Patterns of Prescription Drug Misuse among Young Injection Drug Users
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Misuse of prescription drugs and injection drug use has increased among young adults in the USA. Despite these upward trends, few studies have examined prescription drug misuse among young injection drug users (IDUs). A qualitative study was undertaken to describe current patterns of prescription drug misuse among young IDUs. Young IDUs aged 16–25 years who had misused a prescription drug, e.g., opioids, tranquilizers, or stimulants, at least three times in the past 3 months were recruited in 2008 and 2009 in Los Angeles (n = 25) and New York (n = 25). Informed by an ethno-epidemiological approach, descriptive data from a semi-structured interview guide were analyzed both quantitatively and qualitatively. Most IDUs sampled were both homeless and transient. Heroin, prescription opioids, and prescription tranquilizers were frequently misused in the past 30 days. Qualitative results indicated that young IDUs used prescription opioids and tranquilizers: as substitutes for heroin when it was unavailable; to boost a heroin high; to self-medicate for health conditions, including untreated pain and heroin withdrawal; to curb heroin use; and to reduce risks associated with injecting heroin. Polydrug use involving heroin and prescription drugs resulted in an overdose in multiple cases. Findings point to contrasting availability of heroin in North American cities while indicating broad availability of prescription opioids among street-based drug users. The results highlight a variety of unmet service needs among this sample of young IDUs, such as overdose prevention, drug treatment programs, primary care clinics, and mental health services.
KeywordsPrescription drug misuse Injection drug use Young adults
This research was supported by a grant to Stephen Lankenau from the National Institute of Drug Use (DA021299).
- 1.Johnston, LD, O’Malley, PM, Bachman, JG, Schulenberg, JE. Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse; 2010.Google Scholar
- 2.Substance Abuse and Mental Health Services Administration. Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings. NSDUH Series H-38A: DHHS Publication No. SMA 10-4856. Rockville, MD: Office of Applied Studies; 2010.Google Scholar
- 4.Center for Disease Control and Prevention. Unintentional Drug Poisoning in the United States: A CDC Issue Brief. National Center for Injury Prevention and Control. 2010. http://www.cdc.gov/HomeandRecreationalSafety/pdf/poison-issue-brief.pdf. Accessed November 19, 2010.
- 7.Page K, Hahn JA, Evans J, et al. Acute hepatitis C virus infection in young adult injection drug users: a prospective study of incident infection, resolution, and reinfection. J Acquir Immune Defic Syndr. 2009; 200(8): 1216–1226.Google Scholar
- 20.Pach IA, Gorman EM. An ethno-epidemiological approach for the multi-site study of emerging drug abuse trends: the spread of methamphetamine in the United States of America. Bull Narc. 2002; 54: 87–102.Google Scholar
- 27.Biernacki P, Waldorf D. Snowball sampling: problems and techniques of chain referral sampling. Socio Meth Res. 1981; 10: 141–163.Google Scholar
- 31.National Institute on Drug Abuse. Epidemiologic Trends in Drug Abuse. Proceedings of the Community Epidemiology Work Group. Highlights and Executive Summary, Vol. I. Bethesda, MD: Division of Epidemiology, Services Research, and Prevention; 2011.Google Scholar
- 38.Agar M, Bourgois P, French J, Murdoch O. Heroin addict habit size in three cities: context and variation. J Drug Issues. 1998; 28(4): 921–940.Google Scholar