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Teens and the Misuse of Prescription Drugs: Evidence-Based Recommendations to Curb a Growing Societal Problem

The Journal of Primary Prevention volume 29, pages 503–516 (2008)Cite this article

Abstract

The misuse of prescription drugs by teens in the United States is a growing public health problem. This article provides a systematic synthesis of multiple strands of literature to recommend effective prevention methods. Using a social-ecological framework, we review the scope of the problem of prescription drug use among teens. Then, we analyze the multiple factors that may influence teen knowledge and attitudes toward prescription drugs and discuss the important challenges related to the construction of effective prevention programs. Finally, we provide recommendations for practice that attempt to overcome these challenges.

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References

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T.

    Article  Google Scholar 

  • Boyd, C. J., McCabe, S. E., Cranford, J. A., & Young, A. (2006a). Adolescents’ motivations to abuse prescription medications. Pediatrics, 118, 2472–2480. doi:10.1542/peds.2006-1644.

    PubMed  Article  Google Scholar 

  • Boyd, C. J., McCabe, S. E., & Teter, C. J. (2006b). Medical and nonmedical use of prescription pain medication by youth in a Detroit-area public school district. Drug and Alcohol Dependence, 81, 37–45. doi:10.1016/j.drugalcdep.2005.05.017.

    PubMed  Article  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Brownfield, E. D., Bernhardt, J. M., Phan, J. L., Williams, M. V., & Parker, R. M. (2004). Direct-to-consumer drug advertisements on network television: An exploration of quantity, frequency, and placement. Journal of Health Communication, 9, 491–497. doi:10.1080/10810730490523115.

    PubMed  Article  Google Scholar 

  • Compton, W. M., & Volkow, N. D. (2006). Abuse of prescription drugs and the risk of addiction. Drug and Alcohol Dependence, 81, 103–107. doi:10.1016/j.drugalcdep.2005.05.009.

    PubMed  Article  Google Scholar 

  • Daniel, K. L., Honein, M. A., & Moore, C. A. (2003). Sharing prescription medication among teenage girls: Potential danger to unplanned/undiagnosed pregnancies. Pediatrics, 111, 1167–1170.

    PubMed  Google Scholar 

  • Drug Abuse Warning Network. (2007). National estimates of drug-related emergency department visits. DAWN Series D-29. DHHS Publication No. (SMA) 07-4256: Rockville, MD: U. S. Department of Health and Human Services.

  • Edwards, J. (2007, April 30). Prescription drugs. Ad Week. Retrieved October 9, 2008 from http://www.adweek.com/aw/esearch/article_display.jsp?vnu_content_id=1003577966.

  • Ellickson, P. L., McCaffrey, D. F., Ghosh-Dastidar, B., & Longshore, D. L. (2003). New inroads in preventing adolescent drug use: Results from a large-scale trial of Project ALERT in middle schools. American Journal of Public Health, 93, 1830–1839.

    PubMed  Article  Google Scholar 

  • Everett, M. W., & Palmgreen, P. (1995). Influences of sensation seeking, message sensation value, and program context on effectiveness of anticocaine public service announcements. Health Communication, 7, 225–248. doi:10.1207/s15327027hc0703_3.

    Article  Google Scholar 

  • Fishbein, M., & Middlestadt, S. E. (1987). Using the theory of reasoned action to develop educational interventions: Applications to illicit drug use. Health Education Research, 2, 361–371. doi:10.1093/her/2.4.361.

    Article  Google Scholar 

  • Friedman, R. A. (2006). The changing face of teenage drug abuse: The trend toward prescription drugs. New England Journal of Medicine, 354, 1448–1450. doi:10.1056/NEJMp068010.

    PubMed  Article  CAS  Google Scholar 

  • Frosch, D. L., Kruger, P. M., Hornik, R. C., Cronholm, P. F., & Barg, F. K. (2007). Creating demand for prescription drugs: A content analysis of television direct-to-consumer advertising. Annals of Family Medicine, 5, 6–13. doi:10.1370/afm.611.

    PubMed  Article  Google Scholar 

  • Herr-Zaya, K., Botticelli, M., Keel, S., Giovannetti, M., Jimenez, M., Mandlebaum, J., et al. (2007, May). Using social marketing to prevent Oxycontin use among youth. Poster presented at the annual meeting of the Society for Prevention Research, Washington, DC.

