Evidence map›Paper›PMID 30926573›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2019

Sources of Nonmedical Prescription Drug Misuse Among US High School Seniors: Differences in Motives and Substance Use Behaviors.

Sean Esteban McCabe, Philip Veliz, Timothy E Wilens, Brady T West, Ty S Schepis, Jason A Ford, Corey Pomykacz, Carol J Boyd

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 43 citations in OpenAlex.

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  19. Prescription Drug Misuse: Taking a Lifespan Perspective.Substance abuse : research and treatment · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Sean Esteban McCabeCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, Center for Human Growth and Development, and Institute for Research on Women and Gender, University of Michigan, Ann Arbor. Electronic address: plius@umich.edu.
Philip VelizCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, Center for Human Growth and Development, and Institute for Research on Women and Gender, University of Michigan, Ann Arbor.
Timothy E WilensPediatric and Adult Psychopharmacology Units, Massachusetts General Hospital, Boston and Harvard University, Boston, MA.
Brady T WestInstitute for Social Research, University of Michigan, Ann Arbor.
Ty S SchepisTexas State University, San Marcos.
Jason A FordUniversity of Central Florida, Orlando.
Corey PomykaczUniversity of Central Florida, Orlando.
Carol J BoydCenter for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, Center for Human Growth and Development, and Institute for Research on Women and Gender, University of Michigan, Ann Arbor.
University of Michigan–Ann Arbor · USUniversity of Central Florida · USHarvard University · USInstitute for Women's Policy Research · USTexas State University · US

Funding

Monitoring the Future: Drug Use & Lifestyles of American Youth (Supp1: Nicotine Pouch and E-cigarette Use Among US Adolescents: National Estimates of Brand Use and Flavor Preferences)R01DA001411 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Richard A Miech · 1985 to 2026
$144.9M
Trajectories of Prescription Nonmedical Drug MisuseR01DA031160 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEAN ESTEBAN MCCABE · 2011 to 2026
$3.7M
Prescription Drug Misuse Characteristics in Adolescents and Young Adults: Influence of School EnrollmentR01DA043691 · NIDA · TEXAS STATE UNIVERSITY · PI TY Stephen SCHEPIS · 2017 to 2026
$1.8M
Longitudinal Changes in Recovery from Drug Use Disorders: A National StudyR01DA036541 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCCABE, SEAN ESTEBAN · 2015 to 2017
$647k
NIDA NIH HHS R01 DA001411NIDA NIH HHS R01 DA031160NIDA NIH HHS R01 DA036541NIDA NIH HHS R01 DA043691
6 · The paper itself

Abstract

objectiveTo examine whether sources of nonmedical use of prescription drugs (NMUPD) involving anxiolytics, opioids, and stimulants were associated with sociodemographic characteristics, NMUPD characteristics (eg, frequency), and other substance use.

methodNationally representative samples of US high school seniors (N = 18,549) were surveyed by self-administered questionnaires (2009-2016). Design-based latent class analysis and Rao-Scott χ

resultsApproximately 11.0% of high school seniors reported past-year NMUPD (n = 1,917). A substantial proportion of nonmedical users obtained the prescription drugs from multiple sources (44.2%). Latent class analysis identified 5 subgroups of NMUPD sources (friend/relative sources, friend/purchased sources, own leftover prescription, multiple sources, and other sources). Nonmedical users who obtained prescription drugs from friend/purchased sources were more likely to be adolescent boys, whereas those who used their own leftover prescriptions were more likely to be adolescent girls. Nonmedical users who obtained prescription drugs from multiple sources were more involved in substance use. In contrast, adolescent nonmedical users who used their own leftover prescriptions were less involved in substance use.

conclusionGrowing evidence indicates that different NMUPD sources are associated with different substance use behaviors. All NMUPD sources should be discouraged, because they place individuals, families, and communities at risk. Patients and their families should receive education on how to manage and properly dispose of controlled medications to avoid diversion into the community. Prescribers are encouraged to check prescription monitoring programs and screen adolescents for substance use/misuse when prescribing controlled medications.

Indexed as

Analgesics, OpioidPrescription Drug MisuseAdolescentAdolescent BehaviorCross-Sectional StudiesFemaleHumansMaleMotivationStudentsSubstance-Related DisordersSurveys and QuestionnairesUnited StatesAnalgesics, Opioiddiversionepidemiologyprescription medicationssubstance abuse

Identifiers

PMID30926573
PMCPMC7071946
OpenAlexW2923366947

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.