ArticleThe journal of pain2013
Motives for medical misuse of prescription opioids among adolescents.
Article in The journal of pain, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.
- Age and Cohort Patterns of Medical and Nonmedical Use of Controlled Medication Among Adolescents.Journal of addiction medicinePooled it
- Medical Diagnosis, ED Visits, and Hospitalizations for Substance Use in U.S. Children's Hospitals: A Retrospective Multi-Center Cohort Study.Children (Basel, Switzerland) · 2026Article
- Opioid Use in Children.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026Article
- Understanding Opioid Use from Retrospective Accounts of Young Adults in Recovery: Motives, Experiences, and Implications for Prevention.Journal of prevention (2022) · 2026Article
- Unveiling the Complexities of Medications, Substance Abuse, and Plants for Recreational and Narcotic Purposes: An In-Depth Analysis.Pharmacy (Basel, Switzerland) · 2025Review
- Opioid consumption before discharge predicts outpatient opioid use in adolescents undergoing surgery.Surgery · 2024Article
- Differential etiologic associations of heroin use and prescription opioid misuse with psychopathology.Journal of psychopathology and clinical science · 2024Article
- Predicting first use of heroin from prescription opioid use subtypes: Insights from the Monitoring the Future longitudinal panel.Drug and alcohol dependence · 2024Article
- Opioid coping motives and pain intensity among adults with chronic low back pain: associations with mood, pain reactivity, and opioid misuse.Journal of behavioral medicine · 2023Article
- Examining adolescents' opioid knowledge and likelihood to utilize an educational game to promote medication safety.Research in social & administrative pharmacy : RSAP · 2022Article
- Race Differences in Opioid Misuse and Adolescent Suicidality.Child & adolescent social work journal : C & A · 2022Article
- Associations between insufficient sleep and prescription opioid misuse among high school students in the United States.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Behavioral Health Risk Factors for Nonmedical Prescription Opioid Use in Adolescence.Pediatrics · 2021Article
- Sex differences in factors predicting post-treatment opioid use.Addiction (Abingdon, England) · 2021Article
- Associations between adolescent sleep deficiency and prescription opioid misuse in adulthood.Sleep · 2021Article
- Profiles of lifetime substance use are differentiated by substance of choice, affective motivations for use, and childhood maltreatment.Addictive behaviors · 2021Article
- A supportive school environment may reduce the risk of non-medical prescription opioid use due to impaired mental health among students.European child & adolescent psychiatry · 2021Article
- Guidelines for Opioid Prescribing in Children and Adolescents After Surgery: An Expert Panel Opinion.JAMA surgery · 2021Review
- Comorbid chronic pain and opioid misuse in youth: Knowns, unknowns, and implications for behavioral treatment.The American psychologist · 2020Review
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
unlabelledThis study examined the motives for medical misuse of prescription opioids among adolescents and assessed differences in motives by demographic characteristics, substance abuse, and diversion behaviors. A survey was conducted in 2011 to 2012 and the sample consisted of 2,964 adolescents (51% female). Thirteen percent reported past-year medical use of prescription opioids. Among those prescribed opioids in the past year (n = 393), 17.9% reported medical misuse (eg, using too much, using to get high, or using to increase alcohol or other drug effects). The most prevalent motives for medical misuse were "to relieve pain" (84.2%) and "to get high" (35.1%). Multivariate analyses indicated that the motives differed by race, and that different motives were associated with different substance abuse and diversion behaviors. The odds of past-year substance abuse among medical misusers motivated by non-pain relief were more than 15 times greater than for nonusers (adjusted odds ratio = 15.2, 95% CI = 6.4-36.2, P < .001). No such differences existed between nonusers and appropriate medical users, or between nonusers and medical misusers motivated by pain relief only. These findings improve our understanding of opioid medication misuse among adolescents and indicate the need for enhanced education about appropriate medical use, pain management, and patient communication with prescribers. PERSPECTIVE: This article represents the first investigation to examine the motives associated with medical misuse of prescription opioids among adolescents. The results indicate that the majority of medical misuse is associated with pain relief. This information could be used to develop strategies to reduce opioid medication misuse among adolescents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.