  • Holtz, K. D., & Twombly, E. C. (2007). A preliminary evaluation of the effects of a science education curriculum on changes in knowledge of drugs in youth. Journal of Drug Education, 37, 317–333. doi:10.2190/DE.37.3.f.

    PubMed  Article  Google Scholar 

  • Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2006). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2005. Ann Arbor, MI: University of Michigan News and Information Services. Retrieved May 12, 2007 from http://www.monitoringthefuture.org.

  • Kuehn, B. M. (2007a). Many teens abusing medications. JAMA, 297, 578–580. doi:10.1001/jama.297.6.578.

    PubMed  Article  CAS  Google Scholar 

  • Kuehn, B. M. (2007b). Opioid prescriptions soar: Increase in legitimate use as well as abuse. JAMA, 297, 249–251. doi:10.1001/jama.297.3.249.

    PubMed  Article  CAS  Google Scholar 

  • Kumpfer, K. L., & Turner, C. W. (1990). The social ecology model of adolescent substance abuse: Implications for prevention. International Journal of Addiction, 25(S4), 435–463.

    Google Scholar 

  • McCabe, S. E., & Boyd, C. J. (2005). Sources of prescription drugs for illicit use. Addictive Behaviors, 30, 1342–1350. doi:10.1016/j.addbeh.2005.01.012.

    PubMed  Article  Google Scholar 

  • McCabe, S. E., Boyd, C. J., & Young, A. (2007a). Medical and non-medical use of prescription drugs among secondary school students. Journal of Adolescent Health, 40, 76–83. doi:10.1016/j.jadohealth.2006.07.016.

    PubMed  Article  Google Scholar 

  • McCabe, S. E., Cranford, J. A., Boyd, C. J., & Teter, C. J. (2007b). Motives, diversion, and routes of administration associated with nonmedical use of prescription opioids. Addictive Behaviors, 32, 562–575. doi:10.1016/j.addbeh.2006.05.022.

    PubMed  Article  Google Scholar 

  • McCabe, S. E., Teter, C. J., & Boyd, C. J. (2004). The use, misuse, and diversion of prescription stimulants among middle and high school students. Substance Use and Misuse, 39, 1095–1116. doi:10.1081/JA-120038031.

    PubMed  Article  Google Scholar 

  • Morse, L., Wilbur, K., Ballard, K. (2004, February). Unintended consequences: Implications for health and physical education. Paper presented at the No Child Left Behind Forum, Reston, VA. Retrieved October 24, 2006, from http://www.aahperd.org/aahperd/template.cfm?template=nclb.html.

  • National Center on Addiction and Substance Abuse. (2002). National Survey of American Attitudes on Substance Abuse VII: Teens, Parents and Siblings. New York: Author. Retrieved June 11, 2007 from http://www.casacolumbia.org/supportcasa/item.asp?cID=12&PID=129.

  • National Center on Addiction and Substance Abuse. (2005). Under the counter: Diversion and abuse of prescription medication in the U.S. New York: Author. Retrieved May 28, 2007 from http://www.casacolumbia.org/absolutenm/articlefiles/380-under_the_counter_-_diversion.pdf.

  • National Center on Addiction and Substance Abuse. (2007). “You’ve Got Drugs!” IV: Prescription drug pushers on the Internet. New York: Author. Retrieved May 28, 2007 from http://www.casacolumbia.org/absolutenm/articlefiles/380-YGD4 percent20Report.pdf.

  • National Education Association. (2004). No subject left behind? Think again. NEA Today, 23(3), 26–27.

    Google Scholar 

  • National Institute on Drug Abuse. (2003). Preventing drug use among children and adolescents: A research-based guide for parents, educators, and community leaders (2 nd ed.). Retrieved October 10, 2008 from http://www.drugabuse.gov/pdf/prevention/RedBook.pdf.

  • National Institute on Drug Abuse. (2005). NIDA research reports: Prescription Drugs abuse and addiction. Retrieved June 11, 2007 from http://www.drugabuse.gov/ResearchReports/Prescription/Prescription.html.

  • Orwin, R. (2006). Evaluation of the National Youth Anti-Drug Media Campaign: 2004 report of findings. Rockville, MD: Westat.

