ArticleThe International journal on drug policy2012
"I'm not afraid of those ones just 'cause they've been prescribed": perceptions of risk among illicit users of pharmaceutical opioids.
Article in The International journal on drug policy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and risk factors for misuse of prescription psychotropic drug in patients with severe mental illness: A systematic review.Actas espanolas de psiquiatria · 2023Pooled it
- The prescription opioid epidemic: a review of qualitative studies on the progression from initial use to abuse.Dialogues in clinical neuroscience · 2017Pooled it
- Evaluating the Effectiveness of a Web-Based Program (POP4Teens) to Prevent Prescription Opioid Misuse Among Adolescents: Randomized Controlled Trial.JMIR public health and surveillance · 2021Trial
- Sociodemographic differences in knowledge, perceptions, and intentions regarding stimulant misuse: A theory-informed national cross-sectional survey.Exploratory research in clinical and social pharmacy · 2026Article
- People entering opioid substance use treatment have low rates of naloxone knowledge and possession.Drug and alcohol dependence · 2025Article
- Article
- Interventions to Reduce Opioid Use in Youth At-Risk and in Treatment for Substance Use Disorders: A Scoping Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- "They say it's fentanyl, but they honestly look like Perc 30s": Initiation and use of counterfeit fentanyl pills.Harm reduction journal · 2022Article
- Later-life transitions and changes in prescription medication use for pain and depression.BMC geriatrics · 2022Article
- A latent class analysis of drug and substance use patterns among patients treated in emergency departments for suspected drug overdose.Addictive behaviors · 2020Article
- Pharmacokinetic and pharmacodynamic considerations in developing a response to the opioid epidemic.Expert opinion on drug metabolism & toxicology · 2020Review
- Sources of Misused Prescription Opioids and Their Association with Prescription Opioid Use Disorder in the United States: Sex and Age Differences.Substance use & misuse · 2020Article
- A Neurobehavioral Approach to Addiction: Implications for the Opioid Epidemic and the Psychology of Addiction.Psychological science in the public interest : a journal of the American Psychological Society · 2019Review
- Drug Addiction: From Neuroscience to Ethics.Frontiers in psychiatry · 2018Article
- 'I have it just in case' - Naloxone access and changes in opioid use behaviours.The International journal on drug policy · 2018Article
- Down in the valley: Trajectories of injection initiation among young injectors in California's Central Valley.The International journal on drug policy · 2017Article
- Perceived risk of heroin use among nonmedical prescription opioid users.Addictive behaviors · 2017Article
- Social context and perspectives of non-medical prescription opioid use among young adults in Rhode Island: A qualitative study.The American journal on addictions · 2016Article
- Delay discounting in opioid use disorder: Differences between heroin and prescription opioid users.Drug and alcohol dependence · 2016Article
- Harm reduction for young people who use prescription opioids extra-medically: Obstacles and opportunities.The International journal on drug policy · 2016Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundThere has been a rise in the illicit use of pharmaceutical opioids ("pain pills") in the United States. Conducted with young adult non-medical users of pharmaceutical opioids, this study uses qualitative methods and cultural consensus analysis to describe risk perceptions associated with pharmaceutical opioids and to determine patterns of cultural sharing and intra-cultural variation of these views.
methodsThe qualitative sub-sample (n=47) was selected from a larger sample of 396 young adults (18-23 years old), who were participating in a natural history study of illicit pharmaceutical opioid use. Qualitative life history interviews, drug ranking task, and cultural consensus analysis were used to elicit participant views about risks and harms associated with pain pills and other drugs, as well as alcohol and tobacco.
resultsCultural consensus analysis revealed that the participants shared a single cultural model of drug risks, but the level of agreement decreased with the increasing range of drugs ever used. Further, those with more extensive drug use histories differed from less "experienced" users in their views about OxyContin and some other drugs. Overall, pain pills were viewed as addicting and potentially deadly substances, but these properties were linked to the patterns and methods of use, as well as characteristics of an individual user. Further, risks associated with pharmaceutical opioids were further curtailed because they "came from the doctor," and thus had a legitimate aspect to their use.
conclusionsThis study highlights potential problems with universal approaches to substance use prevention and intervention among young people since such approaches ignore the fact that substance use education messages may be experienced differently depending on an individual's drug use history and his/her perceptions of drug risks. Findings reported here may be useful in the development of prevention and intervention programs aimed at reducing the harm associated with illicit use of pain pills.
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