Nonmedical prescription drug use among US young adults by educational attainment
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Little is known about nonmedical use of prescription drugs among non-college-attending young adults in the United States.
Data were drawn from 36,781 young adults (ages 18–22 years) from the 2008–2010 National Survey on Drug Use and Health public use files. The adjusted main effects for current educational attainment, along with its interaction with gender and race/ethnicity, were considered.
Compared to those attending college, non-college-attending young adults with at least and less than a HS degree had a higher prevalence of past-year nonmedical use of prescription opioids [NMUPO 13.1 and 13.2 %, respectively, vs. 11.3 %, adjusted odds ratios (aORs) 1.21 (1.11–1.33) and 1.25 (1.12–1.40)], yet lower prevalence of prescription stimulant use. Among users, regardless of drug type, non-college-attending youth were more likely to have past-year disorder secondary to use [e.g., NMUPO 17.4 and 19.1 %, respectively, vs. 11.7 %, aORs 1.55 (1.22–1.98) and 1.75 (1.35–2.28)]. Educational attainment interacted with gender and race: (1) among nonmedical users of prescription opioids, females who completed high school but were not enrolled in college had a significantly greater risk of opioid disorder (compared to female college students) than the same comparison for men; and (2) the risk for nonmedical use of prescription opioids was negligible across educational attainment groups for Hispanics, which was significantly different than the increased risk shown for non-Hispanic whites.
There is a need for young adult prevention and intervention programs to target nonmedical prescription drug use beyond college campuses.
KeywordsNonmedical prescription drug use Drug use disorders Educational attainment Young adults Gender differences
Dr. Martins is currently a consultant for Purdue Pharma. All other authors have no conflict of interest to declare. The data reported herein come from the National Survey of Drug Use and Health (NSDUH) public use files and made publicly available by the Substance Abuse and Mental Health Services Administration (SAMHSA). This study was partially funded by the National Institute of Drug Abuse-National Institutes of Health (NIDA-NIH grant DA023434, Martins; NIDA-NIH grant K01DA030449, Cerdá; NIDA- NIH T32DA031099, Hasin), the Eunice Kennedy Shriver National Institute of Child and Human Development- National Institutes of Health, (NICHD- NIH grant HD020667, Martins); and the National institute on Alcohol and Alcoholism, National Institutes of Health (NIAAA grant K01AA021511, Keyes). NIDA, NICHD and SAMHSA had no further role in the data analysis or interpretation of results.
- 1.Office of National Drug Control Policy (2011) Epidemic: Responding to America’s Prescription Drug Abuse Crisis. Retrieved on January 25, 2014 from: http://www.whitehouse.gov/sites/default/files/ondcp/issues-content/prescription-drugs/rx_abuse_plan.pdf
- 8.Substance Abuse and Mental Health Services Administration (2011) Results from the 2010 National Survey on Drug Use and Health: summary of national findings, NSDUH series H-41, HHS PUBLICATION No. (SMA) 11-4658 Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Rockville Google Scholar
- 19.Weyandt LL, Marraccini ME, Gudmundsdottir BG, Zavras BM, Turcotte KD, Munro BA, Amoroso AJ (2013) Misuse of prescription stimulants among college students: a review of the literature and implications for morphological and cognitive effects on brain functioning. Exp Clin Psychopharmacol 21(5):385–407. doi: 10.1037/a0034013 CrossRefPubMedGoogle Scholar
- 20.Garnier-Dykstra LM, Caldeira KM, Vincent KB, O’Grady KE, Arria AM (2012) Nonmedical use of prescription stimulants during college: four-year trends in exposure opportunity, use, motives, and sources. J Am Coll Health 60(3):226–234. doi: 10.1080/07448481.2011.589876 CrossRefPubMedCentralPubMedGoogle Scholar
- 21.Hartung CM, Canu WH, Cleveland CS, Lefler EK, Mignogna MJ, Fedele DA, Correia CJ, Leffingwell TR, Clapp JD (2013) Stimulant medication use in college students: comparison of appropriate users, misusers, and nonusers. Psychol Addict Behav 27(3):832–840. doi: 10.1037/a0033822 CrossRefPubMedGoogle Scholar
- 25.Jekielek S, Brown B (2005) The transition to adulthood: Characteristics of young adults ages 18 to 24 in America. Population Reference Bureau, and Child Trends, 1-33. Retrieved May 25, 2011 from: http://www.prb.org/pdf05/TransitionToAdulthood.pdf
- 26.Aud S, Hussar W, Kena G, Bianco K, Frohlich L, Kemp J, Tahan K (2011) The condition of education 2011 (NCES 2011-033). National Center for Education Statistics. U.S Government Printing Office, WashingtonGoogle Scholar
- 28.Digest of Education Statistics (2010) Chapter 3: postsecondary education. Retrieved Feb 20 2012 from http://nces.ed.gov/programs/digest/d10/ch_3.asp
- 29.Snyder TD, Dillow SA (2012) Digest of Education Statistics 2011 (NCES 2012-001). Institute of Education Sciences. U.S. Department of Education, WashingtonGoogle Scholar
- 33.Compton WM, Thomas YF, Stinson FS, Grant BF (2007) Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 64(5):566–576. doi: 10.1001/archpsyc.64.5.566 CrossRefPubMedGoogle Scholar
- 35.Substance Abuse and Mental Health Services Administration (2010) Results from the 2009 National Survey on Drug Use and Health: volume I. Summary of National Findings. NSDUH Series H-38A, HHS Publication No. SMA 10-4856. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, RockvilleGoogle Scholar