    Google Scholar 

  • Partnership Attitude Tracking Study. (2006). Teens in grades 7 through 12, 2005. Retrieved March 31, 2007 from http://www.drugfree.org/files/full_teen_report.

  • Partnership for a Drug-Free America. (2005). Generation Rx: National study reveals new category of substance abuse emerging: Teens abusing Rx and OTC medications intentionally to get high. Retrieved March 31, 2007 from www.drugfree.org.

  • Paulozzi, L. J. (2006). Opioid analgesic involvement in drug abuse deaths in American metropolitan areas. American Journal of Public Health, 96, 1755–1757. doi:10.2105/AJPH.2005.071647.

    PubMed  Article  Google Scholar 

  • Prescription drugs: What you need to know .(2007, March). Seventeen.

  • Randolph, W., & Viswanath, K. (2004). Lessons learned from public health mass media campaigns: Marketing health in a crowded media world. Annual Review of Public Health, 25, 419–437. doi:10.1146/annurev.publhealth.25.101802.123046.

    PubMed  Article  Google Scholar 

  • Simoni-Wastila, L., Ritter, G., & Strickler, G. (2004). Gender and other factors associated with the nonmedical use of abusable prescription drugs. Substance Use and Misuse, 39, 1–23. doi:10.1081/JA-120027764.

    PubMed  Article  Google Scholar 

  • Spoth, R., Clair, S., Shin, C., & Redmond, C. (2006). Long-term effects of universal preventive interventions on methamphetamine use among adolescents. Archives of Pediatrics and Adolescent Medicine, 160, 876–882. doi:10.1001/archpedi.160.9.876.

    PubMed  Article  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2004). Misuse of prescription drugs, 2003. Retrieved March 31, 2007 from http://www.oas.samhsa.gov/prescription/toc.htm.

  • Substance Abuse and Mental Health Services Administration. (2006a). Misuse of prescription drugs, 2005. Retrieved March 31, 2007 from http://www.oas.samhsa.gov/prescription/toc.htm.

  • Substance Use and Mental Health Services Administration. (2006b). Substance abuse treatment admissions by primary substance of abuse according to sex, age group, race and ethnicity, 2004. Retrieved May 28, 2007 from http://www.dasis.samhsa.gov/webt/quicklink/US04.htm.

  • Sussman, S., Pentz, M. A., Spruijt-Metz, D., & Miller, T. (2006). Misuse of “study drugs:” Prevalence, consequences, and implications for policy. Substance abuse treatment, prevention, and policy, 1(15), 1–7.

    Google Scholar 

  • Sung, H., Richter, L., Vaughan, R., Johnson, P. B., & Thom, B. (2005). Nonmedical use of prescription opioids among teenagers in the United States: Trends and correlates. Journal of Adolescent Health, 37, 44–51. doi:10.1016/j.jadohealth.2005.02.013.

    PubMed  Article  Google Scholar 

  • Teter, C. J., McCabe, S. E., Cranford, J. A., Boyd, C. J., & Guthrie, S. K. (2005). Prevalence and motives for illicit use of prescription stimulants in an undergraduate student sample. Journal of American College Health, 53, 253–262. doi:10.3200/JACH.53.6.253-262.

    PubMed  Article  Google Scholar 

  • Zacny, J., Bigelow, G., Compton, P., Foley, K., Iguchi, M., & Sunnerud, C. (2003). College on Problems of Drug Dependence taskforce on prescription opiod non-medical use and abuse: Position statement. Drug and Alcohol Dependence, 69, 215–232. doi:10.1016/S0376-8716(03)00003-6.

    PubMed  Article  Google Scholar 

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Authors and Affiliations

  1. Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, 30303, USA

    Eric C. Twombly

  2. KDH Research and Communication, Atlanta, GA, USA

    Kristen D. Holtz

Authors
  1. Eric C. Twombly
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  2. Kristen D. Holtz
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Correspondence to Eric C. Twombly.

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Twombly, E.C., Holtz, K.D. Teens and the Misuse of Prescription Drugs: Evidence-Based Recommendations to Curb a Growing Societal Problem. J Primary Prevent 29, 503–516 (2008). https://doi.org/10.1007/s10935-008-0157-5

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  • DOI: https://doi.org/10.1007/s10935-008-0157-5

Keywords

  • Prescription drug misuse
  • Teens
  • Recommendations for prevention