher among those who were prescribed the benzodiazepine they used most frequently compared to those who were not (41.9% vs. 24.4%, p = 0.06). Conclusion Benzodiazepine use and misuse are highly prevalent among young adult NMPO users. Harm reduction and prevention programs for this population are urgently needed. |
| Databáze: | OpenAIRE |
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