Abstract

Objective: College students’ prescription stimulant and opioid misuse (PSM and POM) share psychosocial risks with other substance use. We sought to extend a prior study of these issues. Methods: National College Health Assessment (2015–2016) participants ages 18–24 years (n = 79,336) reporting 12-month PSM (defined as use of a drug not prescribed to them), 30-day other illicit drug use (non-cannabis), both, or neither, were compared on other substance use, psychopathology, academic adjustment, attention deficit hyperactivity disorder, and chronic pain. Models were repeated for POM. Results: Relative to those who only misused the prescription drug, those who used other illicit drugs had lower odds of chronic pain and academic problems, but higher odds on nearly every other outcome especially if they also misused the prescription drug. Conclusions: Findings suggest PSM and POM are on a continuum of risk shared with illicit drug use, but also are linked to outcomes specific to these drugs’ perceived medical purposes.

摘要

目的：大学生处方兴奋剂和阿片类药物滥用（PSM 和 POM）与其他物质使用共同存在心理社会风险。我们试图扩展对这些问题的先前研究。方法：国家大学健康评估 (2015-2016) 年龄 18-24 岁的参与者 ( n =  79,336) 报告 12 个月的 PSM（定义为使用非处方药物）、30 天其他非法药物使用情况（非处方药物）大麻），两者或两者都没有，在其他物质使用、精神病理学、学业调整、注意力缺陷多动障碍和慢性疼痛方面进行了比较。针对 POM 重复模型。结果：相对于那些只滥用处方药的人，那些使用其他非法药物的人出现慢性疼痛和学业问题的几率较低，但几乎所有其他结果的几率都较高，尤其是如果他们也滥用处方药的话。结论：研究结果表明，PSM 和 POM 与非法药物使用具有共同的风险，但也与这些药物的医疗目的的特定结果相关。