- 37.Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE (2013) Monitoring the future national survey results on drug use, 1975–2012: volume 2, college students and adults ages 19–50. Ann ArborGoogle Scholar
- 43.Martins S, Storrs C, Zhu H, Chilcoat H (2009)Trends in recent-onset extramedical opioid analgesic use in the US from 1991 to 2006. In: 70th college on problems of drug dependence annual meeting, San Juan, Puerto RicoGoogle Scholar
- 44.Martins SS, Fenton MC, Keyes KM, Blanco C, Zhu H, Storr CL (2012) Mood and anxiety disorders and their association with non-medical prescription opioid use and prescription opioid-use disorder: longitudinal evidence from the National Epidemiologic Study on Alcohol and Related Conditions. Psychol Med 42(6):1261–1272. doi: 10.1017/s0033291711002145 CrossRefPubMedCentralPubMedGoogle Scholar
- 45.Fischer B, Lusted A, Roerecke M, Taylor B, Rehm J (2012) The prevalence of mental health and pain symptoms in general population samples reporting nonmedical use of prescription opioids: a systematic review and meta-analysis. J Pain 13(11):1029–1044. doi: 10.1016/j.jpain.2012.07.013 CrossRefPubMedGoogle Scholar
- 47.Katz C, El-Gabalawy R, Keyes KM, Martins SS, Sareen J (2013) Risk factors for incident nonmedical prescription opioid use and abuse and dependence: results from a longitudinal nationally representative sample. Drug Alcohol Depend 132(1–2):107–113. doi: 10.1016/j.drugalcdep.2013.01.010 CrossRefPubMedGoogle Scholar
- 49.Substance Abuse and Mental Health Services Administration (2009) Results from the 2008 National Survey on Drug Use and Health: national findings. NSDUH Series H-36, HHS Publication No. SMA 09-4434. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, RockvilleGoogle Scholar
- 50.National Survey on Drug Use and Health (2010) 2008-2010 National Survey on Drug Use and Health: overview and summary of substate region estimation methodology. Retrieved from: http://www.samhsa.gov/data/NSDUH/substate2k10/Methodology/NSDUHsubstateMethodology2010.pdf
- 51.Gfroerer J, Eyerman J, Chromy J (2002) Redesigning an ongoing national household survey: Methodological issues Substance Abuse and Mental Health Services Administration, Office of Applied Studies., Rockville, MDGoogle Scholar
- 53.American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, Fourth Edition: DSM-IV-TR®. American Psychiatric AssociationGoogle Scholar
- 55.StataCorp (2009) Stata statistical software: release 11. College station, StataCorp LP, TXGoogle Scholar
- 56.Rothman KJ, Greenland S, Lash TL (2012) Modern epidemiology. Wolters Kluwer Health/Lippincott Williams & WilkinsGoogle Scholar
- 57.Research Triangle Institute (2005) SUDAAN: professional software for survey data analysisGoogle Scholar
- 58.Johnston LD, O’Malley, P.M., Bachman, J.G., (2003) Monitoring the Future national survey results on drug use, 1975-2002. Volume 1: Secondary school students (NIH Publication No. 03-5375). Bethesda, MD: National Institute on Drug AbuseGoogle Scholar
- 59.Substance Abuse and Mental Health Services Administration (2009) The NSDUH Report: Nonmedical Use of of Adderall® among Full-Time College Students. Substance Abuse and Mental Health Services Administration, RockvilleGoogle Scholar
- 60.Martins SS, Ko J, Kuwabara S, Clarke D, Alexandre P, Zandi P, Mendelson T, Mortensen PBO, Eaton WW (2012) The relationship of adult mental disorders to socioeconomic status, race/ethnicity, marital status, and urbanicity of residence. In: Eaton WW (ed) Public Mental Health. Oxford University Press, Oxford, p 151CrossRefGoogle Scholar
- 61.McCabe SE, West BT, Morales M, Cranford JA, Boyd CJ (2007) Does early onset of non-medical use of prescription drugs predict subsequent prescription drug abuse and dependence? Results from a national study. Addiction 102(12):1920–1930. doi: 10.1111/j.1360-0443.2007.02015.x CrossRefPubMedCentralPubMedGoogle Scholar
- 65.Blackwell DL, McLaughlin DK (1999) Do Rural Youth Attain Their Educational Goals? Rural Development Perspectives 13(3):37–44Google Scholar
- 68.Blanco C, Alderson D, Ogburn E, Grant BF, Nunes EV, Hatzenbuehler ML, Hasin DS (2007) Changes in the prevalence of non-medical prescription drug use and drug use disorders in the United States: 1991-1992 and 2001-2002. Drug Alcohol Depend 90(2–3):252–260. doi: 10.1016/j.drugalcdep.2007.04.005 CrossRefPubMedGoogle Scholar
- 70.Substance Abuse and Mental Health Services Administration (2004) Results from the 2008 National Survey on Drug Use and Health: National Findings. NSDUH Series H-28. DHHS Publication No. SMA 05-4062. Substance Abuse and Mental Health Services Administration, Office of Applied Studies, RockvilleGoogle Scholar
- 71.New York City Department of Health and Mental Hygiene (2011) Opioid analgesics in New York City: Misuse, morbidity and mortality update. Data tables. New York, NY2011Google Scholar
- 74.Ross T, Kena G, Rathbun A, KewalRamani A, Zhang J, Kristapovich P, Manning E (2012) Higher education: gaps in access and persistence study (NCES 2012-046). Government Printing Office, WashingtonGoogle Scholar
- 77.Ghandour LA, El Sayed DS, Martins SS (2012) Prevalence and patterns of commonly abused psychoactive prescription drugs in a sample of university students from Lebanon: an opportunity for cross-cultural comparisons. Drug Alcohol Depend 121(1–2):110–117. doi: 10.1016/j.drugalcdep.2011.08.021 CrossRefPubMedCentralPubMedGoogle Scholar